Abstract
BACKGROUND: Degloving injuries to the lower extremities are relatively rare. We herein report a case of 35-year-old male patient, who sustained a mangled degloving injury to the left lower extremity after a car accident. Despite the severity of the injury, we opted for limb salvage. METHODS: The patient presented with a large soft-tissue defect in the anterior compartment of the calf with neurovascular injury. The bones were intact. Reconstructive surgery involves repeated radical debridement, revascularisation, negative-pressure wound therapy, and plastic surgery. Treatment was complex and carried out in collaboration with orthopaedic, plastic, and vascular surgeons. RESULTS AND CONCLUSIONS: Five years after surgery, the patient was able to fully bear weight on the affected extremity and experience mild pain and chronic fibular nerve palsy. The outcomes were satisfactory.