Amniotic Membrane: Innovative use in the coverage of severe
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Introduction: In severe wounds in which primary closure is not feasible, intervention with alternative coverage is warranted. Success will depend on bed revascularization, graft take, and immobilization in the wound bed. Adherence may be hindered in different anatomical locations, such as limbs or back, leading to graft loss. Several methods have been described for fixation.
Case Report: We report the case of a pediatric multiple-trauma patient with an exposed pelvis wound and extensive fractures in the dorsolumbar region.
Clinical Case: A 9-year-old patient was referred to our center because of a pelvic fracture type C2 according to the Tile classification, also called a Morel–Lavallee lesion: a closed degloving soft tissue injury caused by the abrupt separation of the skin and subcutaneous tissue from the muscle fascia, creating a space filled with blood, lymphatic fluid, and liquified fat. Treatment: AO anterior pelvic stabilization with modular type supraacetabular splint with nails; Debridement of skin lesion after exposure of the right sacroiliac joint fracture; Stabilization of both sacroiliac joints with cannulated screws; Rotation of muscle flaps to cover exposed defects and placement of a free skin graft; Sealing of the recipient area with human amniotic membrane

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