Surgery · Wound Healing, Plastic and Reconstructive Surgery

Which of the following correctly states an advantage of a full-thickness skin graft compared with a split-thickness skin graft?

  • A Higher probability of take on poorly vascularized beds
  • B Can be meshed to cover larger areas
  • C Donor site heals spontaneously without a scar
  • D Less secondary contraction and superior cosmetic and colour match
Correct answer: D. Less secondary contraction and superior cosmetic and colour match

Explanation

A full-thickness graft carries the entire dermis, so it undergoes far less secondary contraction and gives a better colour, texture, and contour match than split-thickness grafting. The trade-off is that its greater metabolic demand lowers the take rate, requiring a well-vascularized recipient bed, and the donor site must be closed primarily because no adnexal remnants remain to re-epithelialize it.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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