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Split-Thickness Skin Grafting: A Primer for Orthopaedic Surgeons.
Benjamin C Taylor1, Jacob J Triplet, Mark Wells
1From the Department of Orthopedic Surgery, Grant Medical Center, Columbus, OH (Taylor and Triplet), and the Department of Plastic and Reconstructive Surgery, Grant Medical Center (Wells).
The Journal of the American Academy of Orthopaedic Surgeons
|September 21, 2021
Summary
Split-thickness skin grafts (STSG) are popular for treating soft-tissue defects in orthopaedics. This review details STSG indications, techniques, and complications for successful wound management.
Area of Science:
- Orthopaedic Surgery
- Wound Management
- Dermatology
Background:
- Soft-tissue defects present significant challenges in orthopaedic surgery.
- Commonly arise from trauma or infection, requiring diverse management strategies.
- Skin grafting offers a viable solution for wound coverage and healing.
Purpose of the Study:
- To review the indications for split-thickness skin grafts (STSG) in orthopaedic injuries.
- To detail the surgical technique and management protocols for STSG.
- To explore alternatives and potential complications associated with STSG.
Main Methods:
- Literature review focusing on split-thickness skin graft (STSG) utilization.
- Analysis of studies concerning STSG in orthopaedic trauma and reconstruction.
- Synthesis of information on graft success, failure, and patient outcomes.
Main Results:
- Split-thickness skin grafting (STSG) is a frequently employed method for soft-tissue defect coverage in orthopaedics.
- Proper patient selection, surgical technique, and post-operative care are crucial for STSG success.
- Understanding potential complications aids in mitigating adverse outcomes.
Conclusions:
- Split-thickness skin grafting (STSG) is an effective option for managing orthopaedic soft-tissue defects.
- Adherence to established guidelines for indications and technique optimizes graft survival.
- Comprehensive knowledge of STSG management is essential for orthopaedic surgeons.

