When is a split-thickness skin graft (STSG) used?

Stuart A. Linder, MD
Plastic Surgery

A STSG is useful for wounds throughout the body and extremities. Applications include: diabetic wounds, burns, pressure ulcers, extremity wounds, and decubitus ulcers. These grafts can be used for either intermittent or permanent coverage. Large skin area loss including large burn areas normally are covered with STSG. In general these grafts are not as useful on the face or for hand or digit coverage due to increased contraction. The donor site will re-epithelialize over 6 weeks. The grafts may hypo or hyperpigment on the face leading to poor color match. 

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