Use of split-thickness plantar skin grafts in the management of leg and foot skin defects
| Autor: | Kuo-Feng Hsu, I-Han Chiang, Jen-Ru Wu, Yuan-Sheng Tzeng, Shyi-Gen Chen, Chih-Hsin Wang, Chi-Yu Wang, Chun-Kai Chang, Dun-Wei Huang, Niann-Tzyy Dai, Chih-Han Huang, Tzi-Shiang Chu, Kuang-Ling Ou, Hung-Hui Liu, Chun-Yu Chen |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
integumentary system business.industry medicine.medical_treatment 030208 emergency & critical care medicine Dermatology 030230 surgery Posterior compartment of thigh Surgery Surgical methods body regions 03 medical and health sciences Wound care 0302 clinical medicine Skin loss medicine Skin grafting business Palm Total body surface area Foot (unit) |
| Zdroj: | International Wound Journal. 15:783-788 |
| ISSN: | 1742-4801 |
| DOI: | 10.1111/iwj.12927 |
| Popis: | The basic principle of donor site selection is to take skin from areas that will heal with minimal scarring while balancing the needs of the recipient site. For skin loss from the lower legs and feet, the most common harvest site for split-thickness skin grafts is the anterior or posterior thigh; grafts from the plantar areas have been mostly used to cover the volar aspect of digits and palms. Between September 2015 and September 2017, 42 patients with areas of skin loss on the legs or feet were treated with plantar skin grafts because of their cosmetic benefits and the convenience of the surgical procedure and postoperative wound care. Our technique of harvesting a single layer of split-thickness skin graft (0.014 in. thick) from a non-weight-bearing area of the foot of the injured leg is simple and provided good functional and cosmetic outcomes at both the donor and recipient sites. All patients were very satisfied with the recovery progress and final results. Therefore, in the management of skin defects in the lower legs or feet that comprise less than 1.5% of the total body surface area, our surgical method is a reliable alternative to anterior or posterior thigh skin grafting. |
| Databáze: | OpenAIRE |
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