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CASE REPORT
Use of Vacuum-Assisted Closure (VAC) along with Integra® Wound Matrix after a transmetatarsal amputation (TMA) following an accident caused by a mower – a case study
1
University Clinical Hospital No. 4, Lublin, Poland
2
Central Clinical Hospital, Warsaw, Poland
3
National Medical Institute of the Interior and Administration, Warsaw, Poland
4
Gruca Orthopaedic and Trauma Teaching Hospital, Otwock, Poland
5
Children’s Orthopaedic Department, Children’s Clinic Hospital, Lublin, Poland
6
Children’s Orthopaedic Department, Medical University, Lublin, Poland
Corresponding author
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Vacuum-Assisted Closure (VAC) is one of the modern-treatment methods for closing wounds using Integra® Wound Matrix, a matrix of 2 mm bovine collagen with a silicone layer, supporting collagen deposition and revascularisation.
Case Report:
He case is described of a patient who underwent a VAC therapy combined with Integra® Wound Matrix after a transmetatarsal amputation (TMA) with degloved forefoot. The wound was inflicted by a mower, which makes it especially challenging because of the high risk of infection. Another challenge was the location of the amputation – transmetatarsal (TM), which is often considered for below-knee amputation (BKA). The successful treatment process that prioritised maintaining the foot is described, a promising treatment sequence for extensive and complex traumatic wounds causing TMA. The potential benefits and risks of implementing collagen matrix and VAC system are discussed.
Vacuum-Assisted Closure (VAC) is one of the modern-treatment methods for closing wounds using Integra® Wound Matrix, a matrix of 2 mm bovine collagen with a silicone layer, supporting collagen deposition and revascularisation.
Case Report:
He case is described of a patient who underwent a VAC therapy combined with Integra® Wound Matrix after a transmetatarsal amputation (TMA) with degloved forefoot. The wound was inflicted by a mower, which makes it especially challenging because of the high risk of infection. Another challenge was the location of the amputation – transmetatarsal (TM), which is often considered for below-knee amputation (BKA). The successful treatment process that prioritised maintaining the foot is described, a promising treatment sequence for extensive and complex traumatic wounds causing TMA. The potential benefits and risks of implementing collagen matrix and VAC system are discussed.
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| eISSN: | 1898-2263 |
| ISSN: | 1232-1966 |
Generation of the DOI (Digital Object Identifier) - task financed under the agreement No NrRCN/SP/0532/2021/1 by the Minister of Science and Higher
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