• Injury · Mar 2021

    Multidisciplinary treatment of a complicated crural degloving injury in a diabetic patient.

    • Ákos Csonka, István Gárgyán, and Endre Varga.
    • Department of Traumatology, University of Szeged, Hungary. Electronic address: csonka.akos81@gmail.com.
    • Injury. 2021 Mar 1; 52 Suppl 1: S74-S77.

    AbstractDiabetes is a common disease that potentially interferes with healing processes after lower limb trauma. In our presented case a trimalleolar ankle fracture with undiscovered serious soft-tissue injuries resulted in chronic soft-tissue complications in a diabetic patient, requiring three and a half months of hospitalization in a higher level center and the application of state-of-the-art wound treatment, including vacuum-assisted closure therapy, Integra bioengineered skin substitute, split-thickness skin-grafting, and methods enhancing wound healing, such as polarized light therapy and transdermal CO2 delivery. The presented case emphasizes the importance of soft-tissue care and multidisciplinary approach in diabetic trauma patients with poor compliance.Copyright © 2020 Elsevier Ltd. All rights reserved.

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