A novel use for the biodegradable temporizing matrix

Area of Science:

• Plastic Surgery
• Wound Healing
• Biomaterials

Background:

• Biodegradable Temporising Matrix (BTM) is a novel skin substitute for reconstructive surgery.
• BTM has shown favorable outcomes in various complex and previously non-graftable wounds.

Purpose of the Study:

• To report the successful use of BTM in managing a specific type of complex wound.
• To highlight BTM as a valuable adjunct in plastic surgery for challenging cases.

Main Methods:

• Case presentation of a patient with a right foot and ankle wound due to extravasation injury.
• Surgical debridement followed by management with BTM to promote granulation and neo-dermis formation.
• Application of a split-thickness skin graft over the BTM-prepared wound bed.

Main Results:

• BTM facilitated the creation of a "neo-dermis", enabling successful split-thickness skin grafting.
• The BTM-treated site resulted in a pliable skin graft and scar, successfully avoiding tendon tethering and joint contracture.
• This represents a novel application of BTM for extravasation injuries of the foot and ankle.

Conclusions:

• Biodegradable Temporising Matrix (BTM) is an effective option for managing complex foot and ankle wounds, particularly those resulting from extravasation injuries.
• BTM promotes favorable wound healing and skin graft take, leading to pliable reconstructions and preventing complications like contractures.
• This case report supports the use of BTM as a valuable adjunct for plastic surgeons managing challenging wounds.