Taylor Benjamin C, Triplet Jacob J, Wells Mark
From 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).
J Am Acad Orthop Surg. 2021 Oct 15;29(20):855-861. doi: 10.5435/JAAOS-D-20-01389.
Soft-tissue defects pose a unique challenge to the treating orthopaedic surgeon. Such defects are commonly encountered after orthopaedic injuries or infection, and the management of these wounds varies significantly. Skin grafting has gained popularity in the management of such soft-tissue defects due to its ability to provide coverage, re-epithelialize, and have a relatively high success rate. One of the most frequently used types of skin graft in orthopaedics is the split-thickness skin graft (STSG). Understanding the proper indications, technique, and management of the STSG foreshadows its success or failure. This review focuses on the indications, technique, alternatives, and complications surrounding the utilization of the STSG in the management of orthopaedic injuries.
软组织缺损给骨科治疗医生带来了独特的挑战。此类缺损在骨科损伤或感染后很常见，这些伤口的处理差异很大。皮肤移植因其能够提供覆盖、重新上皮化且成功率相对较高，在这类软组织缺损的处理中越来越受欢迎。骨科最常用的皮肤移植类型之一是断层皮片移植（STSG）。了解STSG的正确适应症、技术和管理预示着其成功或失败。本综述重点关注STSG在骨科损伤处理中的应用适应症、技术、替代方法和并发症。
