

Skin grafting is one of the most commonly performed reconstructive procedures. This procedure is used to cover large wounds which, if left untreated, will take months to heal.
During this procedure, skin is harvested from a site (called the donor site) away from the area of injury and is then applied over the wound (called the recipient site). The newly transferred skin re-establishes blood supply by stimulating the growth of very fine blood vessels known as capillaries.
This process takes about one week to complete. During this time it is very important to protect the skin graft form any shearing trauma. Such trauma disrupts the process of capillary formation leading to failure of the skin graft.
There are two types of skin grafts; split thickness grafts and full thickness grafts. Split thickness grafts are use to cover larger areas and have a low rate of failure. These grafts are cosmetically less desirable and are not suitable for coverage over the joints and the face.
Full thickness grafts are excellent for covering wounds over the face and the joints. The cosmetic outcome is quite superior when compared with split thickness skin grafts. It is necessary to ensure that the recipient site has excellent blood flow, thus decreasing the chances of graft failure.
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