Surgery · Wound Healing, Plastic and Reconstructive Surgery

Which property correctly distinguishes a full-thickness skin graft (FTSG) from a split-thickness skin graft?

  • A FTSG requires a well-vascularised recipient bed and has a lower take rate than STSG
  • B FTSG undergoes greater secondary contraction than STSG
  • C FTSG donor sites heal by re-epithelialisation from adnexal remnants
  • D FTSG provides poorer colour and texture match than STSG
Correct answer: A. FTSG requires a well-vascularised recipient bed and has a lower take rate than STSG

Explanation

An FTSG carries the entire dermis, so it demands more from the recipient bed during imbibition and ingrowth and therefore has a lower take rate than an STSG, while giving superior colour, texture, and durability. Because it contains full dermal appendages and dermis, it contracts far less than an STSG, making option B wrong. Its donor site is closed primarily rather than left to re-epithelialise, ruling out option C.

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

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