chondroitin-sulfates and Finger-Injuries

Few studies have been conducted to explore the utility of the Integra. We retrospectively reviewed all patients treated by IDRT combined with STSG from May 2015 to October 2018. The inclusion criterion was traumatic or post-infectious soft tissue defects (STDs) of the dorsal hand, fingers, and thumb, not suitable for direct wound closure and requiring local, pedicle, or free flap reconstruction. After debridement, a two-stage procedure was applied, namely IDRT followed by STSG. Indications, functional outcomes, aesthetic results, complications, patient satisfaction, and the STSG take rate were evaluated over a 36-month follow-up using standardised instruments.. The 36-month follow-up demonstrated that IDRT is a safe and reliable technique that can be considered a viable alternative to flap reconstruction for the management of traumatic STDs in selected patients. The aesthetic outcomes are acceptable, functional recovery of the fingers is excellent, patient satisfaction is very high and the rate of complications is very low.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Child; Chondroitin Sulfates; Cicatrix; Collagen; Debridement; Esthetics; Female; Finger Injuries; Fingers; Hand; Hand Injuries; Humans; Male; Middle Aged; Patient Satisfaction; Physical Appearance, Body; Plastic Surgery Procedures; Retrospective Studies; Skin Transplantation; Soft Tissue Injuries; Thumb; Treatment Outcome; Wound Infection; Young Adult

Finger degloving injury remains one of the most difficult challenges in hand reconstructive surgery. We report the use of an acellular dermal regeneration template to create a neodermis, followed by a secondary, full-thickness skin graft on a complete finger degloving injury, achieving a satisfactory recovery of range of motion and a cosmetically acceptable result.

Topics: Adult; Chondroitin Sulfates; Collagen; Debridement; Female; Finger Injuries; Humans; Metacarpophalangeal Joint; Range of Motion, Articular; Skin, Artificial