Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report
Traumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruc...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644025000901 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850043071836717056 |
|---|---|
| author | Omar Mourafiq Abdellatif Benbouha Hicham Salahi Omar Mergad |
| author_facet | Omar Mourafiq Abdellatif Benbouha Hicham Salahi Omar Mergad |
| author_sort | Omar Mourafiq |
| collection | DOAJ |
| description | Traumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruction. The involvement of severe soft tissue damage, neurovascular compromise, and potential joint involvement increases the risk of complications that can negatively impact clinical outcomes and patient quality of life. This case report details the management of a 32-year-old male who sustained extensive degloving injuries to the left foot and ankle following a motor vehicle ejection. Initial assessment revealed soft tissue damage, mediotarsal dislocation, and bone loss. Despite considering amputation due to the severity of the injury, a limb-salvage approach was chosen. Emergency surgical intervention included wound debridement, bone stabilization with Kirschner wires, and a rotational flap for soft tissue coverage. Postoperative complications included necrosis, which required negative pressure wound therapy and skin grafting. Two years after the accident, the injury site had fully healed, with the patient achieving satisfactory functional and aesthetic outcomes. The patient was able to walk independently for two kilometers with minimal discomfort and had an AOFAS Midfoot Score of 72/100. This case underscores the importance of early multidisciplinary management, careful therapeutic decision-making, and comprehensive long-term follow-up to optimize recovery in complex traumatic foot and ankle injuries. |
| format | Article |
| id | doaj-art-293f7e9896a3468bb1b6581daa180b21 |
| institution | DOAJ |
| issn | 2352-6440 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-293f7e9896a3468bb1b6581daa180b212025-08-20T02:55:20ZengElsevierTrauma Case Reports2352-64402025-08-015810121310.1016/j.tcr.2025.101213Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case reportOmar Mourafiq0Abdellatif Benbouha1Hicham Salahi2Omar Mergad3Department of Orthopaedic Surgery and Traumatology, Oued Eddahab Military Hospital, Agadir 80000, Morocco; Faculty of Medicine and Pharmacy of Marrakech, Morocco; Corresponding author at: Department of Orthopaedic Surgery and Traumatology, Oued Eddahab Military Hospital, Agadir 80000, Morocco.Faculty of Medicine and Pharmacy of Marrakech, MoroccoFaculty of Medicine and Pharmacy of Marrakech, MoroccoFaculty of Medicine and Pharmacy of Marrakech, MoroccoTraumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruction. The involvement of severe soft tissue damage, neurovascular compromise, and potential joint involvement increases the risk of complications that can negatively impact clinical outcomes and patient quality of life. This case report details the management of a 32-year-old male who sustained extensive degloving injuries to the left foot and ankle following a motor vehicle ejection. Initial assessment revealed soft tissue damage, mediotarsal dislocation, and bone loss. Despite considering amputation due to the severity of the injury, a limb-salvage approach was chosen. Emergency surgical intervention included wound debridement, bone stabilization with Kirschner wires, and a rotational flap for soft tissue coverage. Postoperative complications included necrosis, which required negative pressure wound therapy and skin grafting. Two years after the accident, the injury site had fully healed, with the patient achieving satisfactory functional and aesthetic outcomes. The patient was able to walk independently for two kilometers with minimal discomfort and had an AOFAS Midfoot Score of 72/100. This case underscores the importance of early multidisciplinary management, careful therapeutic decision-making, and comprehensive long-term follow-up to optimize recovery in complex traumatic foot and ankle injuries.http://www.sciencedirect.com/science/article/pii/S2352644025000901Degloving injuriesLimb salvageTraumatic foot and ankleSurgical management |
| spellingShingle | Omar Mourafiq Abdellatif Benbouha Hicham Salahi Omar Mergad Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report Trauma Case Reports Degloving injuries Limb salvage Traumatic foot and ankle Surgical management |
| title | Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report |
| title_full | Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report |
| title_fullStr | Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report |
| title_full_unstemmed | Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report |
| title_short | Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report |
| title_sort | management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle a case report |
| topic | Degloving injuries Limb salvage Traumatic foot and ankle Surgical management |
| url | http://www.sciencedirect.com/science/article/pii/S2352644025000901 |
| work_keys_str_mv | AT omarmourafiq managementoftraumaticdeglovinginjuryofthedorsalaspectofthemidfootandankleacasereport AT abdellatifbenbouha managementoftraumaticdeglovinginjuryofthedorsalaspectofthemidfootandankleacasereport AT hichamsalahi managementoftraumaticdeglovinginjuryofthedorsalaspectofthemidfootandankleacasereport AT omarmergad managementoftraumaticdeglovinginjuryofthedorsalaspectofthemidfootandankleacasereport |