使用生物人工真皮再生模板和断层皮片移植术对开放性足踝骨折进行急性治疗：2例报告
Acute Treatment of Open Foot and Ankle Fractures Using a Bioartificial Dermal Regeneration Template and Split-Thickness Skin Grafting: A Report of 2 Cases.
作者信息
McMillan Logan J, Parikh Harsh R, Cunningham Brian P
机构信息
Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.
Department of Orthopaedic Surgery, Regions Hospital, St Paul, Minnesota.
出版信息
JBJS Case Connect. 2019 Apr-Jun;9(2):e0148. doi: 10.2106/JBJS.CC.18.00148.
CASE
Two patients with open foot and ankle fractures were treated with aggressive irrigation and debridement and acute placement of a dermal regeneration template (DRT) followed by split-thickness skin grafting. Patient 1 was an 82-year-old female with a type IIIB open ankle fracture complexed with 2 significant regions of soft tissue loss. Patient 2 was a 54-year-old male with type IIIB open metatarsal fractures. Both patients healed without complication.
CONCLUSIONS
Complex open fractures in lower extremities can be managed with acute DRT application. This may be a more cost-effective solution compared to free flaps.
病例
两名足踝开放性骨折患者接受了积极的冲洗和清创，并在急性清创后立即放置真皮再生模板（DRT），随后进行中厚皮片移植。患者1为82岁女性，患有IIIB型开放性踝关节骨折，并伴有2个严重的软组织缺损区域。患者2为54岁男性，患有IIIB型开放性跖骨骨折。两名患者均愈合良好，无并发症。
结论
下肢复杂开放性骨折可通过急性应用DRT进行治疗。与游离皮瓣相比，这可能是一种更具成本效益的解决方案。
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