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Acellular Dermal Matrix and Split-Thickness Skin Graft Stabilized by Negative Pressure Wound Therapy for Postburn Scar Contracture: A Case Report
Journal of Korean Burn Society 2018;21(1):50-53
Published online June 1, 2018
© 2018 Journal of Korean Burn Society.

Sung Hoon Koh, M.D., Ph.D., Woong Gyu Na, M.D., Hyoseob Lim, M.D., Ph.D., Soo Kee Min, M.D., Ph.D.1

Departments of Plastic and Reconstructive Surgery and 1Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
Correspondence to: Hyoseob Lim, Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22 Gwanpyeong-ro, 170 beon-gil, Dongan-gu, Anyang 14068, Korea
Tel: 82-31-380-3781, Fax: 82-31-380-5980
E-mail: hyoseob.lim@gmail.com
Received April 2, 2018; Revised May 16, 2018; Accepted May 25, 2018.
Abstract
Postburn scar contracture for ankle is commonly treated with contracture release procedure and skin graft but contracture recurrence rate is high. Contracture in grafted skin is inversely related to the graft thickness but full-thickness skin graft is limited in large defect coverage. Using ADM for ankle joint defect which was following ankle postburn scar contracture release procedure with grafting split-thickness skin may be an alternative reconstructive option. We present a 63-year-old man with post-burn scar contracture and Marjolin ulcer on his left ankle. He originally had limited ankle movement function but surgical resection of skin malignancy and surrounding scar tissue released the ankle. Coverage using ADM and STSG was performed and NPWT was used for graft fixation. Ankle range of motion was satisfactory at postoperative follow-up. The ADM and STSG with NPWT could be considered an alternative reconstruction option after contracture release for ankle.
Keywords : Cicatrix, Skin transplantation, Acellular dermis


December 2019, 22 (2)
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