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Delayed Repair in a Case of Forearm Fascial Muscle Herniation Using NonCross-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)

Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31825d5ddf

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.

Author Information

Department of Plastic Surgery, Royal Free Hampstead NHS Trust, London, UK

The principles outlined in the Declaration of Helsinki have been followed and conformed with.

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Christoph E. A. Hartmann BSc, MBBS, MRCS, Department of Plastic Surgery, Royal Free Hampstead NHS Trust, Pond Street, London, NW3 2QG, UK. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.