TY - JOUR
T1 - Split-Thickness Skin Grafts for Closure of Diabetic Foot and Ankle Wounds
T2 - A Retrospective Review of 83 Patients
AU - Ramanujam, Crystal L.
AU - Stapleton, John J.
AU - Kilpadi, Krista L.
AU - Rodriguez, Roberto H.
AU - Jeffries, Luke C.
AU - Zgonis, Thomas
PY - 2010/10
Y1 - 2010/10
N2 - 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 postoperative regimen is a beneficial procedure to achieve foot and ankle wound closure in diabetic patients.
AB - 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 postoperative regimen is a beneficial procedure to achieve foot and ankle wound closure in diabetic patients.
KW - ankle
KW - diabetes mellitus
KW - diabetic ulceration
KW - foot
KW - split-thickness skin grafts
UR - http://www.scopus.com/inward/record.url?scp=79951758103&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79951758103&partnerID=8YFLogxK
U2 - 10.1177/1938640010375114
DO - 10.1177/1938640010375114
M3 - Article
C2 - 20631059
AN - SCOPUS:79951758103
VL - 3
SP - 231
EP - 240
JO - Foot and Ankle Specialist
JF - Foot and Ankle Specialist
SN - 1938-6400
IS - 5
ER -