Maggot therapy for wound debridement in a traumatic foot-degloving injury: a case report

J Foot Ankle Surg. Nov-Dec 2003;42(6):371-6. doi: 10.1053/j.jfas.2003.09.005.

Abstract

A 43-year-old man was treated for a traumatic degloving injury to his foot with a transmetatarsal amputation and wound care because of the extensive soft tissue loss. After biweekly sharp debridements in the office for 4 weeks, very minimal skin ingrowth was noted. Maggot therapy was then implemented for a 48-hour treatment and a second treatment for 72 hours to help reduce excessive fibrosis and to painlessly debride the tissues to expose the granular base. Daily dressing changes for the next 6 weeks successfully allowed complete wound closure without any additional interventions. During the follow-up course, no complications were encountered and the patient has returned to ambulation with the use of a cane.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Debridement / methods*
  • Foot Injuries / physiopathology
  • Foot Injuries / therapy*
  • Humans
  • Larva*
  • Male
  • Soft Tissue Injuries / physiopathology
  • Soft Tissue Injuries / therapy*
  • Wound Healing