Effectiveness of Integra® in the management of complete forearm degloving injury.: A case report

A 43-year-old man suffered complete skin degloving of the right forearm in a work accident with a farm machine. Initial treatment using a total skin flap graft after fat removal failed because of nearly complete necrosis after ten days. Artificial dermis (Intrgra (R)) was then used to ensure skin cover and reduce adherence phenomena. Postoperative complications were minor, and a split-thickness graft performed after three weeks led to healing five weeks later. At one year of follow-up, scar quality was considered very good, with normal and symmetric mobility. This case suggests that Integra (R) could be a valid surgical alternative in the management of skin degloving injuries. (c) 2007 Elsevier Masson SAS. Tons droits reserves.