[Successful correction of an adherent scar on the dorsal hand with Matriderm].
Adherent scars on the hand often lead to a major functional impairment and an aesthetic deformity. The rate of recurrence after scar correction is usually very high. A 57-year-old woman with an adherent scar on the back of her hand and major functional impairment was successfully treated with Matriderm. Using Matriderm as an additional layer between the atrophic skin and the tendons adherency of the scar could be prevented. One year after surgery the patient is free of pain. There is normal mobility between the skin and the underlying tissue. Complete wrist flexion and extension could be achieved. To the best of our knowledge this is the first case reported of using Matriderm for the correction of a scar that was caused by the paravasal injection of cytostatic drugs.
Abteilung für Plastische und Asthetische Chirurgie, Asklepios Klinik Birkenwerder, Birkenwerder. maike.keck@gmx.de
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Ueberreiter
D020341:Absorbable Implants; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000633:toxicity; D001943:Breast Neoplasms / Q000188:drug therapy; D002921:Cicatrix / Q000139:chemically induced / Q000601:surgery*; D003094:Collagen; D062109:Dermatologic Surgical Procedures; D003875:Drug Eruptions / Q000209:etiology / Q000601:surgery*; D004549:Elastin; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D005260:Female; D006225:Hand / Q000601:surgery; D006227:Hand Deformities, Acquired / Q000139:chemically induced / Q000601:surgery*; D006801:Humans; D007262:Infusions, Intravenous; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012867:Skin / Q000187:drug effects; D017768:Skin, Artificial; D013536:Suture Techniques; D000267:Tissue Adhesions / Q000601:surgery
D000970:Antineoplastic Agents; C532298:matriderm; D003094:Collagen; D004549:Elastin