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Case Reports
. 2020 Jul 31:29:100337.
doi: 10.1016/j.tcr.2020.100337. eCollection 2020 Oct.

Management of foot degloving injury with bilateral anterolateral thigh flaps

Pan Zhou  1 , Xiaobin Cong  1 , Zhenbing Chen  1
Affiliations
Case Reports

Management of foot degloving injury with bilateral anterolateral thigh flaps

Pan Zhou et al. Trauma Case Rep. .

Erratum in

Abstract

Foot degloving injuries are frequently encountered by reconstructive surgeons as there are more and more vehicles on the road. The separation between the deep facia and the superficial skin often damage the blood supply of the cutaneous tissue, resulting skin defect and digit necrosis. In order to manage these challenging situations, reconstructive surgeons have explored various types of techniques. Our team have managed to cure one such patient through bilateral anterolateral thigh flaps, in which the two flaps cover the dorsal and plantar side respectively. The flaps survived uneventfully and second stage operation of defatting was consequently arranged. The patient obtained protective sensation and felt satisfied with the cosmetic outcome. With the development of microsurgery, bilateral anterolateral thigh flaps could be effectively adopted to manage foot degloving injuries.

Keywords: Anterolateral thigh flap; Degloving injuries; Foot injuries; Salvage limb; Soft tissue defect; Surgical flaps.

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Figures

Fig. 1
Fig. 1
The dorsal (a) and plantar (b) side of the degloved foot after defatted skin graft. Hematoma was found under the plantar skin (c).
Fig. 2
Fig. 2
The dorsal (a) and plantar (b) side of the degloved foot after thorough debridement.
Fig. 3
Fig. 3
The dorsal side of foot was covered by an ALT flap from the left (a) and the plantar side received an ALT flap from the right (b).
Fig. 4
Fig. 4
The dorsal (a) and plantar (b) side of the left foot at the latest follow up, twelve months after the injury.
See this image and copyright information in PMC

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