Correction of Hypercromic Palmar Graft With Split-Thickness Instep Plantar Graft—Case Report

Teles, Guilherme Gurgel do Amaral; Bastos, Veloso; Mello, Gustavo

doi:10.1097/bcr.0b013e3181667963

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…The plantar surface of the foot consists of glabrous skin, which seems the best possible match in colour, texture and strength for the palmar skin, and it was therefore considered a reliable option for coverage in the paediatric palm (Friel et al., 2015). The final outcome of split-thickness instep skin grafting to the palm has been reported to be superior to the results of full-thickness skin transplantation (Friel et al., 2015; Teles et al., 2008). Some authors have suggested this method to be applied exclusively in adolescents and small children, because more donor site complications leading to prolonged hospital stays, pain and problematic scars were reported in adults (Ward and Ecclestone, 1985).…”

Section: Introductionmentioning

confidence: 99%

Skin grafting after paediatric palmar burns: an analysis of 82 patients

Morandi

Schwabegger

Tasch

et al. 2019

J Hand Surg Eur Vol

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Contact burn injuries to the palm are common in toddlers. We report a case series of 82 paediatric patients (age 7–48 months) with contact burn injury of the palm. We share our experience and outcomes of using plantar split-thickness skin grafts for resurfacing of the paediatric palm. We found that despite the excellent colour and texture match, split-thickness skin grafts from glabrous skin during growth are prone to motion-limiting scare contracture. From this series, we conclude that full-thickness skin grafts remain the reference standard of care in paediatric patients’ hands. We recommend that children with burn scars should have regular check-up examinations until they are fully grown. Level of evidence: IV

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Section: Introductionmentioning

confidence: 99%

Skin grafting after paediatric palmar burns: an analysis of 82 patients

Morandi

Schwabegger

Tasch

et al. 2019

J Hand Surg Eur Vol

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“…9). 12,13 Hair growth in such grafts leads to further mismatch. Hyperkeratosis, marginal hypertrophic scarring, fissuring, and breakdown are further possible complications.…”

Section: Discussionmentioning

confidence: 98%

Full-Thickness Grafting From the Ulnar Border of the Palm

Hashem

2011

Annals of Plastic Surgery

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“…In previous studies that aimed to resurface digital and palmar wounds, full‐thickness skin grafts or thick split‐skin grafts were harvested, which led to significant donor site morbidity, including prolonged healing, hypertrophic scarring, hyperpigmentation, or a requirement for secondary skin grafting of the donor site . A modified surgical method was reported recently, in which 2 layers of plantar skin grafts were harvested from the same site and the first‐harvested split‐thickness skin graft was returned to the original donor site .…”

Section: Discussionmentioning

confidence: 99%

Use of split‐thickness plantar skin grafts in the management of leg and foot skin defects

Liu

Chang

Huang

et al. 2018

International Wound Journal

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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.

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Correction of Hypercromic Palmar Graft With Split-Thickness Instep Plantar Graft—Case Report

Cited by 12 publications

References 7 publications

Skin grafting after paediatric palmar burns: an analysis of 82 patients

Skin grafting after paediatric palmar burns: an analysis of 82 patients

Full-Thickness Grafting From the Ulnar Border of the Palm

Use of split‐thickness plantar skin grafts in the management of leg and foot skin defects

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