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. 2000 Feb 26;145(3):813–822. doi: 10.1097/PRS.0000000000006609

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Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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Fig. 1. — Lower extremity salvage using bilayer wound matrix following extensive debridement of degloving wound. (Above, left) An 86-year-old male subject presented 7 days after experiencing an extensive degloving injury from midthigh to proximal ankle. (Above, center) Exposed tendon and tibia with intact peritenon and periosteum. (Above, right) Application of Integra bilayer wound matrix measuring 1450 cm². (Below, left) Removal of silicone layer 3 weeks after application revealing well-granulated tissue bed. (Below, center) Application of meshed split-thickness skin graft. (Below, right) Long-term result with 100 percent graft take and successful limb salvage. These photographs were obtained with written permission.