• 1

    Adams DC, Ramsey ML: Grafts in dermatologic surgery: review and update on full and split thickness skin grafts, free cartilage grafts, and composite grafts. Dermatol Surg 31: 1055, 2005.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Huemer GM, Schoeller T, Dunst KM, et al.: Management of a traumatically avulsed skin-flap on the dorsum of the foot. Arch Orthop Trauma Surg 124: 559, 2004.

  • 3

    Yan H, Liu S, Gao W, et al.: Management of degloving injuries of the foot with a defatted full-thickness skin graft. J Bone Joint Surg Am 95: 1675, 2013.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 4

    Boffeli TJ, Goss MS: Distal Syme hallux amputation for tip of toe wounds and gangrene complicated by osteomyelitis of the distal phalanx: surgical technique and outcome in consecutive cases. J Foot Ankle Surg 57: 456, 2017.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 5

    Greaves NS, Morris J, Benatar B, et al.: Acute cutaneous wounds treated with human decellularized dermis show enhanced angiogenesis during healing. PloS One 10: e0113209. 2015.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6

    Vig K, Chaudhari A, Tripathi S, et al.: Advances in skin regeneration using tissue engineering. Int J Mol Sci 18: 789, 2017.

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 7

    Lalehparvar S, Mohiuddin A, Labib I: Successful excision of cutaneous horns and application of a full-thickness pinch skin graft for primary closure. JAPMA 107: 158, 2017.

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    • Search Google Scholar
    • Export Citation
  • 8

    Tchanque-Fussuo CN, Wishy AM, West KIM, et al.. Reclaiming autologous amputated tissue for limb salvage of a diabetic foot burn with underlying critical limb ischemia. Adv Skin Wound Care 31: 596, 2018.

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 9

    Yokota K, Nakanishi M, Sunagawa T, et al.: Using full-thickness skin graft from amputated foot can provide a stump with durable skin. J Plast Reconstr Aesthet Surg 62: e667, 2009.

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    • PubMed
    • Web of Science
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Degloving Traumatic Lesser Toe Injury Reconstruction with Full-Thickness Skin Graft from Partially Amputated Autologous Toe Donor Site: A Case Report

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  • 1 Department of Podiatric Surgery, Yale New Haven Hospital, New Haven, CT.
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Complex soft-tissue injuries consist of difficult traumatic injuries caused by high-energy mechanisms such as motor vehicle accidents, lawnmower injuries, and crush injuries from heavy objects. Many times, because of the high-energy trauma, there is significant damage to the soft tissue and underlying bone, leading to a complex situation for healing. In this case report, a 43-year-old woman presented with extensive degloving injury and open fractures of the forefoot resulting from a lawnmower accident. After extensive irrigation and debridement, wound closure was achieved using a full-thickness skin graft (FTSG). Although many case reports have been published about management of these complex soft-tissue injuries, there are no reports on using an autologous FTSG from a neighboring digit undergoing distal amputation for wound coverage. This report discusses the technique of using an autologous FTSG from an amputated specimen to achieve wound coverage with adequate limb salvage principles.

Corresponding author: Michael I. Gazes, DPM, MPH, Department of Podiatric Surgery, Yale New Haven Hospital, 1450 Chapel St, New Haven, CT 06511. (E-mail: michael.gazes@yale.edu)