title: Management of severe hand wounds with Integra® dermal regeneration template.
abstract: We report our experience with the use of Integra® for the management of severe traumatic wounds of the hand. Fifteen patients were treated with follow-up ranging from 10 to 37 months. Wounds were associated with an osseous and/or joint and/or tendon exposure. Following Integra® placement, patients were managed with dressings and subsequent split-thickness skin grafting an average of 26 days later. Integra® was successful in achieving durable, functional and aesthetic definitive coverage in 13 of 15 applications while allowing a satisfying pollicidigital prehension. Regarding our clinical experience, Integra® is an effective technique to deal with severe wounds of the hand with exposed tendon and/or bone and/or joint, even in the absence of paratenon or periosteum. This can potentially lessen the need for local rotational or free flap coverage and should be taken into consideration as a viable alternative in traumatic reconstruction of the hand.
authors.affiliation: Plastic Surgery and Burns Unit, Pellegrin University Hospital, Centre FX Michelet University Hospital, Bordeaux 2 University, Bordeaux, France. romain.weigert@chu-bordeaux.fr
authors.forename: R
authors.initials: R
authors.lastname: Weigert
authors.forename: H
authors.initials: H
authors.lastname: Choughri
authors.forename: V
authors.initials: V
authors.lastname: Casoli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D015331:Cohort Studies; D003094:Collagen / Q000627:therapeutic use*; D006230:Hand Injuries / Q000150:complications / Q000473:pathology / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*; D055815:Young Adult
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen