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 20-year-old woman injured her right leg in a car accident. This was a circumferential degloving of the skin of the calf (). The patient received FTSGs made from the avulsed flap for coverage. On postoperative day 6, ongoing necrosis on the non-defatted area of the right calf was noted (). Debridement was performed and VAC was applied. At postoperative day 23, final coverage was done with acellular dermis and STSG from a thigh. At a follow-up at 6 months, no limitation of ambulation was evident. The patient requested camouflage surgery of the STSG area ().