A Simple Strategy in Avulsion Flap Injury: Prediction of Flap Viability Using Wood's Lamp Illumination and Resurfacing with a Full-thickness Skin Graft
A 74-year-old woman encountered an avulsion injury to the right leg by a moving wheel, which resulted in a circumferential degloving of the skin from mid-thigh to the dorsum of the foot (). The patient had been suffering from diabetes and hypertension for more than 10 years. After adequate debridement, the devascularized skin flap was defatted in attachment and used as a FTSG to cover the denuded area. Multiple but small areas of necrosis were found (). At postoperative day 21, debridement and STSG were performed. At a follow-up 2 months postoperatively, the appearance was acceptable (). At a follow-up at 13 months, no limitation of ambulation was evident.