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무세포성 진피 동종 이식편과 자가 부분층 식피술을 이용한 사지 광범위 피부 결손의 피복

Other Titles
 Acellular Allo-Dermal Matrix Combined With Autologous Split-thickness Skin Graft for Extensive Skin Loss in Extremities 
 한수봉  ;  최윤락  ;  황병윤  ;  강호정 
 Journal of Korean Musculoskeletal Tissue Transplantation Society (대한골ㆍ연부조직이식학회지), Vol.9(1) : 26-31, 2009 
Journal Title
Journal of Korean Musculoskeletal Tissue Transplantation Society(대한골ㆍ연부조직이식학회지)
Issue Date
Extensive skin loss ; Acellular dermal matrix ; Composite skin graft
Purpose: To investigate the results of the composite skin graft of the acellular dermal matrix/autologous split-thickness skin graft for extensive skin loss in extremities.

Materials and Methods: Ten patients underwent the composite skin graft for extensive skin loss in extremities from June 2006 to February 2007. Eight were male and two female with a mean age of 36.9 years (8~76 years). The cause of skin loss was pedestrian accident in nine and machinery injury in one. Osteomyelitis was combined in two. At the last follow-up, skin contracture and esthetic appearance at the recipient site and complications at the donor site were evaluated. In three who got the procedure around the knee joint, range of motion (ROM) was checked.

Results: All except one showed viability. The failed one was due to uncontrolled
osteomyelitis. Minimal skin contracture and acceptable appearance was noted at the recipient site and no complication at the donor site. In two with skin loss around joints, the total ROM was 145?and 95˚in each.

Conclusion: The composite grafting of acellular dermal matrix and autologous split-thickness skin graft seems to be a reliable procedure for extensive skin loss in extremities.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Choi, Yun Rak(최윤락)
Hahn, Soo Bong(한수봉)
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