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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2003, Number 2

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An Med Asoc Med Hosp ABC 2003; 48 (2)

Cultured epidermal allografts for skin donor sites and total-thickness injuries in patients with multiple trauma

Cienfuegos MR, Sierra ME, Juárez AE, Kuri HW
Full text How to cite this article

Language: Spanish
References: 6
Page: 84-88
PDF size: 76.80 Kb.


Key words:

allografts, cultured epidermis, open fractures, soft-tissue injuries.

ABSTRACT

This paper describes a study, carried out at the Hospital de Traumatología y Ortopedia “Lomas Verdes” in Mexico City, on the use of frozen cultured human-epidermis allografts over donor skin sites and meshed autografts in patients with lower limb fractures who required early reconstruction of the skin cover. Meshed autografts were placed upon a gastrocnemius medialis flap or upon the muscle mass left uncovered after performing a fasciocutaneous flap, and covered with cultured epidermis allografts. In these lesions, cultured epidermal allografts stimulated re-epitelization of the interstices in the mesh within six days of surgery. Results showed a faster re-epithelization of donor sites treated with frozen cultured human epidermis allografts compared to control areas; cultured epidermal allografts reduced 60% the time to epithelization. These results suggest that, aside from the treatment of burns, frozen cultured human epidermis allografts may be used routinely in the treatment of patients with fracture-induced soft-tissue injuries.


REFERENCES

  1. Alvarez-Diaz C, Cuenca-Pardo J, Sosa-Serrano A, Juarez-Aguilar E, Marsch-Moreno M, Kuri-Harcuch W. Controlled clinical study of deep partial-thickness burns treated with frozen cultured human allogenic epidermal sheets. J Burn Care Rehab, 2000; 21 (4): 291-299.

  2. Rivas-Torres M, Amato D, Arambula-Alvarez H, Kuri-Harcuch W. Controlled clinical study of skin donor sites and deep partial thickness burns treated with cultured epidermal allografts. Plast Reconst Surg 1996; 98: 279-87.

  3. Arambula H, Sierra-Martinez E, Gonzalez-Aguirre NE, Rodriguez-Perez A, Juarez-Aguilar E et al. Frozen human epidermal allogenic cultures promote rapid healing of facial dermabrasion wounds. Dermatol Surg 1999; 25: 708-712.

  4. Yaremchuk MJ. Acute management of severe soft-tissue damage accompanying open fractures of the lower extremity. Clin Plast Surg 1986; 13: 621-630.

  5. García F, Cienfuegos R. Reconstrucción integral temprana de fracturas expuestas de tibia en el paciente polifracturado, Cir Plast 1991; 1 (1): 7-12.

  6. Rüedi T, Border JR. Algöwer: Appendix B: Classification of soft tissue injuries. En: Müller ME et al (eds). Manual of internal fixation. Berlín: Springer-Verlag, 1991.




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C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 2003;48