Primary Coverage of Donor Site Using Expanded Meshed Skin Graft in a Polytrauma Patient with Degloving Injury of Foot

Abstract

It is a known fact that following split thickness skin grafting in post traumatic wounds the donor site heals with re-epithliazation. The skin thus formed initially is fragile and takes a long time to become strong mobile and elastic. However, in some patients, donor site poses risk of nonhealing, delayed healing, hypertrophic scar formation and cosmetic disfigurement, etc., In such patients, it is ideal to identify such risk factors and manage them carefully. We are reporting a case of degloving of the foot in a poly-traumatized patient treated by split thickness skin grafting where to avoid the above problems, the donor site was also skin grafted primarily after meshing the skin and making it large.

Keywords

• degloving wound
• meshed skin graft
• skin graft