Lower Extremity Fascial Reconstruction Using an Acellular Dermal Matrix Graft

Background. AlloDerm (R) acellular dermal matrix ([ADM], Lifecell Corp, Branchburg, NJ) is gaining increasing popularity in virtually every surgical subspecialty for use in the closure Of Soft tissue defects, structural support, or tissue augmentation. There is limited experience in lower extremity fascial reconstruction secondary to trauma, as this can be a challenging problem for the plastic surgeon. The purpose of this case report is to demonstrate the reliability of acellular dermal matrix grafts in lower extremity fascial reconstructions. Methods. We present a patient who underwent tensor fascia lata reconstruction with ADM following a large fascial defect. The patient previously underwent a lateral thigh fasciotomy for compartment syndrome and developed a large fascial hernia of the thigh. Results. The defect was repaired using an ADM graft, which resulted in excellent aesthetic and functional outcomes. Conclusion. In selected patients, the use of acellular dermal matrix grafts for lower extremity fascial reconstructions produces adequate soft tissue coverage and optimal aesthetic and functional results.