Repair of severe hand injury by acellular dermal matrix: a rare case of hypofibrinogenaemia resulting in hand injury after haemangioma resection.

A 16-year-old male patient with hypofibrinogenaemia underwent surgical resection of a haemangioma of the hand, and at 20 days postoperative, the wound was still bleeding. The patient underwent two additional debridements to stop the bleeding and repair the wound; however, these failed. The wound was located at the confluence of the third and fourth fingers of the right hand. The haematoma was found in the wound. The soft tissue defect was serious, with exposed bone. In order to stop the bleeding, acellular dermal matrix (ADM) was grafted on to the wound to repair the soft tissue defects. At two weeks post-grafting, the ADM was observed to be vascularised, the soft tissue defect was repaired, and the wound stopped bleeding. The authors believe that use of ADM is effective for the repair of a bleeding hand wound in patients with soft tissue defects accompanied by hypofibrinogenaemia.