Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea.
Department of Preventive Medicine, Chonnam National University Medical School, Hwasun, Jeollanam-do, Korea.
Medicine (Baltimore). 2023 Dec 15;102(50):e36487. doi: 10.1097/MD.0000000000036487.
Using the skin of the lateral malleolus region for reconstruction of smaller areas of the palm may yield better outcomes than using the skin of the groin region. However, no previous study has provided long-term data comparing the groin and lateral malleolus regions as donor sites for full-thickness skin grafts (FTSGs) in palmar reconstruction. Therefore, this study aimed to compare the groin and lateral malleolus regions as donor sites for FTSGs in palmar reconstruction over a long-term follow-up period. The patients were classified into groin and lateral malleolus region groups (n = 15 each). Measurements were obtained at the graft site, the contralateral site corresponding to the graft site, and the donor site. A chromameter was used to measure skin color, and the Patient and Observer Scar Assessment Scale (POSAS) was used to evaluate the scar at the skin graft site. Compared to the groin region group, the lateral malleolus region group showed skin colors that were closer to the original color of the palm in terms of lightness and red/green values. Additionally, the lateral malleolus region group received better esthetic ratings in the POSAS. Our results revealed that using the lateral malleolus region for FTSGs in palmar reconstruction resulted in better outcomes than using the groin region, even over a long period.
使用外踝区域的皮肤来重建手掌较小区域的皮肤可能比使用腹股沟区域的皮肤效果更好。然而，以前的研究没有提供比较腹股沟和外踝区域作为全厚皮片（FTSG）供区在手掌重建中的长期数据。因此，本研究旨在比较腹股沟和外踝区域作为 FTSG 在手掌重建中的供区，随访时间较长。患者分为腹股沟和外踝区域组（每组 15 例）。在移植物部位、与移植物部位相对应的对侧部位和供体部位进行测量。使用色度计测量皮肤颜色，使用患者和观察者瘢痕评估量表（POSAS）评估移植物部位的瘢痕。与腹股沟组相比，外踝组在亮度和红/绿值方面的移植物皮肤颜色更接近手掌的原始颜色。此外，外踝组在 POSAS 中获得了更好的美学评分。我们的结果表明，在外踝区域使用 FTSG 进行手掌重建的效果优于腹股沟区域，即使随访时间较长也是如此。
