External wire-frame fixation of digital skin grafts: a non-invasive alternative to the K-wire insertion method

Burns : Journal of the International Society for Burn Injuries
Chenyu HuangHiko Hyakusoku

Abstract

The current skin graft fixation methods for digits, including the Kirschner wire insertion technique, can be limited by inadequate or excessive fixation and complications such as infection or secondary injuries. Therefore, the external wire-frame fixation method was invented and used for skin grafting of digits. This study aimed to investigate external wire-frame fixation of digital skin grafts as a non-invasive alternative to the K-wire insertion method. In 2005-2012, 15 patients with burn scar contractures on the hand digits received a skin graft that was then fixed with an external wire frame. The intra-operative time needed to make the wire frame, the postoperative time to frame and suture removal, the graft survival rate, the effect of contracture release and the complications were recorded. In all cases, the contracture release was 100%. The complete graft survival rate was 98.6%. Four patients had epithelial necrosis in <5% of the total area. There were no other complications such as pressure ulcer or hypoxia of fingers. External wire-frame fixation is simple, minimally invasive and a custom-made technique for skin grafting of the fingers. It was designed for its potential benefits and the decreased risk it poses to pati...Continue Reading

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Citations

Jul 21, 2015·Burns : Journal of the International Society for Burn Injuries·Kang-an WangZhao-fan Xia
Mar 1, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jinfeng ZhouChao Hao
Mar 7, 2021·Annals of Plastic Surgery·Dallan DarganDavid Ralston

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