Management of acute complex traumatic wound with a dermal regeneration template: Case report

  • Ravin Raoul Patel Kimberley Hospital Complex
  • Maria Giaquinto-Cilliers Kimberley Hospital Complex
  • J Kotze Kimberley Hospital Complex
  • R S Hartnick Kimberley Hospital Complex
  • L W Van der Merwe Kimberley Hospital Complex
  • E B Holford Kimberley Hospital Complex
Keywords: reconstruction of lower limbs, dermal regeneration template, complex acute wounds, leg trauma, traumatic wounds.

Abstract

Background: Acute complex traumatic wounds of the lower limbs are usually managed by a combination of multiple debridements, dressing changes, and specialized surgical procedures which may include tissue transfers for the reconstruction of the soft tissue injury. The recovery is lengthy, and the outcome dependent on the initial injury, the surgical procedures undertaken and rehabilitation programs with a multidisciplinary team.

Methods: A nine-year-old male patient presented to Kimberly Hospital with an extensive soft tissue injury of the leg associated with a tibia fracture caused by a high velocity pedestrian vehicle accident.

Results: A combination of proper wound care, “homemade” negative pressure wound therapy dressings, reduction of fracture and use of a dermal regeneration template over the fracture site, followed by skin grafting was used to manage the wound.

Conclusion: The final functional and cosmetic results obtained with the case suggest that the dermal regeneration template may provide a potential alternative for coverage of complex wounds, which might include an open fracture, without the need for complex tissue transfer interventions.

Author Biographies

Ravin Raoul Patel, Kimberley Hospital Complex
MBCHB
Department of Plastic and Reconstructive Surgery
Kimberley Hospital Complex
Maria Giaquinto-Cilliers, Kimberley Hospital Complex
MD
Specialist Plastic Surgery and Head of Unit
Department of Plastic and Reconstructive Surgery and Burns
Kimberley Hospital Complex
J Kotze, Kimberley Hospital Complex
MBChB
Medical Officer
Department of Plastic and Reconstructive Surgery and Burns
Kimberley Hospital Complex
R S Hartnick, Kimberley Hospital Complex
MBChB
Medical Officer
Department of Plastic and Reconstructive Surgery and Burns
Kimberley Hospital Complex
L W Van der Merwe, Kimberley Hospital Complex
MBChB
Medical Officer
Department of Plastic and Reconstructive Surgery and Burns
Kimberley Hospital Complex
Published
2016-12-07
How to Cite
Patel, R., Giaquinto-Cilliers, M., Kotze, J., Hartnick, R., Van der Merwe, L., & Holford, E. (2016). Management of acute complex traumatic wound with a dermal regeneration template: Case report. South African Journal of Surgery, 54(4), 52-57. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/1960
Section
Case Reports