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Case Reports
. 2021 Sep 26;9(9):e04676.
doi: 10.1002/ccr3.4676. eCollection 2021 Sep.

Salvage of a mangled limb with Matriderm® augmented split-skin grafting and maggot biodebridement

Maximilian Lempert  1 , Hans-Christoph Pape  1 , Gerrolt Nico Jukema  1
Affiliations
Case Reports

Salvage of a mangled limb with Matriderm® augmented split-skin grafting and maggot biodebridement

Maximilian Lempert et al. Clin Case Rep. .

Abstract

Salvage of a mangled limb can be a long and strenuous way, but it is feasible even with rather simple techniques such as augmented split-skin grafting and maggot biodebridement.

Keywords: Mangled limb; Matriderm®; bio debridement; salvage versus amputation; skin grafting.

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Conflict of interest statement

GN Jukema has been a speaker for Medskin Dr. Suwelack.

Figures

FIGURE 1
FIGURE 1
A, B: Status after initial debridement
FIGURE 2
FIGURE 2
A, B: Intraoperative situation after Matriderm® augmented mesh graft at day 16 post‐trauma
FIGURE 3
FIGURE 3
First dressing change 5 days post‐surgery
FIGURE 4
FIGURE 4
Months 3.5 post‐trauma the defect above the Achilles tendon is not healing
FIGURE 5
FIGURE 5
A, B Achilles tendon wound after biodebridement, followed by another mesh graft
FIGURE 6
FIGURE 6
A‐C: Clinical outcome 3 years after the accident
See this image and copyright information in PMC

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