Plantar reconstruction with matrix of dermal regeneration (Integra®) in an electric burned patient. Case report and literature review

Abstract

Introduction:

Complex wounds of the plantar aspect of the foot are difficult to manage in the reconstructive point of view. The standard of treatment is covering the defect with free flaps. Our goal is to present the case of a patient successfully treated with the use of matrix dermal regenaration Integra® and dermoepidermal graft for a complex plantar lesion.

Clinical case:

Thirty-five year old man, who suffers from high voltage electrical burn with bilateral plantar complex injury. It was handled with successive escharectomies to delimit tissue damage and subsequent coverage with Integra® and grafting with optimal aesthetic and functional results.

Discussion:

Although free flaps are the choice in the treatment of this anatomical area, they are infrequently the only reconstructive option in burned patients. There is no greater evidence in the literature on the use of dermal matrices to cover such injuries.

Conclusion:

The authors believe that the management of complex footpad lesions using dermal regeneration matrices are a valid alternative to consider in situations where for various reasons, free flaps can't be offered.