Use of Integra in a paediatric upper extremity degloving injury.
Dermal substitutes such as Integra have been used in surgery since 1981. This product was developed to cover large skin burns but it may have a role in reconstructive upper limb surgery. In upper extremity avulsion, the choice of skin cover depends on many variables. Dermal substitute is an alternative when split-thickness skin grafting is appropriate. We present a case of severe upper limb avulsion, or 'degloving', in a child of 9 years old which was treated successfully with Integra. Integra is particulary useful in growing children to cover large skin losses.
Herlin
C
C
Unité de Chirurgie Plastique Pédiatrique, Hôpital Lapeyronie, CHU Montpellier, France.
Louhaem
D
D
Bigorre
M
M
Dimeglio
A
A
Captier
G
G
D000063:Accidents, Traffic; D019072:Antibiotic Prophylaxis; D002648:Child; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D016267:External Fixators; D006801:Humans; D008297:Male; D012535:Scalp / Q000637:transplantation; D017768:Skin, Artificial; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D034941:Upper Extremity / Q000293:injuries* / Q000601:surgery*; D014945:Wound Healing
C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen