Split-thickness Skin Graft (STSG):
- In an STSG procedure, Dr. Pournaras will harvest a thin layer of skin, typically from the thigh or abdomen.
- This type of graft is often used for covering larger areas of skin loss or burns on the hand, as it provides good coverage and promotes healing.
- STSGs require a well-vascularized wound bed for successful graft take, and they may require meshing to increase the surface area and allow for drainage of fluids.
Full-thickness Skin Graft (FTSG):
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- FTSGs involve using a thicker layer of skin from a donor site to the hand.
- This type of graft is commonly used for more minor defects or injuries on the hand, where a thicker layer is needed to return function and cosmetic appearance.
- FTSGs provide better color match and texture to the surrounding, improving cosmetic outcomes.
Composite Graft:
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- Composite grafts consist of skin and underlying tissue, such as fat or cartilage, and are often used for reconstructing specific structures or features of the hand, such as the fingertip.
- These grafts are typically harvested from areas with similar tissue characteristics, such as the earlobe or the other fingers.
- Composite grafts require meticulous surgical technique and careful post-operative care to ensure graft survival and functionality.
Free Flap Reconstruction:
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- Free flap reconstruction involves the transfer of skin, along with its blood supply, from a distant donor site to the hand using microsurgical techniques.
- This complex procedure is reserved for cases of extensive soft tissue loss or complex hand injuries where other grafting techniques are not feasible.
- Free flap reconstruction offers the advantage of providing large amounts of vascularized tissue to cover defects and restore hand function.
These are just a few examples of Hand Skin Grafting repair surgeries used in hand reconstruction. The choice of grafting technique depends on factors such as the injury’s size and location, the surrounding tissues’ condition, and the reconstruction goals.
For many patients, Hand Skin Grafting surgery is just the start of their recovery. Intensive rehabilitation may be necessary to regain the normal functioning of their hand. Hand therapy could include: hand exercises, heat or massage therapy, nerve stimulation, splinting and traction.