RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823778
T1 Skin Graft
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823778
RD 2024/04/18
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