DOI QR코드

DOI QR Code

수지 첨부 손상에서 피부이식을 동반하지 않은 무세포 진피조직의 사용

Application of acellular dermal matrix without skin graft in fingertip injury

  • 이동휘 (제주대학교 의학전문대학원 의학과) ;
  • 강재경 (제주대학교병원 성형외과)
  • Lee, Dong Hui (Medical course, Jeju National University School of Medicine) ;
  • Kang, Jae Kyoung (Department of Plastic and Reconstructive Surgery, Jeju National University Hospital)
  • 투고 : 2018.05.01
  • 심사 : 2018.06.08
  • 발행 : 2018.06.30

초록

The most common surgical repair method for fingertip injuries are replantation, flap coverage, and skin graft. In fingertip injury cases, acellular dermal matrix (ADM) is generally used in a two-stage operation. In the present case, only ADM was used in a 67-year-old male patient with a right fifth fingertip injury. The patient was undergoing chemotherapy after surgery for colon cancer, preventing prolonged hospitalization. In addition, wound healing was likely to be problematic. As a typical surgical method might have been difficult to apply in such a patient, we performed a one-stage operation, using only ADM on the injured area. Postoperative followup for 3 months showed good wound healing. Accordingly, we report a successful treatment outcome using ADM alone for a fingertip injury.

키워드

참고문헌

  1. Aston SJ, Beasley RW, Thorne CH. Grabb and Smith's Plastic Surgery. 5th. Chapter 67. Soft tissue repair and Replacements for the upper limb. Philadelphia, New York. Lippincott-Raven; 1998 p. 835-47.
  2. Lee DH, Mignemi ME, Crosby SN. Fingertip injuries: An update on management. J Am Acad Orthop Surg. 2013 Dec;21(12):756-66. https://doi.org/10.5435/JAAOS-21-12-756
  3. Fosnot J, Kovach SJ 3rd, Serletti JM. Acellular Dermal Matrix; General Principles for the Plastic Surgeon. Aesthet Surg J. 2011 Sep;31(7 Suppl):5S-12S. https://doi.org/10.1177/1090820X11417576
  4. Chen B, Song H. Retrospective study of the application of acellular dermis in reconstructing full-thickness skin defects. Int Wound J. 2017 Feb;14(1):158-64. https://doi.org/10.1111/iwj.12576
  5. Sorock GS, Lombardi DA, Hauser RB, Eisen EA, Herrick RF, Mittleman MA. Acute traumatic occupational hand injuries: Type, location, and severity. J Occup Environ Med 2002;44(4):345-51. https://doi.org/10.1097/00043764-200204000-00015
  6. Ashbell TS, Kleinert HE, Putcha SM, Kutz JE. The deformed finger nail, a frequent result of failure to repair nail bed injuries. J Trauma 1967;7(2):177-90. https://doi.org/10.1097/00005373-196703000-00001
  7. Gellman H. Fingertip-nail bed injuries in children: Current concepts and controversies of treatment. J CraniofacSurg 2009;20(4):1033-5.
  8. Zook EG. The perionychium: Anatomy, physiology, and care of injuries. Clin Plast Surg 1981;8(1):21-31.
  9. Mennen U, Wiese A. Fingertip injuries management with semi-occlusive dressing. J Hand Surg Br 1993;18(4):416-22. https://doi.org/10.1016/0266-7681(93)90139-7
  10. Lee LP, Lau PY, Chan CW. A simple and efficient treatment for fingertip injuries. J Hand Surg Br 1995;20(1):63-71.
  11. Yoshimura M. Indications and Limits of digital replantation. JMAJ 2003;46(10):460-7.
  12. Rehim SA, Chung KC. Local flaps of the hand. Hand Clin. 2014 May;30(2):137-51. https://doi.org/10.1016/j.hcl.2013.12.004
  13. Capo JT, Kokko KP, Rizzo M, Adams JE, Shamian B, Abernathie B, et al. The use of skin substitutes in the treatment of the hand and upper extremity. Hand (N Y). 2014 Jun;9(2):156-65. https://doi.org/10.1007/s11552-013-9587-5
  14. Unglaub F, Langer MF, Unglaub JM, Muller LP, Hahn P, Spies CK, et al. Defect coverage of fingers and thumb : indications and treatment. Unfallchirurg. 2018 Apr;121(4):321-34. https://doi.org/10.1007/s00113-018-0469-8
  15. Jiong C, Jiake C, Chunmao H, Yingen P, Qiuhe W, Zhouxi F, et al. Clinical application and long-term follow-up study of porcine acellular dermal matrix combined with autoskin grafting. J Burn Care Res 2010;31:280-5. https://doi.org/10.1097/BCR.0b013e3181d0f42d
  16. Wainwright DJ. Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns. Burns 1995;21:243-8. https://doi.org/10.1016/0305-4179(95)93866-I
  17. Badylak SF, Gilbert TW. Immune response to biologic scaffold materials. Semin Immunol. 2008;20:109-16. https://doi.org/10.1016/j.smim.2007.11.003
  18. Sinha UK, Shih C, Chang K, Rice DH. Use of alloderm for coverage of radial forearm free flap donor site. Laryngoscope. 2002 Feb;112(2):230-4. https://doi.org/10.1097/00005537-200202000-00006
  19. Medina CR, Patel SA, Ridge JA, Topham NS. Improvement of the Radial Forearm flap donor site defect by prelamination with Human Acellular Dermal Matrix. Plast Reconstr Surg. 2011 May;127(5):1993-6. https://doi.org/10.1097/PRS.0b013e31820cf427
  20. Erinjeri JP, Fong AJ, Kemeny NE, Brown KT, Getrajdman GI, Solomon SB. Timing of administration of bevacizumab chemotherapy affects wound healing after chest wall port placement. Cancer. 2011 Mar 15;117(6):1296-301. https://doi.org/10.1002/cncr.25573