MatriDerm Decision Tree
Which indication are you treating?
Are there exposed structures?
Which grafting approach?
Suitable when
Small surfaces
Lack of donor site
(e.g. skin disease)
Very well vascularized wounds
Suitable when
Well vascularized wound bed
Small to medium surfaces areas
Suitable when
Comorbidities
Poor re-vascularization potential
Large surface areas or poor vascularization potential
Which grafting approach?
Suitable when
Well vascularized wound bed
Visibly pin-point bleeding bone
Suitable when
Poorly vascularized exposed bone (e.g. tibia)
Comorbidities
Patient with poor re-vascularization potential
Is the periosteum present?
Which grafting approach?
Suitable when
Small areas of exposed tendons in well-vascularized wound bed
Suitable when
Large areas of exposed tendons (achilles)
Comorbidities
Poor vascularization or poor vascularization potential
Which grafting approach?
Staged
Where is the protection needed?
Which grafting approach
No Graft
Suitable when
Just wrapping
Which grafting approach?
Suitable when
The exposed structure and surrounding tissue are well-vascularized
Suitable when
Large areas of exposed structures
Poorly vascularized tissue
Patient comorbidities