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Πέμπτη 22 Μαρτίου 2018

One-stage Pelnac Reconstruction in Full-thickness Skin Defects with Bone or Tendon Exposure

Summary: Dermal regeneration template, such as Integra and Pelnac, was originally designed for treating large area burn injury by inducing regeneration of dermis. To date, it has been widely applied in various acute and chronic wound sites. The present study demonstrated that application of artificial dermis alone induced 1-stage wound healing for wounds with bone or tendon exposure that should usually be repaired by flap surgery. Eight patients who presented with skin defects with bone and/or tendon exposure were treated by 1-stage Pelnac approach. All wounds healed within 20 weeks without skin graft or flap surgery. The wound area was reconstructed by nearly normal skin structure and linear scar. In the case of scalp defect, evidence of hair follicle cell migration and regeneration during healing process was observed. Thereby, the 1-stage Pelnac reconstitution can be considered as a novel method for inducing regrowth of epidermis and hair follicles to cure large full-thickness skin defect with bone and tendon exposure in 1 stage. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Published online 21 March 2018. Received for publication October 23, 2017; accepted December 18, 2017. Supported by the National Natural Science Foundation of China (NSFC, 81171194). Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors. Supplemental digital content is available for this article. Clickable URL citations appear in the text. Drs. Xianghong Lou and Hang Xue contributed equally to this work. Jianghai Chen, MD, PhD, Department of Hand Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Jiefang Ave 1277, Wuhan, Hubei, 430022, PR China, E-mail: chenjianghai@hust.edu.cn Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.

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