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Journal of Hand Surgery (European Volume)
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Invited Personal Review

Use of Integra in a Paediatric Upper Extremity Degloving Injury

C. HERLIN
D. LOUHAEM
M. BIGORRE
A. DIMEGLIO
G. CAPTIER

From the Unité de Chirurgie Plastique Pédiatrique, Hôpital Lapeyronie, CHU Montpellier, France and the Service d’Orthopédie Pédiatrique, Hôpital Lapeyronie, CHU Montpellier, France

Correspondence: Dr Guillaume Captier, Hôpital Lapeyronie, Université Montpellier I, Montpellier, France. Tel.: +33 467 338 765; fax: 33 467 330 500. E-mail:gcaptier{at}free.fr

Dermal 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.

Key Words: upper extremity • traumatic wound • dermal substitute • integra

Journal of Hand Surgery (European Volume), Vol. 32, No. 2, 179-184 (2007)
DOI: 10.1016/J.JHSB.2006.11.013
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