{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:02Z","timestamp":1791985562102,"version":"4.4.0"},"reference-count":15,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"\n Background:<\/jats:title>\n Traumatic degloving injuries of the foot are rare but carry a substantial risk of limb loss, particularly in the presence of exposed underlying tendon, bone, or joints. We present a case report of a severe traumatic foot degloving managed with staged reconstruction using a biodegradable temporizing matrix (BTM) followed by split-thickness skin grafting (STSG) to achieve limb salvage.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A 22-year-old male patient sustained a severe right foot degloving injury, with several associated metatarsophalangeal dislocations and fractures, following a traumatic rail-car injury. Management consisted of serial surgical debridement and negative pressure wound therapy, followed by application of the BTM to generate a vascularized wound bed, followed by STSG.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n After 12 weeks of outpatient wound care following BTM application to the foot degloving wound, the patient underwent STSG with a successful graft-take. The patient achieved full wound healing without complication and successful limb salvage at 7-month follow-up.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This case illustrates the success and utility of a staged surgical approach, combined with a synthetic dermal matrix to achieve durable soft tissue coverage and limb salvage following a severe traumatic degloving injury of the foot.<\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/01477447-20260924-01","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:56:29Z","timestamp":1791982589000},"source":"Crossref","is-referenced-by-count":0,"title":["Staged Soft Tissue Reconstruction of Traumatic Right Foot Degloving Using Wound Matrix"],"prefix":"10.3928","volume":"49","author":[{"given":"Alex","family":"Percle","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Vauclin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Flaig","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Payton","family":"Alexander","sequence":"additional","affiliation":[{"name":"School of Medicine, Louisiana State University Health Shreveport, Shreveport, Louisiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Purcell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","first-page":"e13","article-title":"A biodegradable polyurethane dermal matrix in reconstruction of free flap donor sites: a pilot study","volume":"15","author":"Wagstaff MJD","year":"2015","unstructured":"Wagstaff MJD, Schmitt BJ, Coghlan P, Finkemeyer JP, Caplash Y, Greenwood JE. 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