J 2010

Evaluation and comparison of composite and split-thickness skin grafts using Cutometer MPA 580

ŠÍN, Petr, Pavel BRYCHTA and Igor STUPKA

Basic information

Original name

Evaluation and comparison of composite and split-thickness skin grafts using Cutometer MPA 580

Authors

ŠÍN, Petr (203 Czech Republic, guarantor, belonging to the institution), Pavel BRYCHTA (203 Czech Republic, belonging to the institution) and Igor STUPKA (203 Czech Republic, belonging to the institution)

Edition

Annals of Burns and Fire Disasters, 2010, 1121-1539

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Italy

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/10:00052256

Organization unit

Faculty of Medicine

Keywords in English

Allogeneic acellular dermis; Composite skin grafts; Cutometer mpa 580; Cutometric measurement

Tags

International impact, Reviewed
Změněno: 3/2/2012 10:39, Mgr. Michal Petr

Abstract

V originále

Background. In our preliminary experiments we found that composite skin grafts consisting of allogeneic acellular dermis and thin epidermal autologous grafts applied to the excised burn wound in one stage led to better results in terms of vis-coelastic properties than autologous split-thickness skin grafts. Patients and methods. In ten burn patients we applied composite skin grafts consisting of allogeneic acellular dermis and thin epidermal autologous grafts and followed the quality of the reconstructed skin cover with a special device, Cutometer MPA 580, over a period of four years. Results. The cutometric curves demonstrated better viscoelastic properties in composite skin grafts than in conventional split-thickness skin grafts after four years. We found Cutometer MPA 580 to be an advantageous device for the objectification of improved quality of reconstructed skin cover. Discussion. Among the various methods the cutometer showed the advantage of being a non-invasive, precise, and objective method of measuring skin's viscoelastic properties. The Vancouver Scar Score is a subjective evaluation of skin viscoelasticity. Conclusion. Our prospective clinical study clearly demonstrated that cutometric measurement produced objective results in contrast to clinical evaluation, the Vancouver Scar Score, and other non-quantitative methods. Our hypothesis that composite skin grafts consisting of allogeneic acellular dermis and thin epidermal autologous grafts applied onto the excised burn wound in one stage led to better results in terms of viscoelastic properties than autologous split-thickness skin grafts was fully confirmed.