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KMID : 0358819770040020115
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1977 Volume.4 No. 2 p.115 ~ p.122
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The Effect of Using Split Thickness Skin Graft for Reconstruction on Scar Contracted Joint
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黃甫宗演/Hwang Bo, Chong Yun
李斗炯/崔性玔/Lee, Doo Hyung/Choi, Sung Chun
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Abstract
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Secondary scar contracture on soft tissue, especially, joint region, due to burn or trauma bring out many problems.
For solution of these problems, ´ surgeons have used full thickness skin graft up to date. But, in department of plastic surgery in Kyung Hee university hospital, seventy-five cases of restricted joint motion from Dec. 1975 to Jun. 1976, have been carried out split thickness skin graft instead of full thickness skin graft.
The result was summarized as follows:
1) By using the split thickness skin graft on restricted area of joint motion? we obtained satisfactory result similar to the full thickness skin graft.
2) In postoperative care, the splint was applied for a month during the day and night, and sponge compression began about 8th to 10th day after graft and continued for 3 or 6 months.
On neck region, Thomas collar and sponge compression began about 8th to. 10th day after graft and continued up to 6 months.
3) Splint and sponge compression is a principal means of preventing contracture and early maturation of scar.
4) In baby and child, prolonged restriction of joint motion arise serious problem of soft tissue growth on involved joint region. Early skin graft is the best choice of treatment in these cases.
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