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Macerated Dorsal Hand Wound

Patient History

75-year-old male presented following an extensive dog bite injury to the right hand. He was diagnosed with a macerated dorsal hand wound involving tendon and an avulsion of the extensor indicis proprius (EIP).*

Treatment 

The patient was taken emergently to the operating room at which time he underwent an extensive debridement with excision of the EIP tendon/muscle, and local adjacent tissue transfer to cover the extensor digitorum communis tendons of the index and long digits. Restrata Meshed was placed on top of the defect after the tendons were covered and fixated to the wound bed with staples.

Conclusion

The patient granulated a healthy dermal tissue bed and at Week 4 post-op the patient received a split thickness skin graft (STSG) from the ipsilateral thigh. The STSG had 100% take and the patient was fully healed with full motor function and zero contracture at their 60-day post STSG follow-up.

*Restrata has not been studied in wounds that extend into the tendon, muscle, joint capsule, or bone.
Please refer to the Instructions for Use for a full list of indications, contraindications, precautions, and warnings.

MKG-30259-00

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