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KMID : 0922220080080020084
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Journal of the Korean Musculoskeletal Transplantation Society
2008 Volume.8 No. 2 p.84 ~ p.89
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Use of Acellular Human Dermal Matrix and Split-Thickness Skin Graft from Injury Site for Treatment of Degloving Injury
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Kim Tae-Young
Song Si-Young
Lee Yong-Beom
Hyun Ho-Seung
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Abstract
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Purpose: An acellular human dermal matrix and split-thickness skin graft is a useful method for the soft tissue coverage of the lower leg, around the foot and ankle. We present our experience with the acellular human dermal matrix and split-thickness skin graft from injury site for the coverage of a soft tissue defect due to degloving injury.
Materials and Methods: We treated 6 degloving injury patients who showed soft tissue defects around their lower leg, foot and ankle. The causes of the soft tissue defect were an traffic accident in 5 cases, and industrial trauma in 1 case. The sites of the soft tissue defect were around the ankle in 1 case. In the other cases, the defect site were the lower third of the leg and the hind foot. The mean follow up period was 12 months. The size of the soft tissue defect ranged from 5×7 cm to 20×30 cm.
Results: All the acellular human dermal matrix and split-thickness skin graft survived. There was no recurrence of the soft tissue defect during the follow-up period.
Conclusion: The acellular human dermal matrix and split-thickness skin graft is a valuable method for covering certain types soft tissue defect of foot and ankle in degloving injury patients.
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KEYWORD
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Degloving injury, Acellular human dermal matrix
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