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CC BY-NC 4.0 · Arch Plast Surg 2013; 40(04): 403-408
DOI: 10.5999/aps.2013.40.4.403
Original Article

Treatment of Diabetic Foot Ulcer Using Matriderm In Comparison with a Skin Graft

Hyojin Jeon
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea
,
Junhyung Kim
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea
,
Hyeonjung Yeo
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea
,
Hoijoon Jeong
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea
,
Daegu Son
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea
,
Kihwan Han
Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea
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Background For patients with neuropathy, vasculopathy, and impairment of wound healing, treatment of a diabetic foot ulcer poses many challenges. A large number of dermal analogues have been invented in an effort to overcome these challenges. Matriderm, a dermal analogue, is made from bovine collagen and elastin. This study was conducted in order to evaluate the effectiveness of Matriderm for treatment of diabetic foot ulcers, in comparison with skin grafting.

Methods Sixty patients with diabetic foot ulcer were included in this prospective study. The average age of the patients, who had type II diabetes mellitus, was 58 years old. The patients were allocated to an experimental or control group with their consents. The patients were selected with their consent for inclusion in an experimental group and a control group. Patients in the experimental group received a Matriderm appliance and a split-thickness skin graft, while those in the control group received only a split-thickness skin graft.

Results A shorter hospitalization period (7.52 weeks) was observed in the experimental group than in the control group (9.22 weeks), and a shorter period of time (8.61 weeks) was required for complete healing, compared with the control group (12.94 weeks), with statistical significance (P<0.05). A higher elasticity ratio of the affected side to the non-affected side was observed in the experimental group, compared with the control group (P<0.01).

Conclusions Matriderm enables effective healing and improves elasticity in treatment of patients with diabetic foot ulcer.

Keywords

Skin - Diabetes complications - Skin transplantation

This article was presented at the 70th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 9-11, 2012 in Seoul, Korea.




Publication History

Received: 19 March 2013

Accepted: 20 June 2013

Article published online:
01 May 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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