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European Journal of Trauma and Emergency Surgery

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12-09-2022 | Vacuum Therapy | Original Article

Long-term results of split-thickness skin grafting with and without additional dermal matrix in severe traumatic soft tissue defects of the lower limb

Authors: Britta Wallner, Markus Öhlbauer, Christian von Rüden

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2023

Abstract

Purpose

Aim of this study was to compare the use of split-thickness skin graft (STSG) with and without additional MatriDerm^® application in a predominantly one-step procedure for the treatment of severe traumatic soft tissue defects of the lower limb.

Methods

This retrospective study included patients treated in a European level I trauma center between June 2013 and July 2018 in terms of a severe traumatic soft tissue defect of the lower extremity using STSG alone or in combination with the acellular dermal substitute MatriDerm^®. The healing of the soft tissue defect was measured by assessment of the take rate. Outcome quality of the scar tissue was assessed using the Vancouver Scar Scale.

Results

A total of 147 cases were included in this study. The overall healing rate (number of patients with take rate ≥ 75%) was 88/147 (60%) and did not demonstrate significant differences between the treatment groups (p = 0.15). Despite the difference in wound complexity between the treatment groups, there was no difference regarding the scar tissue quality 12 months postoperatively. In about 25% of all cases, a post-operative event was mentioned that had to be revised surgically.

Conclusion

Surgical treatment with STSG and additional MatriDerm^® application can be recommended as satisfactory alternative for dermis replacement in patients with severe skin defects, independent of age. The additional MatriDerm^® use allows for bridging of exposed ligaments, tendons, vessels or bones without relevant differences in cosmetical outcome.

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Title: Long-term results of split-thickness skin grafting with and without additional dermal matrix in severe traumatic soft tissue defects of the lower limb
Authors: Britta Wallner
Markus Öhlbauer
Christian von Rüden
Publication date: 12-09-2022
Publisher: Springer Berlin Heidelberg
Keywords: Vacuum Therapy
Skin Graft
Vacuum Therapy
Vacuum Therapy
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2023
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-02107-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Long-term results of split-thickness skin grafting with and without additional dermal matrix in severe traumatic soft tissue defects of the lower limb

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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