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Haslik, W; Kamolz, LP; Nathschläger, G; Andel, H; Meissl, G; Frey, M.
First experiences with the collagen-elastin matrix Matriderm as a dermal substitute in severe burn injuries of the hand.
Burns. 2007; 33(3):364-368
Doi: 10.1016/j.burns.2006.07.021
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PubMed
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- Leading authors Med Uni Graz
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Kamolz Lars-Peter
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- Abstract:
- Restoring function after hand burns plays a major role in the restitution of a quality of life. Thereby the reconstructed pliability of the grafted areas is of utmost importance for good hand function. The collagen elastin matrix Matriderm was evaluated as a dermal substitute for the treatment of severe hand burns. In a series of 10 patients, mean age 43 years, TBSA 22.8%, an early debridement and immediate grafting with the matrix and unmeshed skin graft was carried out in a one-stage procedure. In the early postoperative follow up an overall take rate of 97% was observed. In contrast to conventional skin grafts, the color of the skin grafts over the matrix appeared pale in the first few days, but after 2 weeks no difference was observed. After three months, pliability of the grafted area was excellent, (mean VSS 3.2+/-1.2). Full range of motion was achieved in all hands, no blisters and no unstable or hypertrophic scars occurred. Matriderm has proved to be a dermal substitute suitable for the treatment of hand burns. We therefore consider Matriderm as a promising dermal substitute for the treatment of severe hand burns.
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Adult -
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Burns - therapy
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Collagen - therapeutic use
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Elastin - therapeutic use
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Female -
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Graft Survival -
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Hand Injuries - therapy
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Humans -
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Male -
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Middle Aged -
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Skin, Artificial -
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Treatment Outcome -
- Find related publications in this database (Keywords)
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dermal substitution
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hand burn injury
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one-stage grafting
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collagen elastin
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dermal matrix