Single-stage extremity reconstruction through the use of dermal matrices: the power of Integra(®) bilayer wound matrix in the face of medical comorbidities, patient preference and non-compliance

We report 4 cases of extremity reconstruction using Bilayer Wound Matrix with plan to perform two-stage procedures. Patient preference or non-compliance led to single-stage reconstruction with wound re-epithelialization. In this setting, dermal matrices may be used as single-stage stand alone wound reconstruction procedures, even in patients with comorbid conditions. Ajul Shah is a consultant of Integra LifeSciences Corporation Philippe Taupin is an employee of Integra LifeSciences Corporation.