PT  - JOURNAL ARTICLE
AU  - Thoppanahalli Venkatesh, Ravikumar
AU  - Galagali, Dev Anand
AU  - Bhatia, Aanchal
TI  - Negative pressure therapy in a scenario of distal femur fracture with internal degloving injury
AID  - 10.1136/bcr-2022-253009
DP  - 2023 Apr 01
TA  - BMJ Case Reports
PG  - e253009
VI  - 16
IP  - 4
4099  - http://casereports.bmj.com/content/16/4/e253009.short
4100  - http://casereports.bmj.com/content/16/4/e253009.full
SO  - BMJ Case Reports2023 Apr 01; 16
AB  - 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.