title: The use of Integra® bilaminar dermal regeneration template in apert syndactyly reconstruction: a novel alternative to simplify care and improve outcomes.
abstract: The reconstruction of the third web space in Apert syndactyly often involves pedicled groin flaps to resurface exposed distal (and sometimes proximal) phalanges. We report a case in which the right-hand third web space was reconstructed with traditional pedicled groin flaps and the left hand with the Integra(®) regenerative skin template. We report that both left and right hands achieved similar outcomes, but the hand reconstructed with groin flaps required debulking, whilst the hand reconstructed with Integra was easier to care for.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada.
authors.forename: James J
authors.initials: JJ
authors.lastname: Jung
authors.forename: Albert S
authors.initials: AS
authors.lastname: Woo
authors.forename: Gregory H
authors.initials: GH
authors.lastname: Borschel
mesh_terms: D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D005385:Fingers / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods*; D013576:Syndactyly / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen