2. Classification
• Pattern 1- Limited degloving with
abrasion/avulsion
There is loss of tissue as a result of the abrasive force.
There is little undermining of the remaining skin edges.
Since the majority of these cases occurred over bony
prominences (such as the malleoli) there is exposed
bone/joints.
3. Classification
• Pattern 2- Non circumferential degloving
In this pattern the majority of skin is still
present either as a flap or as an area of
extensive undermining. The plane of
avulsions is, in the main, confined to a single
layer (usually between the deep fascia and
the subcutaneous fat and skin
4. Classification
• Pattern 3- Circumferential single plane
degloving
Either open or closed circumferential degloving
of the integument confined to a single plane
(usually between the deep fascia and the
subcutaneous fat and skin
5. Classification
• Pattern 4- Circumferential multiplane
degloving
In addition to pattern 3 there is also a breach
of muscle groups and even between muscle
and periosteum. Clearly this pattern indicates
a higher degree of energy transfer to the limb.
(a) This shows a typical pattern 1 lesion with an abrasion/avulsion of the integument. This also demonstrates
how tissue loss occurs when the limb is dragged along an abrasive surface with force. Free tissue transfer is often mandatory for limb salvage in this pattern as was the case here (b).
This shows a typical pattern 2 degloving (a) degloving lesion with a single plane non circumferential degloving pattern. Following excision the wound was resurfaced with split skin grafts (b).
In this case a circumferential single plane degloving was washed out, re-sutured and drained (a). As can be seen
this was unsuccessful with full-thickness necrosis declaring several days after such surgery. Note that the original assessment was by experienced surgeons indicating the malign nature of these lesions. Limb salvage was by way of free tissue transfer (b).
In this case a circumferential single plane degloving was washed out, re-sutured and drained (a). As can be seen
this was unsuccessful with full-thickness necrosis declaring several days after such surgery. Note that the original assessment was by experienced surgeons indicating the malign nature of these lesions. Limb salvage was by way of free tissue transfer (b).
