# The Role of Biodegradable Temporizing Matrix in Hand Surgery for Paediatric Recessive Dystrophic Epidermolysis Bullosa

## TL;DR

This study explores the use of a biodegradable matrix in hand surgery for children with a rare skin condition, finding it feasible and safe but with temporary results.

## Contribution

This is the first reported study on using Biodegradable Temporizing Matrix in hand surgery for pediatric RDEB patients.

## Key findings

- The use of BTM showed acceptable functional outcomes but was temporary in most cases.
- Three out of four patients required or are planned for re-operation due to recurrence.
- The procedure was found to be feasible and safe with low infection rates.

## Abstract

Background/Objectives: The purpose of this study is to review the use of Biodegradable Temporizing Matrix (BTM) for releasing finger webspaces and flexion contractures in recessive dystrophic epidermolysis bullosa (RDEB) in paediatric patients and evaluate the short-term and mid-term results. Methods: Patients who underwent release of webspace fusion and flexion contractures followed by BTM application during the last two years (2022–2024) were included. The data collected included the patient demographics, previous surgical management, type of release, post-operative complications and final outcomes. BTM was used in four patients. Results: The functional outcomes were acceptable but temporary, as three cases required or are planned for re-operation due to recurrence. Conclusion: The surgical experience using BTM as a single-stage dressing/dermal substitute in hand surgery for paediatric RDEB has shown feasibility and safety regarding infection rates. To the best of our knowledge, this is the first reported study regarding the BTM use for releasing hands in epidermolysis bullosa.