Orthopaedics, MS Ramaiah Medical College, Bangalore, India
Orthopaedics, MS Ramaiah Medical College, Bangalore, India.
BMJ Case Rep. 2023 Apr 7;16(4):e253009. doi: 10.1136/bcr-2022-253009.
Internal degloving injuries are commonly seen in the pelvis. Similar lesions in the distal femur are rare. They cause a separation between the subcutaneous layer and deep fascia, which results in blood, lymph, necrosed fat and fluid collection in the space. They result in infection and soft tissue complications. Treatment options include conservative management with compression dressings, percutaneous aspiration, mini-incision drainage and sclerodesis. Here we describe a case of closed internal circumferential degloving injury of the distal thigh with a distal femur fracture treated by an innovative technique involving negative pressure therapy, internal fixation of the fracture and secondary skin grafting.
内部表皮剥脱伤在骨盆中很常见。股骨远端的类似损伤则较为罕见。这些损伤会导致皮下层与深筋膜之间发生分离，从而导致血液、淋巴液、坏死脂肪和液体在该间隙中积聚。它们会导致感染和软组织并发症。治疗方法包括使用加压敷料的保守治疗、经皮抽吸、小切口引流和硬化治疗。在此，我们描述了一例采用负压治疗、骨折内固定和二期植皮的创新技术治疗的闭合性股远端环形内部表皮剥脱伤合并股骨远端骨折的病例。
