Acellular Dermal Matrix and Split-Thickness Skin Graft Stabilized by Negative Pressure Wound Therapy for Postburn Scar Contracture: A Case Report.
- Author:
Sung Hoon KOH
1
;
Woong Gyu NA
;
Hyoseob LIM
;
Soo Kee MIN
Author Information
1. Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. hyoseob.lim@gmail.com
- Publication Type:Case Report
- Keywords:
Cicatrix;
Skin transplantation;
Acellular dermis
- MeSH:
Acellular Dermis*;
Ankle;
Ankle Joint;
Cicatrix*;
Contracture*;
Follow-Up Studies;
Humans;
Middle Aged;
Negative-Pressure Wound Therapy*;
Range of Motion, Articular;
Recurrence;
Skin Transplantation;
Skin*;
Transplants*;
Ulcer
- From:Journal of Korean Burn Society
2018;21(1):50-53
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postburn scar contracture for ankle is commonly treated with contracture release procedure and skin graft but contracture recurrence rate is high. Contracture in grafted skin is inversely related to the graft thickness but full-thickness skin graft is limited in large defect coverage. Using ADM for ankle joint defect which was following ankle postburn scar contracture release procedure with grafting split-thickness skin may be an alternative reconstructive option. We present a 63-year-old man with postburn scar contracture and Marjolin ulcer on his left ankle. He originally had limited ankle movement function but surgical resection of skin malignancy and surrounding scar tissue released the ankle. Coverage using ADM and STSG was performed and NPWT was used for graft fixation. Ankle range of motion was satisfactory at postoperative follow-up. The ADM and STSG with NPWT could be considered an alternative reconstruction option after contracture release for ankle.
