International journal of orthopaedic and trauma nursing · 2025
A retrospective case series study evaluating the use of synthetic dermal matrix for complex wounds: the Hong Kong experience.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Chau Wing Wah, Fung Pok Man, Kwong Wai Fung
Аннотация
BACKGROUND: Partial-thickness skin grafts (PTSG) are the conventional method for definite wound closure in orthopaedics; however, synthetic dermal matrix have emerged as an alternative for complex wounds, particularly when vital structures, like tendon and bone, are exposed.
OBJECTIVE: This case series evaluates the clinical outcomes, cost implications, and granulation capacity of synthetic dermal matrix compared to PTSG using case-based observations and literature comparisons.
METHODS: Seven patients with complex wounds treated with synthetic dermal matrix at a public hospital in Hong Kong between December 2023 and May 2024 were followed until complete wound healing. Outcomes included healing time, 30-day wound size reduction, matrix integration after delamination, hospitalization duration, and vital structure coverage.
RESULTS: Synthetic dermal matrix showed successful granulation in all cases with variable healing times (51-205 days). Granulation over bone, tendon, and joint was observed in 71.4 % of patients. No readmissions or hematoma formation occurred.
CONCLUSION: Synthetic dermal matrix is a safe and effective method for managing wounds with exposed vital structures and shows potential cost benefits over traditional PTSG. Further studies with larger samples are needed.
OBJECTIVE: This case series evaluates the clinical outcomes, cost implications, and granulation capacity of synthetic dermal matrix compared to PTSG using case-based observations and literature comparisons.
METHODS: Seven patients with complex wounds treated with synthetic dermal matrix at a public hospital in Hong Kong between December 2023 and May 2024 were followed until complete wound healing. Outcomes included healing time, 30-day wound size reduction, matrix integration after delamination, hospitalization duration, and vital structure coverage.
RESULTS: Synthetic dermal matrix showed successful granulation in all cases with variable healing times (51-205 days). Granulation over bone, tendon, and joint was observed in 71.4 % of patients. No readmissions or hematoma formation occurred.
CONCLUSION: Synthetic dermal matrix is a safe and effective method for managing wounds with exposed vital structures and shows potential cost benefits over traditional PTSG. Further studies with larger samples are needed.