Back implanatation of skin graft combining vaccum sealing drainage in the treatment of large skin avulsion of lower extremities
LI Wei-hua
WANG Xiao
ZHANG Song
PAN Hua-gang
Abstract：Objective To investigate the efficacy of back implanatation of skin graft combining vacuum sealing drainage ( VSD ) in the treatment of large skin avulsion of lower extremities. Methods From January 2010 to December 2012, data of 13 cases with large area skin avulsion injury in lower extremities were collected. Among them, 8 cases were males and 5 cases were females. The average age was 36 years old ( range: 4-59 years ). Causes:traffic accident in 10 cases, machine crush injury in 3 cases. The mean time from injury to surgery was 3 hours ( range:2-12 hours ). All cases underwent emergency operation by debridement, back implanatation of skin graft to suture wound, and enclosed pressure suction drainage with VSD for 5 to 12 days. Depending on the wound and skin survival, stamp type free skin graft was performed in small areas of skin necrosis defect. Results All 13 patients were followed up. The average follow-up was 16 months ( range: 12-36 months ). Infection was not found and more than 75% of the skin graft survived. Small areas of skin necrosis healed in the later stamp type free skin grafting or clean dressing. Postoperative knee functions were good. Conclusions Back implanatation of skin graft combining VSD in the treatment of large skin avulsion of lower extremities enjoys advantages of early closure of open wounds, promotion of the stick plying-up between the graft and wound while greatly reducing the infection rate, and improvement of the wound healing rate and joint functions.
Keywords：Skin transplantationNegative-pressure wound therapDrainageWounds and injuriesLower extremity
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 917-919 )