Use of Integra dermal substitute to prevent implantable device extrusion in an Olympic athlete. (8th November 2018)

• Record Type: Journal Article
• Authors: Page, Felicity; Patel, Krupali; Jaffe, Wayne
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-11-08
• Subjects: rehabilitation medicine -- sports and exercise medicine -- surgery -- plastic and reconstructive surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-226181
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present a challenging case of imminent metallic implant extrusion in a Paralympic athlete managed with a single-stage procedure using 'Integra' dermal substitute. The patient had hereditary spastic paraparesis, for which a baclofen pump delivering intrathecal medication was vital in the management of his condition. The device had been most recently implanted into the thigh after previous complications. Integra provided robust soft-tissue coverage over the implanted baclofen pump in the thigh. Different operative management strategies were considered but the use of Integra was felt to offer the least morbidity and a quick recovery. The patient was able to successfully compete in a Paralympic canoeing qualifying event the week following surgery and achieve medal success. To the authors' knowledge, this is first case in which Integra has been used in such circumstances.