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Negative pressure therapy in a scenario of distal femur fracture with internal degloving injury
  1. Ravikumar Thoppanahalli Venkatesh,
  2. Dev Anand Galagali and
  3. Aanchal Bhatia
  1. Orthopaedics, MS Ramaiah Medical College, Bangalore, India
  1. Correspondence to Dr Ravikumar Thoppanahalli Venkatesh; ortho1980{at}


Internal degloving injuries are commonly seen in the pelvis. Similar lesions in the distal femur are rare. They cause a separation between the subcutaneous layer and deep fascia, which results in blood, lymph, necrosed fat and fluid collection in the space. They result in infection and soft tissue complications. Treatment options include conservative management with compression dressings, percutaneous aspiration, mini-incision drainage and sclerodesis. Here we describe a case of closed internal circumferential degloving injury of the distal thigh with a distal femur fracture treated by an innovative technique involving negative pressure therapy, internal fixation of the fracture and secondary skin grafting.

  • Orthopaedics
  • Plastic and reconstructive surgery
  • Orthopaedic and trauma surgery

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  • Contributors RTV was the chief operating and treating surgeon of the patient. DAG and AB played a major role in the preoperative, postoperative care and follow-up of the patient. RTV, DAG and AB performed the literature search, drafted and revised the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.