Lower Limb Ulcer
Conditions
Brief summary
The aim of this prospective study is to assess the utility of treatment of leg ulcers using a skin substitute, Integra®, assessing the quality of wound skin healing and transcutaneous oxygen pressure in the distal region of the wound. This is a multi-centre study on 60 patients who have a lower limb ulcer.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patient with a lower limb ulcer, regardless of origin (arterial, venous or mixed, diabetic foot ulcer) present for more than 6 months or large in size (\> 10 cm²) * patients in whom the surgeon has recommended that an Integra® matrix be implanted (even if the patient is not taking part in the study) before the dermo-epidermal graft to obtain a richly vascularised neodermis. * not eligible for skin flap surgery, * the patient or patient's representative has agreed to sign the information letter before any investigation required by the research.
Exclusion criteria
* circumferential wound, * wound infection * immunosuppressed patient, * known allergy to bovine collagen, bovine glycosaminoglycans or silicone, * patients under legal guardianship, * pregnant women * patients whose health would compromise follow-up for at least 18 months, * patients whose mental health would compromise completion of the self-evaluation questionnaires. * wound located in an area not visible by the patient (as no self-assessment would be possible).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with a greater than 50% reduction in wound surface area during the 18 months after grafting. | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Functional complications of healing at 3, 6, 12 and 18 months | 3, 6, 12 and 18 months |
| Complete wound healing (reduction in wound surface area >90%) | 3, 6, 12, 18 months |
| Pain | 3, 6, 12, 18 months |
| Quality of life | 3, 6, 12, 18 months |
| Transcutnaeous oxygen pressure (TcPO2) | 6, 12 and 18 months |
Countries
France, Greece, Italy