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Background <p>Open degloving injuries are severe soft-tissue traumas associated with ischemia, infection, and poor functional outcomes. Due to heterogeneous presentations, standardized management protocols remain limited.</p> Methods <p>We conducted a retrospective cohort study of 28 consecutive patients with open degloving injuries of the extremities treated at a Level II trauma center between 2020 and 2024. Demographics, injury characteristics, surgical interventions, and outcomes were analyzed using chi-square/Fisher’s exact tests and nonparametric methods.</p> Results <p>Median age was 49 years, and 57.1% were male. Motor vehicle accidents were the most common mechanism (40.7%), with 56.7% involving upper extremities. All but one patient underwent surgical management. Primary debridement was performed in 51.9%, serial debridement in 33.3%, and negative pressure wound therapy in 63.0%. Skin grafting (22.2%) and flap reconstruction (14.8%) were used for definitive closure. Complications occurred in 40.7%, most commonly necrosis (18.5%) and infection (11.1%). Median hospital stay was 7 days.</p> Conclusions <p>Early multidisciplinary surgical management is associated with high limb salvage rates and acceptable complication profiles. Prospective multicenter studies are needed to establish standardized treatment algorithms.</p>

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Surgical management and outcomes of open degloving injuries of the extremities: a retrospective cohort study at a Level II trauma center

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月30日

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  • Vsevolod Shurkhay,
  • Zachary Arnold,
  • Elvis Tamo Achu,
  • Utsav Patel,
  • Eric Schinnerer,
  • Jianqiang Huo,
  • Michael Charles,
  • Changxing Liu

摘要

Background

Open degloving injuries are severe soft-tissue traumas associated with ischemia, infection, and poor functional outcomes. Due to heterogeneous presentations, standardized management protocols remain limited.

Methods

We conducted a retrospective cohort study of 28 consecutive patients with open degloving injuries of the extremities treated at a Level II trauma center between 2020 and 2024. Demographics, injury characteristics, surgical interventions, and outcomes were analyzed using chi-square/Fisher’s exact tests and nonparametric methods.

Results

Median age was 49 years, and 57.1% were male. Motor vehicle accidents were the most common mechanism (40.7%), with 56.7% involving upper extremities. All but one patient underwent surgical management. Primary debridement was performed in 51.9%, serial debridement in 33.3%, and negative pressure wound therapy in 63.0%. Skin grafting (22.2%) and flap reconstruction (14.8%) were used for definitive closure. Complications occurred in 40.7%, most commonly necrosis (18.5%) and infection (11.1%). Median hospital stay was 7 days.

Conclusions

Early multidisciplinary surgical management is associated with high limb salvage rates and acceptable complication profiles. Prospective multicenter studies are needed to establish standardized treatment algorithms.