Novel Techniques in Fractional Skin Replacement

The gold standards for coverage of wounds that cannot be primarily closed are full thickness skin grafts (FTSGs) and split thickness skins graft (STSGs). FTSGs harvest sites generally require primary closure, which limits availability, especially when treating larger wounds. STSGs have many shortcom...

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Main Authors: Courtney Kelly, Rodney K. Chan, Anders H. Carlsson
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:European Burn Journal
Subjects:
Online Access:https://www.mdpi.com/2673-1991/6/1/13
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author Courtney Kelly
Rodney K. Chan
Anders H. Carlsson
author_facet Courtney Kelly
Rodney K. Chan
Anders H. Carlsson
author_sort Courtney Kelly
collection DOAJ
description The gold standards for coverage of wounds that cannot be primarily closed are full thickness skin grafts (FTSGs) and split thickness skins graft (STSGs). FTSGs harvest sites generally require primary closure, which limits availability, especially when treating larger wounds. STSGs have many shortcomings, including donor site morbidity. Fractional autologous skin replacement can be utilized in conjunction with or in lieu of STSGs to both improve graft outcomes of large wounds and to decrease donor site morbidity. Skin can be mechanically or chemically fractionated. Fractionated skin can be advantageous, as adnexal structures provide additional functionality without donor site morbidity. In this review, we will discuss current and emerging techniques in fractional skin replacement.
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series European Burn Journal
spelling doaj-art-678efe606643408f8e5bc439c34043b42025-08-20T02:42:40ZengMDPI AGEuropean Burn Journal2673-19912025-03-01611310.3390/ebj6010013Novel Techniques in Fractional Skin ReplacementCourtney Kelly0Rodney K. Chan1Anders H. Carlsson2Oral and Maxillofacial Surgery, San Antonio Military Medical Center, San Antonio, TX 78216, USAUS Army Burn Center, San Antonio Military Medical Center, San Antonio, TX 78216, USAThe Metis Foundation, San Antonio, TX 78216, USAThe gold standards for coverage of wounds that cannot be primarily closed are full thickness skin grafts (FTSGs) and split thickness skins graft (STSGs). FTSGs harvest sites generally require primary closure, which limits availability, especially when treating larger wounds. STSGs have many shortcomings, including donor site morbidity. Fractional autologous skin replacement can be utilized in conjunction with or in lieu of STSGs to both improve graft outcomes of large wounds and to decrease donor site morbidity. Skin can be mechanically or chemically fractionated. Fractionated skin can be advantageous, as adnexal structures provide additional functionality without donor site morbidity. In this review, we will discuss current and emerging techniques in fractional skin replacement.https://www.mdpi.com/2673-1991/6/1/13cutaneous woundpartial thickness burnfull thickness burnsplit thickness skin graftfull thickness skin graftfractional autologous skin graft
spellingShingle Courtney Kelly
Rodney K. Chan
Anders H. Carlsson
Novel Techniques in Fractional Skin Replacement
European Burn Journal
cutaneous wound
partial thickness burn
full thickness burn
split thickness skin graft
full thickness skin graft
fractional autologous skin graft
title Novel Techniques in Fractional Skin Replacement
title_full Novel Techniques in Fractional Skin Replacement
title_fullStr Novel Techniques in Fractional Skin Replacement
title_full_unstemmed Novel Techniques in Fractional Skin Replacement
title_short Novel Techniques in Fractional Skin Replacement
title_sort novel techniques in fractional skin replacement
topic cutaneous wound
partial thickness burn
full thickness burn
split thickness skin graft
full thickness skin graft
fractional autologous skin graft
url https://www.mdpi.com/2673-1991/6/1/13
work_keys_str_mv AT courtneykelly noveltechniquesinfractionalskinreplacement
AT rodneykchan noveltechniquesinfractionalskinreplacement
AT andershcarlsson noveltechniquesinfractionalskinreplacement