Evidence Hub

Complex Wound Reconstruction in a Patient With Ehlers-Danlos Syndrome

Rostami S, Lagziel T, Martinez SL, Kawaji Q, Hultman CS, Lavallee ME

Plastic and reconstructive surgery. Global open, 2025

Abstract

Ehlers-Danlos syndrome (EDS) is a hereditary condition marked by collagen defects leading to tissue fragility throughout various body systems. One notable challenge for patients with EDS is compromised wound healing due to connective tissue fragility. This study described the case of a 53-year-old man with classical type EDS, presenting with a significant wound over his left knee, following numerous complications after a patellar tendon rupture. Traditional healing methods, including a gastrocnemius flap, were of limited benefit due to the patient's EDS condition. A novel surgical approach, involving the use of a split-thickness skin graft combined with the Recell Autologous Skin Cell Harvesting Device, resulted in successful wound healing. Ten months postsurgery, the patient demonstrated excellent graft adherence without any complications. This case indicates the potential benefits of the split-thickness skin graft and Recell method for patients with EDS, offering an effective treatment modality for significant wound healing challenges in this population.

How strong is the evidence?

Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free