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

Abstract

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.