Single-stage Matriderm and skin grafting as an alternative reconstruction in high-voltage injuries

• Verfasst von: Ryssel, Henning [VerfasserIn]
• Verfasst von: Radu, Christian Andreas [VerfasserIn]
• Verfasst von: Germann, Günter [VerfasserIn]
• Verfasst von: Otte, Maximilian [VerfasserIn]
• Verfasst von: Gazyakan, Emre [VerfasserIn]
• Titel: Single-stage Matriderm and skin grafting as an alternative reconstruction in high-voltage injuries
• Verf.angabe: Henning Ryssel, Christian Andreas Radu, Günter Germann, Max Otte, Emre Gazyakan
• E-Jahr: 2010
• Jahr: 15 September 2010
• Umfang: 8 S.
• Fussnoten: Gesehen am 28.06.2023
• Titel Quelle: Enthalten in: International wound journal
• Ort Quelle: Oxford [u.a.] : Wiley-Blackwell, 2004
• Jahr Quelle: 2010
• Band/Heft Quelle: 7(2010), 5 vom: Okt., Seite 385-392
• ISSN Quelle: 1742-481X
• DOI: doi:10.1111/j.1742-481X.2010.00703.x
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Burns
• Sach-SW: Dermal substitution
• Sach-SW: High-voltage injuries
• Sach-SW: Matriderm®
• K10plus-PPN: 1851207155

Abstract

This article presents a retrospective analysis of a series of nine patients requiring reconstruction of exposed bone, tendons or joint capsules as a result of acute high-voltage injuries in a single burn centre. As an alternative to free tissue transfer, the dermal substitute Matriderm® was used in a one-stage procedure in combination with split-thickness skin grafts (STSG) for reconstruction. Nine patients, in the period between 2005 and 2009 with extensive high-voltage injuries to one or more extremities which required coverage of exposed functional structures as bone, tendons or joint capsule, were included. A total of 11 skin graftings and 2 local flaps were performed. Data including regrafting rate, complications, hospital stays, length of rehabilitation and time until return to work were collected. Eleven STSG in combination with Matriderm® were performed on nine patients (success rate 89%). One patient died. One patient needed a free-flap coverage as a secondary procedure. The median follow-up was 30 months (range 6-48 months). The clinical results of these nine treated patients concerning skin-quality and coverage of exposed tendons or joint capsule were very good. In high-voltage injuries free-flap failure occurs between 10% and 30% if performed within the first 4-6 weeks after trauma. The use of single-stage Matriderm® and skin grafting for immediate coverage described in this article is a reliable alternative to selected cases within this period.