Abstract
Integra is a skin substitute developed specifically for the management of patients with extensive and life threatening burns by providing early wound coverage. This allows grafting to be delayed until the patient has sufficiently recovered from his/her injuries. The dermis like tissue (‘neodermis’) that forms within the Integra template following application can accept thin skin grafts with the potential for repeated harvesting of donor sites. There is also evidence of reduced scarring and improved skin pliability when compared to conventional meshed grafts [1]. This functional and cosmetic benefit has consequentlywidened the clinical indications for Integra to encompass its use in smaller burn injuries and in the reconstruction of skin defects where less scarring and wound contracture are desirable. Integra has been utilised in our department since 1996 for the treatment of burns. We describe a case where Integra was successfully used to cover the lower limb following surgical debridement for necrotizing fasciitis. We are not aware of any reported studies of its use in the coverage of post-infective soft tissue defects.
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