JOMI logo
jkl keys enabled
3610 views

Bilateral Dorsal Foot Scar Contracture Release with Split-Thickness Skin Grafts from the Anterior Thigh

Jonathan Friedstat, MD1,2; Jonah Poster1
1Shriners Hospitals for Children - Boston
2Massachusetts General Hospital

1. Introduction

2. Surgical Approach

3. Release Scar Contractures

  1. Infiltrate with Dilute Injectable Epinephrine
  2. Left Foot
  3. Right Foot

4. Harvest Skin Grafts

  1. Marking
  2. Infiltrate with Dilute Injectable Epinephrine
  3. Apply Mineral Oil
  4. Use Electric Dermatome to Harvest Grafts

5. Skin Graft Insets

  1. Hemostasis on Left
  2. Left Graft Placement with Staples
  3. Hemostasis and Suturing on Right
  4. Right Graft Placement with Staples
  5. Add Silk Sutures to Right
  6. Set Bolster on Right
  7. Add Silk Sutures to Left

6. Finish Setting Bolsters and Dressing Wounds

  1. Set Bolster and Dressing on Left
  2. Cover Donor Site Wound
  3. Set Dressing on Right

7. Post-op Remarks