• J Hand Surg Eur Vol · Apr 2007

    Case Reports

    Use of Integra in a paediatric upper extremity degloving injury.

    • C Herlin, D Louhaem, M Bigorre, A Dimeglio, and G Captier.
    • Unité de Chirurgie Plastique Pédiatrique, Hôpital Lapeyronie, CHU Montpellier, France.
    • J Hand Surg Eur Vol. 2007 Apr 1; 32 (2): 179-84.

    AbstractDermal substitutes such as Integra have been used in surgery since 1981. This product was developed to cover large skin burns but it may have a role in reconstructive upper limb surgery. In upper extremity avulsion, the choice of skin cover depends on many variables. Dermal substitute is an alternative when split-thickness skin grafting is appropriate. We present a case of severe upper limb avulsion, or 'degloving', in a child of 9 years old which was treated successfully with Integra. Integra is particulary useful in growing children to cover large skin losses.

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