Treatment progress of extremity skin avulsion

Objective: To review the treatment methods of the extremity skin avulsion, and to point out the problems at present as well as to predict the trend of development in this field.

Methods: Domestic and abroad literature concerning the treatment methods of the extremity skin avulsion in recent years was extensively and thoroughly analyzed.

Results: The timely and accurate evaluation of viability and blood circulation of avulsed skin was the key to treat extremity skin avulsion. At present, there were many methods to treat extremity skin avulsion and the vacuum sealing drainage (VSD) technology played an important role in the treatment of skin avulsion. Artificial skin had been used to treat skin avulsion.

Conclusions: The conventional method to treat skin avulsion is rigorous debridement, defatting of the avulsed flap, planting back avulsed skin flap. The combined use of the VSD technology helps skin avulsion treatment. It may be a trend that artificial skin will be used in treating extremity avulsion.