The Use of Dermacell？ in Fingertip Injury - The Use of Dermacell？ in Fingertip Injury - Open Access Pub

Matrices or tissue scaffolds provide a collagen structure for tissue remodelling while the removal of viable cells aims to minimize or prevent inflammatory or immunogenic response. Allograft collagen scaffold can support the patient’s own cellular ingrowth, ingeneered to minimize an immune response and to yeld a bio-compatible matrix and support incoming cellular growth. The decellyularized dermis retains its growth factors, native collagen scaffold, and elastin, thanks to a LifeNet Health proprietaryprocessin technology. DOI10.14302/issn.2641-5518.jcci-19-2626 Fingertip injuries are defined as those distal to the insertion of the flexor and extensor tendons Primary goal of treatment is a painless fingertip with durable and sensate skin. 1 Methods of treatment include healing by secondary intention, skin grafting, shortening of the bone and primary closure, and coverage with local or regional flaps. Evaluation History and mechanism of the injury Patient factors age, gender, handedness, occupation, and history of previous hand injuries Function of flexor and extensor tendons Rx Antibiotics and tetanus prophylaxis Soft-tissue loss without exposed bone Soft-tissue loss with exposed bone Amputation Nail bed injuries Treatment For the treatment of fingertip injuries, the decision making process should proceed from the simpler techniques to the more complicated. When no bone is exposed, the open method is ideal for small or moderate sized wounds, and skin grafting should be considered for larger wounds . Distal transverse and dorsal oblique amputations with bone exposure can be treated with local advancement flaps. 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 History and mechanism of the injury Patient factors age, gender, handedness, occupation, and history of previous hand injuries Function of flexor and extensor tendons Rx Antibiotics and tetanus prophylaxis Soft-tissue loss without exposed bone Soft-tissue loss with exposed bone Amputation Nail bed injuries For the treatment of fingertip injuries, the decision making process should proceed from the simpler techniques to the more complicated. When no bone is exposed, the open method is ideal for small or moderate sized wounds, and skin grafting should be considered for larger wounds . Distal transverse and dorsal oblique amputations with bone exposure can be treated with local advancement flaps. 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 Derma cell was able to provide protection for the wound while encouraging rapid healing without the disadvantages of donor site morbidity and increased patient pain from an