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Acute Treatment of Open Foot and Ankle Fractures Using a Bioartificial Dermal Regeneration Template and Split-Thickness Skin Grafting

A Report of 2 Cases

McMillan, Logan J. CST1,2; Parikh, Harsh R. MPH1,2; Cunningham, Brian P. MD1,2

doi: 10.2106/JBJS.CC.18.00148
Case Reports

Case: Two patients with open foot and ankle fractures were treated with aggressive irrigation and debridement and acute placement of a dermal regeneration template (DRT) followed by split-thickness skin grafting. Patient 1 was an 82-year-old female with a type IIIB open ankle fracture complexed with 2 significant regions of soft tissue loss. Patient 2 was a 54-year-old male with type IIIB open metatarsal fractures. Both patients healed without complication.

Conclusions: Complex open fractures in lower extremities can be managed with acute DRT application. This may be a more cost-effective solution compared to free flaps.

1Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota

2Department of Orthopaedic Surgery, Regions Hospital, St Paul, Minnesota

E-mail address for B.P. Cunningham:

Investigation performed at Regions Hospital, St. Paul, Minnesota

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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