Skin substitutes: A review of classifications and indications for appropriate use in South Africa

Abstract

Skin substitutes have become widely accepted as a viable reconstructive option for numerous conditions, playing a substantial role in partial and full thickness skin defects ranging from acute to chronic wounds. A skin substitute has certain criteria to fulfill to be classified as such. Different classification systems have been created and adapted in this relatively new aspect of the approach to reconstruction. Some of the classifications have been aimed at making it easier for clinicians to select the best skin substitute for the type and depth of wound needed to be covered.

This article reviews some of the more readily available skin substitutes in South Africa and reviews some of the indications and makes suggestions for the appropriate use of these products. It is also aimed that this article will help improve the understanding of skin substitutes as a whole.