Article

Restoring function after hand burns is still a great surgical challenge.
Reconstitution of elasticity and pliability are of utmost importance for hand
function and aesthetics results. Dermal substitutes have been developed and have
been used for many years.
The dermal substitute Matriderm(R) is an acellular
three-dimensional matrix composed of native structurally intact collagen fibrils
coated with elastin obtained from bovine dermis.
The possibility of a one-stage
procedure is profitable in treatment of hand burns.
The authors report the case
of a 43-year-old man admitted for severe burn by flames to 18% of his total body
surface area with complete full thickness injury of left hand.
After debridement
incisions in emergency, early excision and skin graft using Matriderm(R) were
performed. Physical therapy was established at Day 10. At six weeks follow-up,
full range of motion was achieved and the patient was able to use his hand in
daily activities.
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Langue : FRANCAIS