Dermal Matrices: Game Changers in Leg and Foot Soft Tissue Reconstruction? A Case Series
| Autor: | George Drosos, Despoina Kakagia, George S. Georgiadis |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Degloving business.industry medicine.medical_treatment 030208 emergency & critical care medicine 030209 endocrinology & metabolism General Medicine medicine.disease Surgery Avulsion 03 medical and health sciences 0302 clinical medicine Soft tissue reconstruction Negative-pressure wound therapy medicine Foot reconstruction business Dermal matrix Foot (unit) |
| Zdroj: | The International Journal of Lower Extremity Wounds. 22:56-62 |
| ISSN: | 1552-6941 1534-7346 |
| Popis: | The present article aims to present the use of dermal matrices in severe degloving, avulsion, and necrotizing injuries of the leg and foot in 3 patients. Conventional reconstruction would require the use of free flaps, since exposure of vessels, nerves, joints, and tendons rendered the mere resurfacing with skin grafts insufficient, and extensive cutaneous detachment precluded the use of local fasciocutaneous flaps. All injuries underwent thorough and repeated surgical debridements and wash outs, followed by negative pressure wound therapy (NPWT). Once negative tissue cultures were obtained, the extremities were resurfaced with dermal matrix and immediately covered by split thickness skin grafts. NPWT on the grafted area for a week effectively secured the grafts on the recipient area. Complete healing was achieved in all grafted areas within 7 to 12 days. The function of joints and tendons as well as the quality of resurfacing at the weight bearing areas were tested and found satisfactory within a follow-up period of 5 to 15 months. The use of combined NPWT and dermal matrices in carefully selected patients provides a reliable and durable reconstructive option for leg and foot injuries with satisfactory functional outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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