Purpose Statement

Differentiate outcomes between split and full thickness grafts in radial forearm donor sites.

Materials and Methods

A retrospective review of 55 patients with radial forearm reconstructions was performed. Split and full thickness grafts were used for donor site closure. The outcomes of each graft type were compared.

Outcomes measured: graft loss, tendon exposure, healing time at graft donor site, healing time at graft recipient site, need for additional procedures, number of post op dressings.

Covariables: Age, Gender, Diabetes, Past smoking history, PVD/CAD, Current smoking.

All outcome data was statistically compared using the T-test, Chi-square testing and Fisher's Exact test. Regression analysis was also performed. Significance was taken at p-value <0.05. Results

No statistical significance in any parameter except history of smoking which negatively affected donor site healing. Number of wound dressings approached statistical significance, by percentages tendon exposure and recipient site healing appear to be significant but were not, full>split.

Conclusion

Full thickness skin grafting does not increase the morbidity of radial forearm donor sites. There was no clinically significant difference between split and full thickness grafts. There may be a slight delay in wound healing and increase in wound care but this was not proven statistically.