Artificial dermis combined with autologous thin skin transplantation for repair of lower limb traumatic wound with bone exposure

doi:10.3877/cma.j.issn.1673-9450.2016.03.014

Abstract

Abstract:

Objective

To summarize and analyze the clinical effect of artificial dermis combined with autologous thin skin transplantation for repair of lower limb traumatic wound with bone exposure.

Methods

Elven lower limb traumatic wound with bone exposure patients were analyzed retrospectively in Department of Burns, Wuhan Third Hospital & Tongren Hospital of Wuhan University from June 2010 to June 2013. Of the 11 patients, 10 were male, 1 was female, aged from 23 to 76 years, were treated with expanson of debridement and artificial dermis in the first stage and autologous thin split thickness skin grafts in the second stage. Treatment effect was evaluated through the recovery condition of traumatic wound and skin transplantation wound.

Results

Skin regeneration time after skin donor site of 11 patients were(15.5±2.5)d, the time of second stage skin grafting operation after first stage operation were (18.5±2.2)d. Eleven patients with skin graft were intact, good healing, smooth appearance, skin color was slightly deeper than normal skin.There were 2 patients with very slight scar, 1 patients with mild scar and 8 patients without obvious scar formation.Patients were satisfied with the overall effect.

Conclusion

Artificial dermis combined with autologous thin skin transplantation is effective to repair lower limb traumatic wound with bone exposure.

Key words: Skin transplantation, Artificial dermis, Bone exposure

Wenwei Huang, Weiguo Xie, Hongxia Xia, Wei Wang, Weidong Zhang. Artificial dermis combined with autologous thin skin transplantation for repair of lower limb traumatic wound with bone exposure[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2016, 11(03): 225-228.

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Figures/Tables 3

References 9

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序号	性别	年龄(岁)	受伤部位	创面面积(cm²，±s)	骨外露面积(cm²，±s)
1	男	28	右侧胫骨	171.0	90.0
2	男	25	右侧足跟	12.0	3.0
3	女	54	左侧足背	30.0	7.5
4	男	23	左侧胫骨	90.0	24.0
5	男	33	右侧胫骨	48.0	7.5
6	男	47	左侧足趾	6.0	4.0
7	男	45	右足足趾	5.0	3.0
8	男	41	右侧足踝及足跟	12.0	6.0
9	男	52	左侧足背	15.0	7.0
10	男	76	右足足趾	8.0	3.0
11	男	44	右足足趾	6.0	2.0

序号	性别	年龄(岁)	受伤部位	创面面积(cm²，±s)	骨外露面积(cm²，±s)
1	男	28	右侧胫骨	171.0	90.0
2	男	25	右侧足跟	12.0	3.0
3	女	54	左侧足背	30.0	7.5
4	男	23	左侧胫骨	90.0	24.0
5	男	33	右侧胫骨	48.0	7.5
6	男	47	左侧足趾	6.0	4.0
7	男	45	右足足趾	5.0	3.0
8	男	41	右侧足踝及足跟	12.0	6.0
9	男	52	左侧足背	15.0	7.0
10	男	76	右足足趾	8.0	3.0
11	男	44	右足足趾	6.0	2.0

序号	供皮区取皮后表皮重新覆盖时间(d)	二期植皮距离一期手术后时间(d)	创面修复情况	供皮区瘢痕情况
1	22	24	良好	轻度瘢痕
2	14	16	良好	无瘢痕
3	16	18	良好	极轻度瘢痕
4	17	19	良好	无瘢痕
5	16	20	良好	无瘢痕
6	15	18	良好	无瘢痕
7	13	17	良好	无瘢痕
8	14	18	良好	无瘢痕
9	15	19	良好	极轻度瘢痕
10	14	18	良好	无瘢痕
11	14	16	良好	无瘢痕

序号	供皮区取皮后表皮重新覆盖时间(d)	二期植皮距离一期手术后时间(d)	创面修复情况	供皮区瘢痕情况
1	22	24	良好	轻度瘢痕
2	14	16	良好	无瘢痕
3	16	18	良好	极轻度瘢痕
4	17	19	良好	无瘢痕
5	16	20	良好	无瘢痕
6	15	18	良好	无瘢痕
7	13	17	良好	无瘢痕
8	14	18	良好	无瘢痕
9	15	19	良好	极轻度瘢痕
10	14	18	良好	无瘢痕
11	14	16	良好	无瘢痕

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