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Chronic leg ulcers treated by the pinch graft method
The British Journal of Dermatology
|September 1, 1977
Summary
Pinch grafting offers a simple, effective treatment for chronic leg ulcers, showing high initial success and prolonged stability for many patients, especially those with gravitational or arteriosclerotic ulcers.
Area of Science:
- Dermatology
- Vascular Surgery
Background:
- Chronic leg ulcers represent a significant clinical challenge.
- Various treatment modalities exist, each with limitations.
Purpose of the Study:
- To evaluate the efficacy and long-term stability of pinch grafting for chronic leg ulcers.
Main Methods:
- Forty-nine patients with chronic leg ulcers underwent pinch grafting.
- Ulcer types included gravitational, arteriosclerotic, and arteritic.
Main Results:
- High initial success rates were observed for gravitational and arteriosclerotic ulcers.
- Over 50% of gravitational and 70% of arteriosclerotic ulcers remained intact at 2 years.
- Arteritic ulcers showed poor response, with no grafts surviving beyond 6 months.
Conclusions:
- Pinch grafting is a cost-effective and simple therapeutic option for selected chronic leg ulcers.
- It provides prolonged graft stability and faster healing for patients unsuitable for extensive surgery.