Management of a Sever Degloving Foot Injury: A Rare Presentation of food injury in Emergency Department

Yıl 2016, Cilt: 13 Sayı: 1, 113 - 118, 28.04.2016

Uğur Lok Hasan Buyukaslan Umut Gulactı Fatih Dogan İrfan Aydın

Öz

Occupational crash injuries of the foot present a significant reconstructive challenge due to the superficial location of
structures such as tendon, joint and neurovascular network essential for proper acceptance of weight bearing and shear
forces associated with bipedal gait. We discussed here a rare case in which an extensive degloving injury of the foot and
combined with knee traumatic dislocation and proximal fibula tip fracture that underwent amputation. The authors
suggested that none of treatment modalities of degloving are entirely satisfactory, so that each case must be considered
independently with cons and pros.

Anahtar Kelimeler

Foot, Injuries, Emergency Service

Geniş Eldiven-parmak Tarzı Ayak Yaralanmasına Bir Yaklaşım; Acil Serviste Nadir Görülen Bir Olgu Sunumu

Öz

Ayağın iş kazalarıyla ilgili parçalı yaralanmalarının rekonstrüksiyonu iki ayaklı yürüme ile ilişkili düzgün
kabul edilebilir yük taşıma ve kesme kuvvetleri için gereken tendon, eklem ve nörovasküler ağ yapılarının
yüzeysel yerleşimi nedeniyle çok zordur. Biz burada travmatik diz eklemi dislokasyonu ve fibula proximal
uç fraktürünün eşlik ettiği ayak amputasyunu ile sonuçlanan ayağın nadir görülen geniş eldiven tarzı bir
yaralanmasını tartıştık. Sonuç olarak yazarlar eldiven tarzı yaralanmalarda hiçbir tedavi yöntemi tümüyle
tatmin edici olmadığından her vaka bağımsız olarak artı ve eksileriyle birlikte değerlendirilmesi gerektiğini
önermektedir.

Anahtar Kelimeler

Ayak, Yaralanmalar, Acil Servis

Kaynakça

• 1. Kumar GS and Dharanipriya A. Prevalence and pattern of occupational injuries at workplace among welders in coastal south India, Indian J Occup Environ Med. 2014 ;18(3):135–9.
• 2.Shi J, Wheeler KK, Lu B, Bishai DM, Stallones L, Xiang H. Medical expenditures associated with nonfatal occupational injuries among U.S. workers reporting persistent disabilities. Disabil Health J. 2015;8(3):397- 406.
• 3.Schnaue-Constantouris EM, Birrer RB, Grisafi PJ, Dellacorte MP. Digital foot trauma: emergency diagnosis and treatment. J Emerg Med. 2002 ;22(2):163- 70.
• 4.Aiyenuro O, Goldberg AJ. Fractures of the foot and ankle. Surgery 2013;31(9):474–81.
• 5.Jupiter DC, Shibuya N, Clawson LD, Davis ML. Incidence and Risk Factors for Amputation in Foot and Ankle Trauma. J Foot Ankle Surg. 2012;51(3):317-22.
• 6.Singh HP, Downing ND. An “empty” toe: a case report, The Foot 2005;15(2): 114–16.
• 7.Liu DX, Li XD, Wang H, Qiu KF, Du SX. Reconstruction of total degloving injuriesof the foot in children. J Trauma Acute Care Surg. 2012;73:209–14
• 8.Ju JH, Hou RX, Repair of a degloving injury of the thumb with a combined dorsal great toenail flap and dorsalis pedis flap: a case report. Arch Orthop Trauma Surg. 2013;133(10):1455-8.
• 9.Josty IC, Ramaswamy R, Laing JHE. Vacuum-assisted closure: an alternative strategy in the management of degloving injuries of the foot. Br J Plast Surg. 2001 Jun;54(4):363-5.
• 10.Huemer GM, Schoeller T, Dunst KM, Raine C. Management of a traumatically avulsed skin-flap on the dorsum of the foot. Arch Orthop Trauma Surg. 2004;124(8):559-62
• 11.Zgonis T, Cromack DT, Roukis TS, Orphanos J, Polyzois VD. Severe degloving injury of the sole and heel treated by a reverse flow sural artery neurofasciocutaneous flap and a modified off-loading external fixation device. Injury Extra 2007;38(5):187-192