严重脱套伤后下肢保全：一例病例报告
Lower limb preservation after severe degloving injury: a case report.
作者信息
Cibula Zoltan, Hrubina Maros, Melisik Marian, Lisy Peter, Cervencova Monika
机构信息
Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovak Republic.
University Department of Orthopaedic Surgery, University Hospital Martin, Kollarova 2, Martin 036 59, Slovak Republic.
出版信息
Trauma Case Rep. 2025 Apr 15;57:101162. doi: 10.1016/j.tcr.2025.101162. eCollection 2025 May.
BACKGROUND
Degloving injuries to the lower extremities are relatively rare. We herein report a case of 35-year-old male patient, who sustained a mangled degloving injury to the left lower extremity after a car accident. Despite the severity of the injury, we opted for limb salvage.
METHODS
The patient presented with a large soft-tissue defect in the anterior compartment of the calf with neurovascular injury. The bones were intact. Reconstructive surgery involves repeated radical debridement, revascularisation, negative-pressure wound therapy, and plastic surgery. Treatment was complex and carried out in collaboration with orthopaedic, plastic, and vascular surgeons.
RESULTS AND CONCLUSIONS
Five years after surgery, the patient was able to fully bear weight on the affected extremity and experience mild pain and chronic fibular nerve palsy. The outcomes were satisfactory.
背景
下肢脱套伤相对少见。我们在此报告一例35岁男性患者，其在车祸后左下肢遭受严重脱套伤。尽管损伤严重，我们仍选择保肢治疗。
方法
患者小腿前侧间室存在大面积软组织缺损并伴有神经血管损伤。骨骼完整。重建手术包括反复彻底清创、血管再通、负压伤口治疗及整形手术。治疗过程复杂，由骨科、整形科和血管外科医生共同协作完成。
结果与结论
术后五年，患者患侧肢体能够完全负重，伴有轻度疼痛及慢性腓总神经麻痹。治疗效果满意。
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