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Journal of the Korean Wound Management Society 2012;8(2): 68-73. |
| 상하지 재건에 사용되는 인공진피의 유용성 |
| 하원호ㆍ심정수ㆍ박대환 |
| 대구가톨릭대학교 의과대학 성형외과학교실 |
| The Effectiveness of Artificial Dermis Used in Upper and Lower Extremity Reconstruction |
| Won-ho Ha, Jeong Su Shim, Dae Hwan Park |
| Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea |
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Published online: 30 November 2012. |
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| ABSTRACT |
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Artificial dermis is used broadly in plastic surgery because of its shortening taken time effect. Almost of artificial dermis has its limit that artificial dermis is thicker then dermis. So two step procedure is used. To fill this limitation, which use thin skin substitute take center stage. In this study, we procedured skin graft uses variable artificial dermis on skin defect site by trauma. During the period between 2006 to 2011, a total of 95 patients at our medical institution underwent surgery in association with skin and soft tissue defect (MatridermⰒ 24, AllodermⰒ 12, TerudermisⰒ 22, PelnacⰒ 39). MatridermⰒ was applied to the after debridement then split thickness skin-graft was done consecutively. AllodermⰒ was procedured on hypertrophic scar patient by split thickness skin graft. TerudermisⰒ and PelnacⰒ was procedured on wound site where bone and tendon is exposured. Men are 62, women are 33 in total of 97. Mean age was 42.0 and age distribution was 4 to 92. Mean surgery frequency was 2.75 (1∼7), and average period time from last surgery of skin graft was 24.4 days. 17 of 24 cases of using MatridermⰒ occured 100% taken. 9 of 12 cases of using AllodermⰒ occurred. Loss of soft tissue of TerudermisⰒ and PelnacⰒ was completely filled with granulation tissue after 17.2 days, therefore split-thickness skin graft was possible. In the reconstruction of skin defects, variety dermis-substutive tissue are used to minimize scars and filling. While Pelnac® and TerudermisⰒ are a two-step procedure to skin reconstruction, MatridermⰒ and AllodermⰒ are One-step procedure. Which means MatridermⰒ and AllodermⰒ help patients get back into their normal life more quickly and reduce any financial burden. Also the fact that they decrease joint-movement defects by contracture and are easy to handle will result in a substantial increase in their use in split-thickness skin graft. (J Korean Wound Management Soc 2012;8:68-73) |
| Key Words:
One step procedure, MatridermⰒ; , Artificial dermis |
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