A simple system for splicing strip grafts into sheets

An alternative method of joining small strips of skin graft into larger sheeets in order to achieve complete coverage of large defects is reported. Split-thickness grafts are often needed larger than the skin strip obtained by dermatome. Suturing grafts together to form a larger sheet is difficult and often results in tearing and puckering of the graft so that spots do not adhere properly. A rapid, simple method of joining sheets of skin using neurosurgical clips is described. Removal of these clips is faster and easier than suture removal. The method is most useful where "tie-over" stent dressings are used, but also has general applications.