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Related Experiment Videos

The Moriarty sign: an appraisal.

M A Birchall1, S Varma, T M Milward

  • 1Department of Plastic and Reconstructive Surgery, Leicester Royal Infirmary.

British Journal of Plastic Surgery
|February 1, 1991
PubMed
Summary
This summary is machine-generated.

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Moriarty's sign, comparing pain at split skin graft donor and recipient sites, reliably predicts graft success. Donor site pain suggests good graft take, while recipient site pain indicates potential complications and the need for early inspection.

Area of Science:

  • Dermatology
  • Plastic Surgery
  • Wound Healing

Background:

  • Split skin grafting is a common surgical procedure.
  • Assessing graft viability is crucial for successful outcomes.
  • Predictive clinical signs can aid in early management decisions.

Purpose of the Study:

  • To evaluate the reliability of "Moriarty's sign" in predicting split skin graft (SSG) take.
  • To determine if pain at the donor site versus the recipient site correlates with graft success.

Main Methods:

  • A prospective study involving 40 patients undergoing split skin grafting.
  • Systematic comparison of pain levels reported at the donor and recipient sites.
  • Correlation of pain patterns with observed graft take percentages.

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Main Results:

  • Consistent pain at the donor site was associated with a high likelihood of successful graft take (good take).
  • Greater pain at the recipient site suggested the graft was unlikely to achieve 100% take.
  • Moriarty's sign demonstrated reliability as an indicator of graft take in the studied cohort.

Conclusions:

  • Moriarty's sign serves as a valuable, non-invasive clinical indicator for predicting split skin graft outcomes.
  • The sign facilitates timely clinical decisions regarding graft monitoring and intervention.
  • Understanding this sign can optimize patient care and improve graft success rates.