title: Reconstruction of traumatic defect of the lower third of the leg using a combined therapy: negative pressure wound therapy, acellular dermal matrix, and skin graft.
abstract: The reconstruction of lower third of the leg is one of the most challenging problems for plastic and reconstructive surgeons and current approaches are still disappointing. We show an easy option to obtain a coverage of traumatic pretibial defects with good aesthetic and functional results: the association of negative pressure wound therapy, acellular dermal matrix, and skin graft. The choice of this combined therapy avoids other surgical procedures such as local perforator flaps and free flaps that require more operating time, special equipment, and adequate training.
authors.affiliation: Department of Medicine and Surgery, Plastic Surgery Unit, University of Salerno, Azienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio e Ruggi d'Aragona, 1 Via San Leonardo, 84131 Salerno, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Brongo
authors.affiliation: Department of Medicine and Surgery, Plastic Surgery Unit, University of Salerno, Azienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio e Ruggi d'Aragona, 1 Via San Leonardo, 84131 Salerno, Italy.
authors.forename: Domenico
authors.identifier: 0000-0002-7916-8193
authors.initials: D
authors.lastname: Pagliara
authors.affiliation: Department of Orthopedic, Traumatologic, Rehabilitative and Plastic-Reconstructive Sciences, Second University of Naples, 3 L. De Crecchio, 80138 Naples, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Campitiello
authors.affiliation: Department of Medicine and Surgery, Plastic Surgery Unit, University of Salerno, Azienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio e Ruggi d'Aragona, 1 Via San Leonardo, 84131 Salerno, Italy.
authors.forename: Corrado
authors.initials: C
authors.lastname: Rubino