What is the role of skin grafts in the treatment of diabetic foot ulcers?

Updated: Oct 15, 2020
  • Author: Tanzim Khan, DPM; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

The autologous split-thickness skin graft is the criterion standard for viable coverage of a full-thickness granular wound. The graft can be harvested under local anesthesia as an outpatient surgery. Meshing the graft allows wider coverage and promotes drainage of serum and blood. The surgery does create a secondary partial-thickness wound, which can be a site of pain and morbidity.

A cadaveric skin allograft is a useful covering for relatively deep wounds following surgical excision when the wound bed does not appear appropriate for application of an autologous skin graft. The allograft is, of course, only a temporary solution.


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