9608-334 Hudson
Hudson DA.
Missed closed degloving injuries: late presentation as a contour deformity.
Plast Reconstr Surg. 1996 Aug;98(2):334-7. PMID: 8764723
Comment in:
Plast Reconstr Surg. 1998 Apr;101(4):1159.
Plast Reconstr Surg. 1998 Apr;101(4):1159-60.
Department of Plastic and Reconstructive Surgery, Groote Schuur Hospital, Cape
Town, South Africa.
Closed degloving injuries are uncommon, and the diagnosis may be missed at the
time of acute trauma. This study reports on seven patients seen during a 5-year
period who presented with a contour deformity a number of months after the
initial closed degloving injury. The median time to presentation was 1.4 years.
In five of the seven patients, the contour deformity was present on the lateral
thigh, and in two patients it occurred on the calf. Liposuction was employed to
treat five patients, and all these patients reported an improvement in the
contour of their limb. In two patients, because of an irregular, gritty
deformity, liposuction was unsuccessful, and an open approach was required. The
closed degloving injury with a contour deformity usually follows a
pedestrian-motor vehicle accident. These patients present months later
requesting corrective cosmetic surgery. Liposuction will improve the silhouette
in most patients, but an open approach may be required where fat necrosis and
heterotopic calcification have occurred.
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