Skip to main content
SpringerLink
Log in

Schwere Degloving-Verletzung der Füße bei einem Kind

Severe degloving injury to both feet in a child

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Degloving-Verletzungen können durch Replantation der entfetteten Haut erfolgreich behandelt werden. Es existieren bei Kindern jedoch nur sehr wenige Berichte über die Therapie solcher Verletzungen. In unserer Kasuistik beschreiben wir das Vorgehen bei einem 4-jährigen Jungen, der sich schwere Degloving-Verletzungen beider Füße zuzog, als er in ein Gepäckband geriet.

Abstract

Although rarely described, it is generally accepted that degloving injuries can successfully be treated by defatting the degloved skin and replacing it with a full-thickness graft. There have been few reports on the outcome of this reconstructive procedure in children. In this report, we describe the use of the VAC system to treat a case of degloving injury to both feet of a 4-year-old boy who was pulled into a luggage belt while standing on it.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8

Literatur

  1. Arnez ZM, Khan U, Tyler MPH (2010) Classification of soft-tissue degloving in limb trauma. J Plast Reconstr Aesth Surg 63:1865–1869

    Article  CAS  Google Scholar 

  2. Bennet JE, Bailey BN, Blocker TG (1966) Repair of skin and soft tissue losses in the upper extremity. Ann Surg 19:229–233

    Google Scholar 

  3. De Korte N, Dwars BJ, van der Werff JF (2009) Degloving injury of an extremity: Is primary closure obsolete? J Trauma 67(3):60–61

    Article  Google Scholar 

  4. Farmer AW (1939) Treatment of avulsed skin flaps. Ann Surg 110(5):951–959

    Article  PubMed  CAS  Google Scholar 

  5. Hierner R, Nast-Kolb D, Stoel AM et al (2009) Degloving injuries of the lower limb. Unfallchirurg 112(1):55–62

    Article  PubMed  CAS  Google Scholar 

  6. Huygen REF, Hovius SER, Meulen van der JC (1986) Treatment of extensive avulsions of the skin and soft tissues of the extremities. Ned Tijschr Geneeskd 130(41):1836–1840

    CAS  Google Scholar 

  7. Innes CO (1958) Treatment of skin avulsion injuries of the extremities. Br J Plast Surg 10:122–140

    Article  Google Scholar 

  8. Jeng SF, Hsieh CH, Lin TS et al (2003) Classification and reconstruction options in foot plantar skin avulsion injuries. Plast Reconstr Surg 112:220–221

    Article  PubMed  Google Scholar 

  9. Jeng SF, Wei FC (1997) Classification and reconstruction options in foot plantar skin avulsion injuries. Plast Reconstr Surg 99(6):1695–1703

    Article  PubMed  CAS  Google Scholar 

  10. Kudsk KA, Sheldon GF, Walton RL (1981) Degloving injuries in the extremities and torso. J Trauma 21:835–839

    Article  PubMed  CAS  Google Scholar 

  11. Letts RM (1986) Degloving injuries in children. J Pediatr Orthop 6:193–197

    Article  PubMed  CAS  Google Scholar 

  12. MacCollum (1838) Wringer arm. New Engl J Med 218:549–552

    Article  Google Scholar 

  13. Mandel M (1981) The management of lower extremity degloving injuries. Ann Plast Surg 6:1–5

    Article  PubMed  CAS  Google Scholar 

  14. McGrouther DA, Sully L (1980) Degloving injuries of the limb: long-term review and management based on whole body fluorescence. Br J Plast Surg 33:9–24

    Article  PubMed  CAS  Google Scholar 

  15. Meara JG (1999) Vacuum assisted closure in the therapy of degloving injuries. Ann Plast Surg 42:589–594

    Article  PubMed  CAS  Google Scholar 

  16. Minten L, Hovius SE, Gilbert PM (1992) Degloving injuries. Acta Chir Belg 92:109–112

    Google Scholar 

  17. Waikakul S (1997) Revascularization of degloving injuries of the limbs. Injury 28(4):271–274

    Article  PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Klinik für Kinderchirurgie und Kinderurologie, Kinderkrankenhaus Amsterdamer Straße, Kliniken der Stadt Köln GmbH, Amsterdamer Straße 59, 50735, Köln, Deutschland

    R.A. Künzel, N. Marathovouniotis & T.M. Boemers

  2. Abteilung für Kinderradiologie, Kinderkrankenhaus Amsterdamer Straße,,Kliniken der Stadt Köln GmbH, Köln, Deutschland

    M.W. Kellner

Authors
  1. R.A. Künzel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Marathovouniotis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M.W. Kellner
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T.M. Boemers
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R.A. Künzel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Künzel, R., Marathovouniotis, N., Kellner, M. et al. Schwere Degloving-Verletzung der Füße bei einem Kind. Unfallchirurg 116, 171–175 (2013). https://doi.org/10.1007/s00113-012-2163-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-012-2163-6

Schlüsselwörter

Keywords

Search

Navigation