Fig. 2.

A 53-year-old man had a left hand injury in a road traffic accident with full-thickness skin defect (9 cm × 6 cm); there were exposed tendons and extensor digitorum communis tendons cut of the index, middle, ring and little finger as well as extensor indicis tendon cut. A, Post traumatic skin loss before debridement. B-C, Wound lavage and debridement were done and tendons were repaired. D–F, PELNAC artificial dermis and VAC was applied. G-H, After 22 days and formation of dermal-like granulation tissue, skin graft harvested and applied on the newly formed granulation tissue.