Repairing tendon-exposed wounds by combing the Masquelet technique with dermoplasty

Yao, Jiangling1,2; Zeng, Yunfu1,2; Yang, Jian1,2; Wu, Qian3; Chen, Liying1,2; Zheng, Linyang1,2; Wang, Rong1,2; Zhu, Hengjie1,2; Cui, Hongwang1,2; Huang, Yuesheng4,5; Cheng, Shaowen1,2

2022-11-02

10.3389/fsurg.2022.995316

Frontiers in Surgery   Impact Factor & Quartile

2296-875X

BackgroundWound repair is a new field that has emerged in China in the last 5 years. Exposed tendon wounds are one of the most common problems faced in wound treatment today, as the poor blood supply leads to low survival rates of skin grafts. This paper explores the feasibility of applying the Masquelet technique to repair tendon-exposed wounds. MethodWe examined 12 patients with tendon-exposed wounds, 5 males and 7 females, from January 2021 to November 2021, including 2 patients with post-traumatic wounds, 8 diabetic patients with dorsal wounds, and 2 patients with various chronic infections. The Masquelet technique was employed to treat these wounds. The wound surface was sealed with antibiotic bone cement to form an induction membrane, the cement was removed after 3-4 weeks, and the wound was repaired with skin grafts to observe survival, appearance, texture, healing, and related functions. ResultsAll wounds were covered with antibiotic bone cement, and after 3-4 weeks, an induction membrane was applied, and in 10 out of 12 patients, full-thickness skin grafts were applied, and the patients survived. However, in 2 patients, the skin became partially necrotic, but these patients recovered by changing medications. ConclusionThe current study found that direct skin grafting may effectively treat exposed tendon wounds once the Masquelet approach generates the induction membrane. Further, this method is less difficult, less expensive, and easier to care for the procedure that deserves to be used more frequently.

exposed tendon wounds skin grafting Masquelet gentamicin bone cement

SCI

English

Corresponding

Hainan Province Science and Technology Special Fund["822MS174","822QN463"] ; National Natural Science Foundation of China["ZDYF2021SHFZ238","ZDKJ2021038"] ; Hainan Provincial Health and Family Planning Commission Project[81860347] ; Youth cultivation fund of the First Affiliated Hospital of Hainan Medical University["21A200231","21A200062"] ; Hainan Medical College 2022 Student Innovation and Entrepreneurship Training Program[HYFYPY2005] ; [X202211810008]

Surgery

Surgery

WOS:000891240000001

FRONTIERS MEDIA SA

Web of Science

1.Hainan Med Univ, Affiliated Hosp 1, Emergency & Traumatol Dept, Haikou, Hainan, Peoples R China
2.Hainan Med Univ, Key Lab Emergency & Trauma, Minist Educ, Haikou, Hainan, Peoples R China
3.Hainan Med Univ, Acad Pediat, Haikou, Hainan, Peoples R China
4.Southern Univ Sci & Technol, Inst Wound Repair & Regenerat Med, Sch Med, Shenzhen, Peoples R China
5.Southern Univ Sci & Technol Hosp, Dept Wound Repair, Shenzhen, Peoples R China

Yao, Jiangling,Zeng, Yunfu,Yang, Jian,et al. Repairing tendon-exposed wounds by combing the Masquelet technique with dermoplasty[J]. Frontiers in Surgery,2022,9.

Yao, Jiangling.,Zeng, Yunfu.,Yang, Jian.,Wu, Qian.,Chen, Liying.,...&Cheng, Shaowen.(2022).Repairing tendon-exposed wounds by combing the Masquelet technique with dermoplasty.Frontiers in Surgery,9.

Yao, Jiangling,et al."Repairing tendon-exposed wounds by combing the Masquelet technique with dermoplasty".Frontiers in Surgery 9(2022).