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KMID : 1190620120080020068
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Journal of the Korean Wound Care Society
2012 Volume.8 No. 2 p.68 ~ p.72
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The Effectiveness of Artificial Dermis Used in Upper and Lower Extremity Reconstruction
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Ha Won-Ho
Shim Jeong-Su
Park Dae-Hwan
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Abstract
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Artificial dermis is used broadly in plastic surgery because of its shortening taken time effect. Almost of artificial dermis
has its limit that artificial dermis is thicker then dermis. So two step procedure is used. To fill this limitation, which
use thin skin substitute take center stage. In this study, we procedured skin graft uses variable artificial dermis on
skin defect site by trauma. During the period between 2006 to 2011, a total of 95 patients at our medical institution
underwent surgery in association with skin and soft tissue defect (Matridermⓡ 24, Allodermⓡ 12, Terudermisⓡ 22,
Pelnacⓡ 39). Matridermⓡ was applied to the after debridement then split thickness skin-graft was done consecutively.
Allodermⓡ was procedured on hypertrophic scar patient by split thickness skin graft. Terudermisⓡ and Pelnacⓡ was
procedured on wound site where bone and tendon is exposured. Men are 62, women are 33 in total of 97. Mean
age was 42.0 and age distribution was 4 to 92. Mean surgery frequency was 2.75 (1∼7), and average period time
from last surgery of skin graft was 24.4 days. 17 of 24 cases of using Matridermⓡ occured 100% taken. 9 of 12 cases
of using Allodermⓡ occurred. Loss of soft tissue of Terudermisⓡ and Pelnacⓡ was completely filled with granulation
tissue after 17.2 days, therefore split-thickness skin graft was possible. In the reconstruction of skin defects, variety
dermis-substutive tissue are used to minimize scars and filling. While Pelnac® and Terudermisⓡ are a two-step
procedure to skin reconstruction, Matridermⓡ and Allodermⓡ are One-step procedure. Which means Matridermⓡ and
Allodermⓡ help patients get back into their normal life more quickly and reduce any financial burden. Also the fact
that they decrease joint-movement defects by contracture and are easy to handle will result in a substantial increase
in their use in split-thickness skin graft.
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KEYWORD
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One step procedure, Matridermⓡ, Artificial dermis
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