Skip Navigation LinksHome > September 2012 - Volume 16 - Issue 3 > Delayed Repair in a Case of Forearm Fascial Muscle Herniatio...
Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31825d5ddf

Delayed Repair in a Case of Forearm Fascial Muscle Herniation Using Non–Cross-linked Acellular Porcine Dermal Matrix

Hartmann, Christoph E. A. BSc, MBBS, MRCS; Branford, Olivier A. MBBS, MA, MRCS, PhD; Floyd, David MA, MBBChir, MSc, FRCS, FRCS (Plast)

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The options for treatment of symptomatic muscle herniation in the limbs traditionally include fasciotomy, direct repair, tendon weave graft (palmaris longus), fascial graft (tensor fascia lata), and synthetic mesh (prolene). A recent case report has described the use of acellular cadaveric dermal matrix to reconstruct fascial defects in 2 cases. We describe the use of Strattice, a non–cross-linked acellular porcine dermal matrix, as a fascial underlay graft in a case of symptomatic upper limb muscle herniation. We propose that Strattice has the advantages over cadaveric dermal matrices in terms of avoiding the use of human donor tissue. It has suitable tensile properties to be used for reconstructing fascial defects.

© 2012 Lippincott Williams & Wilkins, Inc.


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