Split-thickness skin grafts for closure of diabetic foot and ankle wounds: a retrospective review of 83 patients

Foot & Ankle Specialist
Crystal L RamanujamThomas Zgonis

Abstract

The aim of this study was to determine if split-thickness skin grafts could be successfully used for closure of foot and ankle wounds in diabetic patients. The authors retrospectively reviewed the charts of 100 consecutive patients who underwent a soft tissue surgical reconstruction with split-thickness skin grafts to their foot and/or ankle in our institution from 2005 to 2008. After application of inclusion criteria, 83 eligible charts remained. Of the 83 patients, 54 (65%) healed uneventfully, 23 (28%) required regrafting, and 6 (7%) had a complication resolved with conservative management. All patients had a successful surgical outcome, defined as having achieved complete wound closure at the final follow-up. Surgical outcome was not significantly associated with age, gender, race, hemoglobin A1C, wound size, wound location, illicit drug use, amputation history, Charcot history, or preoperative infection. However, postoperative graft complications were significantly associated with current or previous smoking history (P = .016) and the level of previous pedal amputation to which the split-thickness skin graft was applied (P = .009). This study demonstrates that application of split-thickness skin grafts with an appropriate ...Continue Reading

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Citations

Jun 6, 2012·Plastic Surgery International·Brant McCartan, Thanh Dinh
Feb 13, 2014·Journal of Vascular Surgery·Jessica F RoseDavid G Armstrong
Oct 10, 2012·Clinics in Podiatric Medicine and Surgery·Crystal L Ramanujam, Thomas Zgonis
Aug 3, 2013·The Bone & Joint Journal·N ShaikhA H N Robinson
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Oct 14, 2011·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezMaria J Hernández-Herrero
Oct 28, 2017·Journal of the American Podiatric Medical Association·Kyle SanniecLawrence A Lavery
Sep 20, 2012·Journal of Wound Care·I AhmadZ Masoodi
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Mar 8, 2019·The International Journal of Lower Extremity Wounds·Kaissar Yammine, Chahine Assi
May 24, 2013·Journal of the American Podiatric Medical Association·Crystal L RamanujamThomas Zgonis

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