{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:06:44Z","timestamp":1790824004267,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2019,6,23]],"date-time":"2019-06-23T00:00:00Z","timestamp":1561248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to assess the efficacy and safety of a single\u2010stage procedure using single\u2010layer Pelnac and defatted avulsed skin for the management of degloving injuries of the forearm and hand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective study conducted from March 2013 to May 2017. A total of 15 consecutive patients with degloving injuries of the forearm and hand were treated with a single\u2010stage procedure using single\u2010layer Pelnac and defatted avulsed skin as a split\u2010thickness skin graft. Post\u2010operatively, scheduled follow\u2010up was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall \u2018take\u2019 rate of the Pelnac dermal template and the skin graft was 85\u2013100%. No infections, haematoma or seroma were observed during hospitalization and after discharge. At the final follow\u2010up, patients\u2019 subjective satisfaction with the aesthetic appearance of the grafted areas was, on average, 71.0 (SD 8.0, range 55\u201392). The Vancouver Scar Scale value was 2.1 (SD 1.8, range 1.0\u20135.5), representing a good result. The response of \u2018normal or near normal\u2019 to the sensory recovery was obtained for 13 patients and \u2018slight loss\u2019 for two patients. The average Disabilities of the Arm, Shoulder and Hand score was 21.2 (SD 13.5, range 0\u201353), and most patients (14\/15) regained the ability to perform the daily activities without pain or restriction by tissue adhesion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This single\u2010stage procedure represents an effective technique for the management of degloving injuries of the forearm and hand and should be considered an alternative to other reconstructive procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15315","type":"journal-article","created":{"date-parts":[[2019,6,23]],"date-time":"2019-06-23T23:39:02Z","timestamp":1561333142000},"page":"950-954","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Dermal regeneration template and vacuum sealing drainage for treatment of traumatic degloving injuries of upper extremity in a single\u2010stage procedure"],"prefix":"10.1111","volume":"89","author":[{"given":"Zhenmu","family":"Lv","sequence":"first","affiliation":[{"name":"Department of Hand and Foot Surgery The No. 252 Hospital of People's Liberation Army of China  Shijiazhuang China"},{"name":"Department of Spine Surgery The Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurology The Second Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiusheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery The No. 252 Hospital of People's Liberation Army of China  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery The No. 252 Hospital of People's Liberation Army of China  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyuan","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery The Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9995-663X","authenticated-orcid":false,"given":"Yong","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Hand and Foot Surgery The No. 252 Hospital of People's Liberation Army of China  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-016-0093-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31803420be"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/02844310701667221"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbm.820140108"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000221622.41450.60"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000183789.00146.c6"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.09.026"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(90)90044-Z"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318070c028"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.12.008"},{"key":"e_1_2_7_12_1","first-page":"69","article-title":"Management of wounds with exposed bone structures using an artificial dermis and skin grafting technique","volume":"63","author":"Chen X","year":"2010","journal-title":"Clin. 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