Synergistic Clinical Application of Synthetic Electrospun Fiber Wound Matrix in the Management of a Complex Traumatic Wound: Degloving Left Groin and Thigh Auger Injury

Luis G. Fernandez, Carolina Orsi, Brandon Okeoke, Paige Moudy, Paul A. Critelli, Scott Norwood, Marc R. Matthews, Paul J. Kim, Matthew MacEwan, Emily Sallade

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Managing complex traumatic soft tissue wounds involving a large surface area while attempting to optimize healing, avoid infection, and promote favorable cosmetic outcomes is challenging. Regenerative materials such as ECMs are typically used in wound care to enhance the wound healing response and proliferative phase of tissue formation. Case Report. The case reported herein is an example of the efficacious use of an SEFM in the surgical management of a large complex traumatic wound involving the left lower extremity and lower abdominal region. The wound bed was successfully prepared for skin grafting over an area of 1200 cm2, making this among the largest applications of the SEFM reported in the literature. Conclusion. This case report demonstrates the clinical versatility of the SEFM and a synergistic approach to complex traumatic wound care. The SEFM was successfully used to achieve tissue granulation for a successful skin graft across a large surface in an anatomic region with complex topography.

Original languageEnglish
Pages (from-to)124-128
Number of pages5
JournalWounds : a compendium of clinical research and practice
Volume36
Issue number4
DOIs
StatePublished - Apr 2024

Keywords

  • acute wound
  • extracellular matrix
  • split-thickness skin graft
  • surgery
  • synthetic electrospun fiber matrix
  • trauma

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