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TL;DR
This case report describes an 8-week-old premature infant with a massive extravasation injury of the right forearm and hand managed with acellular dermal matrix (Pelnac®) followed by Meek micrografting, achieving a 93% engraftment rate.
Journal of Clinical Medicine · 8 authors, 3 centres
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This case report describes an 8-week-old premature infant with a massive extravasation injury of the right forearm and hand managed with acellular dermal matrix (Pelnac®) followed by Meek micrografting, achieving a 93% engraftment rate.
This case report describes the management of an extensive extravasation injury in an 8-week-old premature infant involving the right forearm and dorsum of the hand. The multidisciplinary team performed debridement of necrotic tissue, temporary wound coverage with Pelnac® acellular dermal matrix, and definitive coverage using Meek micrografting three weeks later. Out of 226 micrografts transplanted, 210 survived, yielding an engraftment rate of 93%. The Vancouver Scar Scale score was 6, indicating moderate scarring. At 1-year follow-up, goniometric measurements demonstrated improved passive elbow flexion from 130 to 140 degrees and extension from 50 to 80 degrees, as well as improved wrist passive flexion from 25 to 60 degrees and extension from 30 to 50 degrees. The first finger range of motion did not improve due to severe extensor tendon damage.