A New Human-Derived Acellular Dermal Matrix for 1-Stage Coverage of Exposed Tendons in the Foot

Int J Low Extrem Wounds. 2020 Mar;19(1):78-85. doi: 10.1177/1534734619884422. Epub 2019 Nov 4.

Abstract

The closure of wounds associated with soft tissue defects is surgically challenging, frequently requiring extensive plastic surgery and free flaps. The combination of ADM and STSG is an innovative method used to cover such wounds. The human-derived ADMs (H-ADMs) are the most described in the literature but according to European legislations, Companies H-ADMs outside the EC are not allowed to commercialize them in Europe, H-ADMs being "human products" and not "medical devices", so being ruled by European legislations on transplants. The Skin Bank of the Bufalini Hospital (Cesena, Italy) obtained in 2009 the approval for the production and distribution of the first human cadaver-donor derived ADM from the Italian National Transplant Center and National Health Institute, we called with the Italian acronym M.O.D.A. (Matrice Omologa Dermica Acellulata). We present here the first use of a new H-ADM for treatment of distal lower extremity wounds with exposed tendons managed in one-stage pocedure with STSG. The excellent performance suggests that in cases where autologous tissue is unavailable or undesirable, the use of M.O.D.A. in one-stage procedure represents a promising alternative for covering wounds associated with tendons exposition.

Keywords: acellular dermal matrix; exposed tendon; human acellular dermal matrix; one-stage procedure; wound.

Publication types

  • Case Reports

MeSH terms

  • Acellular Dermis*
  • Adult
  • Ankle Injuries / surgery*
  • Female
  • Humans
  • Italy
  • Outcome and Process Assessment, Health Care
  • Plastic Surgery Procedures / methods*
  • Recovery of Function
  • Skin Transplantation / methods*
  • Soft Tissue Injuries / surgery*
  • Tendons
  • Transplantation, Heterologous / methods*
  • Wound Closure Techniques*
  • Wound Healing