The Use of Acellular Dermal Matrix for Coverage of Exposed Joint and Extensor Mechanism in Thermally Injured Patients With Few Options
2008

Using Acellular Dermal Matrix for Burn Injuries on Hands

Sample size: 4 publication Evidence: moderate

Author Information

Author(s): Bhavsar Dhaval MD, Tenenhaus Mayer MD, FACS

Primary Institution: Division of Plastic Surgery, UCSD Medical Center, Hillcrest, San Diego, CA

Hypothesis

Can acellular dermal matrix provide effective coverage for exposed joints and tendons in severely burned patients?

Conclusion

Acellular dermal matrix can effectively cover exposed joints and tendons in burn patients, leading to improved outcomes.

Supporting Evidence

  • 19 out of 26 treated digits showed good skin coverage and mobility.
  • One digit was amputated due to infection.
  • Four digits developed Boutonniere deformity.

Takeaway

Doctors used a special skin material to help heal badly burned hands, and it worked well for most patients.

Methodology

The study involved using thin and meshed acellular dermal matrix to cover exposed structures in burn patients, followed by skin grafting.

Limitations

The study had a small sample size and some patients were lost to follow-up.

Participant Demographics

Four patients with full-thickness burn injuries to their hands.

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