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Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site

OBJECTIVE: This study was performed to compare the modified direct closure method and traditional skin grafting for wounds at the anterolateral thigh (ALT) flap donor site. METHODS: Among 29 consecutive patients with wounds at the ALT flap donor site, 14 underwent the modified direct closure method...

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Autores principales: Gu, Song, Zhang, Yuxuan, Huang, Yinjun, Fu, Huichao, Wang, Guheng, Xie, Renguo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241268/
https://www.ncbi.nlm.nih.gov/pubmed/32429718
http://dx.doi.org/10.1177/0300060520925372
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author Gu, Song
Zhang, Yuxuan
Huang, Yinjun
Fu, Huichao
Wang, Guheng
Xie, Renguo
author_facet Gu, Song
Zhang, Yuxuan
Huang, Yinjun
Fu, Huichao
Wang, Guheng
Xie, Renguo
author_sort Gu, Song
collection PubMed
description OBJECTIVE: This study was performed to compare the modified direct closure method and traditional skin grafting for wounds at the anterolateral thigh (ALT) flap donor site. METHODS: Among 29 consecutive patients with wounds at the ALT flap donor site, 14 underwent the modified direct closure method (MDC group) and 15 underwent traditional skin grafting (SG group). The operative time, follow-up time, complications, Vancouver Scar Scale (VSS) score, and Scar Cosmesis Assessment and Rating (SCAR) score of the two groups were statistically analyzed. RESULTS: The mean follow-up times in the MDC and SG group were 16.1 and 16.7 months, respectively. Two patients showed partial skin necrosis after skin grafting, but the remaining patients’ wounds healed uneventfully. The operative time in the MDC group was an average of about 64 minutes shorter than that in the SG group. The average VSS and SCAR scores in the MDC group were 2.1 and 3.0 points lower, respectively, than those in the SG group. CONCLUSIONS: Compared with traditional skin grafting, the modified direct closure method is more efficient for repair of wounds at the ALT flap donor site because of its shorter operative time, better postoperative appearance of the donor site, and higher patient satisfaction.
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spelling pubmed-72412682020-06-03 Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site Gu, Song Zhang, Yuxuan Huang, Yinjun Fu, Huichao Wang, Guheng Xie, Renguo J Int Med Res Retrospective Clinical Research Report OBJECTIVE: This study was performed to compare the modified direct closure method and traditional skin grafting for wounds at the anterolateral thigh (ALT) flap donor site. METHODS: Among 29 consecutive patients with wounds at the ALT flap donor site, 14 underwent the modified direct closure method (MDC group) and 15 underwent traditional skin grafting (SG group). The operative time, follow-up time, complications, Vancouver Scar Scale (VSS) score, and Scar Cosmesis Assessment and Rating (SCAR) score of the two groups were statistically analyzed. RESULTS: The mean follow-up times in the MDC and SG group were 16.1 and 16.7 months, respectively. Two patients showed partial skin necrosis after skin grafting, but the remaining patients’ wounds healed uneventfully. The operative time in the MDC group was an average of about 64 minutes shorter than that in the SG group. The average VSS and SCAR scores in the MDC group were 2.1 and 3.0 points lower, respectively, than those in the SG group. CONCLUSIONS: Compared with traditional skin grafting, the modified direct closure method is more efficient for repair of wounds at the ALT flap donor site because of its shorter operative time, better postoperative appearance of the donor site, and higher patient satisfaction. SAGE Publications 2020-05-20 /pmc/articles/PMC7241268/ /pubmed/32429718 http://dx.doi.org/10.1177/0300060520925372 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Gu, Song
Zhang, Yuxuan
Huang, Yinjun
Fu, Huichao
Wang, Guheng
Xie, Renguo
Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
title Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
title_full Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
title_fullStr Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
title_full_unstemmed Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
title_short Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
title_sort comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241268/
https://www.ncbi.nlm.nih.gov/pubmed/32429718
http://dx.doi.org/10.1177/0300060520925372
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