Complex Lower Extremity Soft Tissue Reconstruction
Conditions
Brief summary
This is a retrospective, multi-center study evaluating the outcomes of using Integra® skin sheet bilayer or single layer products for complex soft tissue reconstruction of lower extremity diabetic wounds compared to other treatments. Participating sites will collect information for all patients who received Integra, free flap, local tissue flap, or negative pressure therapy over a 5 year period. The patient must be a minimum of 1 year from index procedure, with index procedure being defined as the application of Integra, free flap, local tissue flap, or negative pressure. Any follow-up occurring during the year is eligible for inclusion.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetic (I or II) male or female, age greater than 18 years * Lower extremity wounds that required operative application of Integra, free flap, local tissue flap, or negative pressure wound therapy. Complex wounds are defined as wounds that involve exposed deep tissue (e.g. bone, tendon, fascia, ligament) * The patient must be a minimum of 1 year from the index procedure, any follow-up occurring during the year is eligible for inclusion.
Exclusion criteria
* Age less than 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound recurrence rates after Integra application (and final split-thickness skin graft or dermoinductive agent application) as compared with free flap, local tissue flap, and negative pressure wound therapy. | 5 year period | A dermoinductive agent is a product that is said to promote rapid wound healing. |
Secondary
| Measure | Time frame |
|---|---|
| Time to ambulation/return to function after Integra application, free flap, local tissue flap, or negative pressure wound therapy. | 5 year period |
Other
| Measure | Time frame |
|---|---|
| Time to wound bed preparation for receipt of a split thickness skin graft (STSG) or dermoinductive agent after having received Integra or negative pressure wound therapy | 5 years |
| Time to complete re-epithelization (as deemed by the surgeon) after Integra application or NPWT | 5 years |
Countries
United States