Orthopedic Surgery Resident, Department of Orthopedics, WellSpan York Hospital, York, PA.
Clinical Research Associate, Department of Orthopedics, WellSpan York Hospital, York, PA.
J Foot Ankle Surg. 2021 May-Jun;60(3):615-620. doi: 10.1053/j.jfas.2020.09.010. Epub 2020 Sep 21.
Closed degloving injuries are uncommon, high-energy injuries that separate the bony structures from the soft tissue and frequently result in amputation. Because the epidermis is often intact, it is difficult to visualize the extent of the soft tissue damage. Although there is no gold standard of treatment for closed degloving injuries at present, previous cases have reported that neurovascular presentation is a key predictor of amputation Herein, we report a closed degloving injury involving the second through fifth phalanges of the left foot following a crushing injury with a forklift. Despite adequate capillary refill upon initial presentation, the patient ultimately underwent transmetatarsal amputation.
闭合性撕脱伤是一种不常见的高能损伤，它会将骨结构与软组织分离，经常导致截肢。由于表皮通常完整，因此很难观察到软组织损伤的程度。尽管目前对于闭合性撕脱伤还没有金标准的治疗方法，但之前的病例报告表明，神经血管表现是截肢的一个关键预测因素。在这里，我们报告了一例左足第二至第五趾的闭合性撕脱伤，病因是被叉车挤压伤。尽管初始表现时毛细血管再充盈良好，但患者最终还是接受了经跖骨截肢。
