TY - CHAP M1 - Book, Section TI - Skin Graft A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. Y1 - 2022 N1 - T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - Full-thickness skin loss can occur from burns, mechanical trauma, ischemia, infection, or surgical excision. A skin graft should be considered as part of a stepwise approach for reconstruction of soft tissue loss. For success, the recipient wound base must have sufficient vascularity and viability to adequately support a skin graft. Exposed bone (without viable periosteum), ligaments, tendons (without viable paratenon), blood vessels, and poorly vascularized fat are not good candidates for skin grafting and require more advanced techniques (FIGURE 1). Active infection and heavy colonization of the recipient sites are additional risk factors for graft failure and relative contraindications. Recipient sites subject to shear or pressure forces (e.g., the soles of feet, the buttocks, or across highly mobile joints such as the neck or shoulder) also will be at higher risk of loss SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187823778 ER -