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  3. Research Domains
  5. Engineering
  7. Materials Engineering
  9. Wearable Materials
  11. Usage Of Dermal Regeneration Templates (pelnac) For Coverage Of Exposed Hand Tendons In Acute Setting.
  1. Home
  3. Research Domains
  5. Engineering
  7. Materials Engineering
  9. Wearable Materials
  11. Usage Of Dermal Regeneration Templates (pelnac) For Coverage Of Exposed Hand Tendons In Acute Setting.

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Usage of Dermal Regeneration Templates (Pelnac) for Coverage of Exposed Hand Tendons in Acute Setting.

Rama Ahmed Ali1, Ahmed Gamal Hemidan2, Hamed Mohamed Kadry1

  • 1From the Faculty of Medicine, Cairo University, Cairo, Egypt.

Plastic and Reconstructive Surgery. Global Open
|March 5, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Pelnac, a skin substitute, effectively covers exposed hand tendons after acute trauma, preserving function and aesthetics. This two-stage procedure shows high integration and graft success rates, leading to good patient outcomes.

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Area of Science:

  • Reconstructive surgery
  • Hand trauma management
  • Tissue engineering

Background:

  • Soft tissue coverage of tendons is a significant challenge in acute hand trauma.
  • Loss of tendon coverage can lead to adhesions, reduced range of motion, and poor aesthetics.
  • Pelnac, a skin substitute, is utilized for exposed tendon coverage, but functional outcomes require detailed evaluation.

Purpose of the Study:

  • To evaluate the efficacy of Pelnac in covering exposed tendons in acute hand injuries.
  • To assess the functional and aesthetic outcomes following a two-stage reconstructive procedure using Pelnac.
  • To determine the suitability of Pelnac for preserving hand function and achieving acceptable aesthetic results.

Main Methods:

  • A two-stage reconstructive approach was employed in 26 patients with acute isolated tendon injuries distal to the wrist.
  • The first stage involved the application of Pelnac for tendon coverage.
  • The second stage, post-Pelnac integration, included a split-thickness skin graft; functional outcomes were measured by range of motion and QuickDASH score, and aesthetics by the Vancouver Scar Scale.

    • Main Results:

    • Pelnac demonstrated 100% integration, with successful grafts in 22 out of 26 patients.
    • The mean QuickDASH score was 20.5 ± 15.7, indicating moderate functional impairment.
    • A full range of motion was restored in 22 patients, and the mean Vancouver Scar Scale score was 3.53 ± 3.2, suggesting acceptable aesthetic results.

    Conclusions:

    • Pelnac application for exposed hand tendons in acute settings is a practical and effective procedure.
    • It offers a viable option for tendon coverage with minimal morbidity.
    • The use of Pelnac can lead to the preservation of hand function and satisfactory aesthetic outcomes.