{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T04:14:42Z","timestamp":1779336882757,"version":"3.51.4"},"reference-count":0,"publisher":"HMP Communications, LLC","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wounds"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Introduction. Pretibial lacerations resulting from trauma may evolve into chronic wounds with worsening infections without treatment. There is a limited amount of literature on the presentation and treatment of recalcitrant pretibial ulcerations. Objective. This study aims to provide a review of surgical treatment methodology that successfully managed recalcitrant pretibial ulcerations. Materials and Methods. The authors conducted a retrospective case review of patients with pretibial ulcerations. All wounds underwent aggressive debridement in the operative setting. Next, the wounds were fenestrated with a needle before placing one application of an antimicrobial acellular dermal tissue matrix derived from fetal bovine dermis, which was tightly adhered onto the wound bed. All wounds received a uniform multilayer compression dressing. Results. Three patients with pretibial ulcerations were included in this study. Each wound was a result of mechanical trauma and deteriorated into a refractory ulceration despite initial conservative treatment for more than 6 months. All ulcers exhibited local infection of cellulitis, hematoma, and a collection of purulent fluid. None of the wounds had any signs of radiographic osteomyelitis. The application of the allograft following debridement and fenestration led to wound volume reduction by 75%, 66.7%, and 50% in 3 patients in 28 days. All wounds healed successfully within 4 months. Conclusions. The combination of a fenestration method and an antimicrobial fetal bovine dermal matrix successfully healed recalcitrant pretibial ulcerations in high-risk patients.<\/jats:p>","DOI":"10.25270\/wnds\/21080","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T18:47:12Z","timestamp":1683312432000},"page":"e47-e52","source":"Crossref","is-referenced-by-count":1,"title":["Stepwise Surgical Technique Used to Treat Recalcitrant Pretibial Ulcerations: A Case Series"],"prefix":"10.25270","volume":"35","author":[{"given":"Deepali","family":"Darji","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Perse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Arnold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10906","published-online":{"date-parts":[[2023]]},"container-title":["Wounds: a compendium of clinical research and practice"],"original-title":[],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T18:47:19Z","timestamp":1683312439000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hmpgloballearningnetwork.com\/site\/wounds\/stepwise-surgical-technique-used-treat-recalcitrant-pretibial-ulcerations-case-series"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]},"published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.25270\/wnds\/21080","relation":{},"ISSN":["1044-7946","1943-2704"],"issn-type":[{"value":"1044-7946","type":"print"},{"value":"1943-2704","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]}}}