What are the factors affecting successful uptake of a split skin graft?
- Hematoma/Seroma formation
- Infection (>10⁵ organism/1gm of tissue)
- Shear Force (Insufficient mobilization)
- Poorly vascularized bed (Fibrosis, Radiotherapy, Exposed Bone, Cartilage, Tendon
What are the differences between a split thickness skin graft (SSG) and full thickness skin graft (FTSG)?
|
|
Split Skin
|
FTSG
|
|
Thickness
|
Epidermis + Any thickness of dermis
|
Epidermis with full thickness of dermis
|
|
Instrument required
|
Humby/Dermatome
|
Scalpel/ Scissor
|
|
Donor Areas
|
Thigh, Leg, Upper Arms, Forearms, Trunk, Buttocks, Scalp
|
Post Auricular Area, Clavicular, Groin, Flexor aspect of joints
|
|
Donor Area Healing
|
By epithelialization
|
By primary closure/ssg
|
|
Color change
|
Hyperpigmented
|
Retains Color
|
|
Resistance to trauma
|
Poor tolerance
|
Better resistance
|
|
Hair Growth
|
No Growth
|
Growth after a long time
|
