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.
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: firstname.lastname@example.org
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 (http://links.lww.com/JBJSCC/A796).