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Application of acellular human dermis and skin grafts for lower extremity reconstruction

Title
Application of acellular human dermis and skin grafts for lower extremity reconstruction
Author
황규태
Keywords
acellular dermis; lower extremity; reconstruction; skin graft
Issue Date
2019-04
Publisher
MA HEALTHCARE LTD
Citation
JOURNAL OF WOUND CARE, v. 28, NO 4, Page. 12-16
Abstract
Objective: To use both acellular human dermis and skin grafting simultaneously for improved skin grafting without contracture. The study also aims to address the lack of research on the application of an acellular human dermis in diverse clinical cases. Method: The study examined patients who had received acellular human dermis (CGDerm, CGBio, Seoul, Korea) and split-thickness skin grafting (STSG) simultaneously for lower limb, full-thickness skin defects between September 2012 and June 2014. The researchers performed chart reviews retrospectively and examined the patients based on the following factors: gender, age, injury mechanism, size, exposed structure, pre-coverage dressing method, coverage method, post-operational engraftment and total healing period, contracture development, elasticity, and infection development. Results: A sample of 27 patients with a total of 30 wounds took part in the study. Of these wounds, 29 showed successful engraftment without infection or contracture. In one case, continued seroma was observed and, following new coverage of both the acellular human dermis and STSG, engraftment was successful. Conclusion: Human dermis can play an important role in securing the availability of surrounding tissue and in contracture prevention, both of which are key to lower limb reconstruction. Of the types available, acellular human dermis showed lower infection rates than other human dermis types, and its engraftment rate was higher than in STSG-only cases. These findings suggest that acellular human dermis use in STSG is effective and safe in lower limb reconstruction.
URI
https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2019.28.Sup4.S12http://repository.hanyang.ac.kr/handle/20.500.11754/110984
ISSN
0969-0700; 2062-2916
DOI
10.12968/jowc.2019.28.Sup4.S12
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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