The Use of NovoSorb BTM for Trauma Reconstruction: Illustrative Cases and a Proposed Decision-making Tool.

IF 1.5 Q3 SURGERY
Plastic and Reconstructive Surgery Global Open Pub Date : 2024-10-28 eCollection Date: 2024-10-01 DOI:10.1097/GOX.0000000000006246
Susan A Hendrickson, Sara Flod, Adam T Misky, Kshemendra Senarath-Yapa, Shehan Hettiaratchy
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引用次数: 0

Abstract

Achieving a functional and aesthetic reconstruction following complex trauma is a challenge. Skin substitutes, including acellular dermal matrices, and newer, synthetic options such as NovoSorb biodegradable temporizing membrane (BTM) have given the reconstructive surgeon a useful tool where autologous options have been exhausted, are inappropriate, or would present a suboptimal reconstruction. This case series describes 6 patients admitted to an urban level I major trauma center between July and December 2022. All patients underwent complex reconstructive lower limb surgery using BTM as either a primary or salvage option. In each case, this approach was chosen on a case-by-case basis where it was felt BTM would offer a reconstructive advantage, or where primary reconstructive options had been exhausted. Data were collected retrospectively from case notes. Three patients received BTM as a primary reconstructive option. BTM integrated successfully in all 3. Three patients received BTM as a salvage option. In 1, the exposed fracture site was successfully bridged, and in another, BTM was successfully reapplied over exposed fracture site where BTM had previously failed to incorporate. Although BTM is a relatively new tool in the reconstructive surgeon's armamentarium, requiring further research into long-term outcomes, cost-effectiveness, and patient satisfaction, it can be a useful and versatile tool.

使用 NovoSorb BTM 重建创伤:示例案例和拟议的决策工具。
在复杂创伤后实现功能性和美观性重建是一项挑战。皮肤替代品(包括细胞真皮基质)和较新的合成选择(如 NovoSorb 生物可降解颞膜 (BTM))为重建外科医生提供了一个有用的工具,在自体选择已用尽、不合适或将呈现不理想的重建效果时,皮肤替代品是一个很好的选择。本病例系列描述了 2022 年 7 月至 12 月期间,在城市一级重创中心住院的 6 名患者。所有患者都接受了复杂的下肢重建手术,将 BTM 作为主要或挽救方案。在每个病例中,这种方法都是根据具体情况选择的,即认为 BTM 可以提供重建优势,或者主要重建方案已经用尽。数据是从病例记录中回顾性收集的。三名患者接受了 BTM 作为主要的重建方案。三位患者均成功进行了 BTM 整合。三名患者接受了 BTM 作为挽救方案。其中一名患者成功桥接了裸露的骨折部位,另一名患者则成功地将 BTM 重新应用于 BTM 之前未能整合的裸露骨折部位。虽然 BTM 是整形外科医生的一种相对较新的工具,需要对其长期效果、成本效益和患者满意度进行进一步研究,但它是一种有用的多功能工具。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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