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Case Series/Study

(CS-023) Addressing Surgical Wound Dehiscence Following Flatfoot Reconstruction Utilizing Acellular Fish Skin: A Case Report

Introduction: Surgical wound dehiscence is a significant complication following flatfoot reconstruction procedures, leading to delayed wound healing, increased morbidity, and potential limb loss. This case report aims to present a novel approach in addressing surgical wound dehiscence using acellular fish skin grafts in a patient with complications following flatfoot reconstruction.

Methods: A 63-year-old female patient with severe flatfoot deformity underwent surgical reconstruction with internal fixation. Despite meticulous surgical technique, the patient developed surgical wound dehiscence in the early postoperative period. To promote wound healing and prevent limb loss, acellular fish skin graft was utilized to cover the dehisced surgical incision. The grafts were applied in a layered fashion, providing structural support, and facilitating tissue regeneration.

Results: Following the application of acellular fish skin grafts, the wound showed progressive improvement with enhanced granulation tissue formation and re-epithelialization. The grafts adhered well to the wound bed and successfully integrated, leading to complete wound closure within 7 weeks. The patient achieved a satisfactory functional outcome with no signs of infection or loss of surgical correction.

Discussion:

This case report highlights the successful utilization of acellular fish skin grafts in addressing surgical incision dehiscence following flatfoot reconstruction. The unique properties of fish skin grafts, including their high collagen content, bacterial barrier, and structural integrity, contribute to enhanced wound healing and tissue regeneration. The application of acellular fish skin grafts offers a viable option for managing surgical wound dehiscence in complex foot and ankle reconstructions. Further studies are warranted to investigate the long-term outcomes and potential applications of this innovative approach.

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