The versatility of biodegradable temporising matrix – A 63 paediatric case series with complex wounds

Storey, Kristen; Lalloz, Minella; Choy, Kay Tai; McBride, Craig A.; McMillan, Catherine; Gupta, Romi Das; Patel, Bhaveshkumar; Choo, Kelvin; Stefanutti, Giorgio; Borzi, Peter; Phua, Yun; Bade, Stuart; Griffin, Bronwyn; Kimble, Roy

doi:10.1016/j.burnso.2023.03.002

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Traditionally, syndactyly and burn injuries are repaired with skin grafts. However, recent advancements in synthetic dermal substitutes such as Integra Dermal Regenerative Template (Integra, Plainsboro, NJ), Hyalomatrix Hyaluronic Acid Wound Device (Anika, Bedford, MA), and MatriDerm (MedSkin, Billerbeck, Germany) have shown similar outcomes [5][6][7]. Given this, dermal substitutes have become an increasingly popular option for children with complex soft-tissue defects.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of a Pediatric Distal Phalanx Amputation With Stacked Integra Dermal Substitute: A Case Report

Kelley,

Shaver,

Morrell

2024

Cureus

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Finger amputations in children present unique challenges and require special considerations compared to their adult counterparts. Maximizing length and preserving fingertip bulk and sensation is essential for maintaining a functional digit. Synthetic dermal substitutes have been recently used for soft tissue coverage for pediatric syndactyly as well as burn injuries; however, the literature discussing pediatric amputation cases with soft tissue damage proximal to the bony level is limited. In this case, we report a two-year-old patient who developed dry gangrene of her right index finger after multiple rabbit bites and underwent an amputation through the distal interphalangeal joint. Circumferential soft-tissue debridement proximal to the tip of the middle phalanx was required, leaving substantial exposed bone with no soft tissue envelope. We report our experience of single-stage stacking Integra dermal substitute directly onto the exposed bone to provide both finger bulk and soft tissue coverage. The patient displayed no functional limitations three years post-surgery. For instances when local or distant flap coverage may not be feasible, we present a novel technique to reconstruct, provide bulk, and preserve length in pediatric finger amputations. This case highlights that the utility of dermal substitutes is expanding and are providing more technical options.

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Section: Introductionmentioning

confidence: 99%

Reconstruction of a Pediatric Distal Phalanx Amputation With Stacked Integra Dermal Substitute: A Case Report

Kelley,

Shaver,

Morrell

2024

Cureus

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A retrospective, single-center 4-year review of synthetic polyurethane matrix use in burns and other complex wounds

Mukit,

Grande,

Hill

et al. 2024

Burns Open

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Use of Biodegradable Temporizing Matrix for Pediatric Tendoachilles Exposure: A Novel Technique in Complex Traumatic Wound Management—A Case Report

Mohan,

Chittoria,

Ramalingam

et al. 2024

Indian J Plast Surg

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Management of complex wounds in the pediatric population is a herculean task due to the decreased surface area available for flaps and the added scars from flap reconstruction. Biodegradable temporizing matrix (BTM) has proven useful, particularly in adult burns and complex wounds. Only a few have documented the use of BTM in complex wounds in children. A 2-year-old child presented with tendoachilles exposure of the right ankle due to a crush injury in the spokes of a motorcycle. The wound was debrided and covered with BTM. After 5 weeks, the same was delaminated, healthy granulation tissue was found covering the tendoachilles, and the raw area was grafted. BTM proved to be a versatile option for converting a complex wound to a superficial wound, and it abetted the drawbacks of a flap cover: extended hospital stay, discomfort, prolonged immobilization, and additional scars.

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The versatility of biodegradable temporising matrix – A 63 paediatric case series with complex wounds

Cited by 3 publications

References 27 publications

Reconstruction of a Pediatric Distal Phalanx Amputation With Stacked Integra Dermal Substitute: A Case Report

Reconstruction of a Pediatric Distal Phalanx Amputation With Stacked Integra Dermal Substitute: A Case Report

A retrospective, single-center 4-year review of synthetic polyurethane matrix use in burns and other complex wounds

Use of Biodegradable Temporizing Matrix for Pediatric Tendoachilles Exposure: A Novel Technique in Complex Traumatic Wound Management—A Case Report

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