Q1.) True about degloving injuries

a) Avulsion of skin and subcutaneous fat

b) Avulsion of skin, fat and neurovascular bundle

c) Closed degloving injuries are easier to manage

d) Split skin grafts should not be harvested from non viable degloved skin

Answer



A1.) a

Degloving occurs when the skin and subcutaneous fat are stripped by avulsion from the underlying fascia, leaving neuro vascular structures, tendon or bone exposed.

Extent of closed degloving injuries is more than expected as more limb may be non viable and therefore these injuries are not easy to manage

Split ­skin grafts can be harvested from the degloved non­viable skin and meshed to cover the raw areas resulting from debridement.

Bailey- page 28