Fig. 4.
A 19-year-old woman sustained a road traffic accident injury with soft tissue loss (30 cm × 6 cm) and exposed lateral malleolus, cuboid and fifth metatarsal bone, and extensor digitorum longus tendons. A-B, Posttraumatic skin loss with exposed bone and tendon in the left foot before and after debridement. C, PELNAC dermal substitute was applied after PRP injection. D, After removal of silicon layer and formation of dermal-like granulation tissue on the thirteenth day. E, Autologous STSG harvested and applied. F, First graft check showing good take.
