A split thickness skin graft is most appropriate when:
When nerves, blood vessels, and tendons are not injured and a healthy recipient bed is present.
Injured tissue is necrotic and surrounding tissue lacks proper circulation.
When there is replant failure.
What is more optimal for a deep palmar wound, due to the fact that it is more durable with less contraction?
FTSG
STSG
Meshed STSG
Semipermeable film (SPF) is contraindicated for the following:
Infected wounds
Moderately heavy exudating wounds
Both are contraindications.
What is the best orthotic position after a severe burn to the palm?
Wrist neutral, fingers in full extension and ABD, and thumb in radial ABD and extension
Wrist neutral, MCP flexed to 60-70 degrees, IPs extended fully.
Wrist flexed, MCPs extended, and IP slightly flexed
Which is an advantage of meshed STSG?
They contract minimally when compared to sheet grafts or FTSG
They tend to have a more naturally skin like appearance when healed
Mesh openings in the STSG allow drainage of blood or exudates.
The meshing allows for expansion of the graft itself for greater area of coverage.
Both C and D.
