EFFICACY OF PINCH GRAFTING IN LEG ULCERS OF DIFFERENT ETIOLOGIES

Citation
I. Ahnlide et M. Bjellerup, EFFICACY OF PINCH GRAFTING IN LEG ULCERS OF DIFFERENT ETIOLOGIES, Acta dermato-venereologica, 77(2), 1997, pp. 144-145
Citations number
10
Categorie Soggetti
Dermatology & Venereal Diseases
Journal title
ISSN journal
00015555
Volume
77
Issue
2
Year of publication
1997
Pages
144 - 145
Database
ISI
SICI code
0001-5555(1997)77:2<144:EOPGIL>2.0.ZU;2-A
Abstract
The prevalence of leg ulcer disease is high and the health care costs are extensive. Effective therapy is essential to minimise the health c are costs and suffering on the part of the patient, If possible, first and foremost, therapy should be aimed at correcting the underlying ae tiological defect causing the ulcer, After this has been considered, o ne of the local therapeutic options is skin grafting using small full thickness skin grafts, i.e. pinch grafting, During the period 1991-199 3 altogether 145 therapy-resistant leg ulcers were treated with the pi nch graft method at the Department of Dermatology, Malmo University Ho spital, The healing rate after 3 months was studied in retrospect, An overall healing rate of 36% was found, The healing rate was dependent on aetiological diagnosis, with a healing rate of 22% in venous and 50 % in arterial ulcers, The pinch graft method, which may be used on an out-patient basis offers a simple and relatively effective option in t he treatment of leg ulcers, It is recommended as first line skin graft ing method, As second line skin grafting method split thickness skin g raft, with or without ulcer excision, is recommended.