The use of an 'adhesive contact medium' (Hypafix) for split skin graft fixation: a 12-year review.

Since the introduction in 1985 of the technique of graft fixation with Hypafix, the method has been adapted for use in burns of all sites and extent, and has proven to be effective in over 500 burn patients. The technique is versatile, safe, simple, reliable and inexpensive. More importantly, there is a significant improvement in cosmesis due to the earlier introduction of an 'Adhesive Contact Media', the blending of the graft at the edges, and the lack of skin bridges and shoulders. It has become an integral part of burn management at the Women's and Children's Hospital Burn Unit. Current scar management is based on the principles of: Excision of deep dermal burns about Day 7. Graft fixation with Hypafix. Continuing use of appropriate 'contact media'. Continuing close supervision in a designated Burn Scar Clinic.