What is the role of skin grafting in the treatment of frostbite?

Updated: Jul 29, 2019
  • Author: Bobak Zonnoor , MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Skin grafting may be required. Escharotomy may be appropriate if the eschar is preventing circulation or limb motion. Fasciotomy may be appropriate if elevated compartment pressure occurs. Escharotomy and fasciotomy have no proven prophylactic role in the management of frostbite. Ischemic injury in frostbite is most often caused by vascular compromise from thrombosis and not by compression from edematous tissue, making decompression unnecessary. Only when proven compartment syndrome is present is decompression needed.


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