Abstract

BOIX-SALES, Mar; GARCIA-MONTERO, Adrián  and  GUINOT-BACHERO, Jordi. Degloving injury: dog bite with exposed tendon. Effectiveness of negativepressure wound therapy. Gerokomos [online]. 2020, vol.31, n.1, pp.55-59.  Epub June 15, 2020. ISSN 1134-928X.

We present the case of an 84-year-old woman who suffered a dog bite on her arm; producing, consequently, an avulsive wound in the proximal third of the forearm, with the peculiarity of leaving the tendon exposed. In the case we present, we propose a treatment for the use of the flap as a viable dressing that, together with the biofilm approach, protects the tendon and an antibiotic treatment. On the other hand, the appearance of hypergranulation in the wound bed was an adverse event that was resolved favorably without compromising the viability of the exposed tendon. The use of Negative Pressure Therapy on the lesion achieved an important advance of the epithelization. In short, the performance of professionals in nursing consultation was crucial in facilitating adherence to treatment, thus maintaining the quality of life of the patient.

Keywords : Bites; tendon injuries; musculoskeletal manipulations; Negative-Pressure Wound Therapy; degloving injuries; bacterial biofilm.

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