[Dermal subsitute with the collagen-elastin matrix Matriderm in burn injuries: a comprehensive review].
Matriderm is a dermal substitute consisting of a native (non-cross-linked) collagen matrix supplemented by a elastin hydrolysate. It is available in sheets of 1 mm and 2 mm thickness, and may be covered in a single step procedure with immediate split thickness skin grafting. Duration of the surgical procedures are only marginally increased. There is no diminished take of split thickness graft and only marginally prolonged healing time compared with the split thickness graft only. In experimental models the matrix reduces wound contracture, histologically collagen bundles in the scar are more randomly orientated. Clinical trials with a long-term clinical evaluation showed no difference in scar elasticity between the described dermal substitute and split thickness grafts alone. There is a lack of clinical data on the development of wound contracture.
Kolokythas
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P
Klinik für Hand-, Plastische und Mikrochirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg, Hamburg. p.kolokythas@buk-hamburg.de
Aust
M C
MC
Vogt
P M
PM
Paulsen
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F
D000818:Animals; D002056:Burns / Q000601:surgery*; D002921:Cicatrix; D002986:Clinical Trials as Topic; D003646:Debridement / Q000379:methods; D004195:Disease Models, Animal; D005500:Follow-Up Studies; D006801:Humans; D016038:Skin Transplantation; D017768:Skin, Artificial; D013552:Swine; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing