Evidence map›Paper›PMID 42218434›Full record

ArticleBMC surgery2026

Surgical management and outcomes of open degloving injuries of the extremities: a retrospective cohort study at a Level II trauma center.

Vsevolod Shurkhay, Zachary Arnold, Elvis Tamo Achu, Utsav Patel, Eric Schinnerer, Jianqiang Huo, Michael Charles, Changxing Liu

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Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Vsevolod ShurkhayAscension St. John Medical Center, Tulsa, OK, USA. vsevolod.shurkhay@ascension.org.
Zachary ArnoldOU-TU School of Community Medicine, Tulsa, OK, USA.
Elvis Tamo AchuAscension St. John Medical Center, Tulsa, OK, USA.
Utsav PatelAscension St. John Medical Center, Tulsa, OK, USA.
Eric SchinnererAscension St. John Medical Center, Tulsa, OK, USA.
Jianqiang HuoAscension St. John Medical Center, Tulsa, OK, USA.
Michael CharlesAscension St. John Medical Center, Tulsa, OK, USA.
Changxing LiuAscension St. John Medical Center, Tulsa, OK, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpen degloving injuries are severe soft-tissue traumas associated with ischemia, infection, and poor functional outcomes. Due to heterogeneous presentations, standardized management protocols remain limited.

methodsWe conducted a retrospective cohort study of 28 consecutive patients with open degloving injuries of the extremities treated at a Level II trauma center between 2020 and 2024. Demographics, injury characteristics, surgical interventions, and outcomes were analyzed using chi-square/Fisher's exact tests and nonparametric methods.

resultsMedian age was 49 years, and 57.1% were male. Motor vehicle accidents were the most common mechanism (40.7%), with 56.7% involving upper extremities. All but one patient underwent surgical management. Primary debridement was performed in 51.9%, serial debridement in 33.3%, and negative pressure wound therapy in 63.0%. Skin grafting (22.2%) and flap reconstruction (14.8%) were used for definitive closure. Complications occurred in 40.7%, most commonly necrosis (18.5%) and infection (11.1%). Median hospital stay was 7 days.

conclusionsEarly multidisciplinary surgical management is associated with high limb salvage rates and acceptable complication profiles. Prospective multicenter studies are needed to establish standardized treatment algorithms.

Indexed as

Degloving InjuriesExtremitiesPlastic Surgery ProceduresSoft Tissue InjuriesAdultAgedDebridementFemaleHumansLimb SalvageMaleMiddle AgedNegative-Pressure Wound TherapyRetrospective StudiesSkin TransplantationSurgical FlapsLower extremitiesOpen degloving injuryReconstructive surgeryTraumaUpper extremities

Identifiers

PMID42218434
PMCPMC13430783

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.