Acute Treatment of Open Foot and Ankle Fractures Using a Bioartificial Dermal Regeneration Template and Split-Thickness Skin Grafting

A Report of 2 Cases

Logan J. McMillan, Harsh R. Parikh, Brian P Cunningham

Research output: Contribution to journalArticle

Abstract

Case:Two patients with open foot and ankle fractures were treated with aggressive irrigation and debridement and acute placement of a dermal regeneration template (DRT) followed by split-thickness skin grafting. Patient 1 was an 82-year-old female with a type IIIB open ankle fracture complexed with 2 significant regions of soft tissue loss. Patient 2 was a 54-year-old male with type IIIB open metatarsal fractures. Both patients healed without complication.Conclusions:Complex open fractures in lower extremities can be managed with acute DRT application. This may be a more cost-effective solution compared to free flaps.

Original languageEnglish (US)
Article numbere0148
JournalJBJS Case Connector
Volume9
Issue number2
DOIs
StatePublished - Apr 1 2019

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Ankle Fractures
Skin Transplantation
Open Fractures
Foot
Regeneration
Skin
Metatarsal Bones
Free Tissue Flaps
Debridement
Therapeutics
Lower Extremity
Costs and Cost Analysis

PubMed: MeSH publication types

  • Journal Article

Cite this

Acute Treatment of Open Foot and Ankle Fractures Using a Bioartificial Dermal Regeneration Template and Split-Thickness Skin Grafting : A Report of 2 Cases. / McMillan, Logan J.; Parikh, Harsh R.; Cunningham, Brian P.

In: JBJS Case Connector, Vol. 9, No. 2, e0148, 01.04.2019.

Research output: Contribution to journalArticle

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