title: Pinch grafting for chronic ulcers on lower extremities.
abstract: Chronic ulceration of the skin of the lower extremities continues to be a difficult therapeutic problem. Pinch grafting of ulcers of the legs from a variety of causes, has proved to be highly successful. The success rate and complications of this procedure performed in the Department of Dermatology at the University of Iowa over a five-year period (1971-1975) are reviewed. The basic technique and pre-operative and post-operative care are outlined. Management of difficult cases by using such techniques as the Jobst pump, heterograft skin dressings, and sublesional steroid injection is also discussed.
mesh_terms: D006801:Humans; D007511:Ischemia / Q000150:complications; D007866:Leg / Q000098:blood supply; D007871:Leg Ulcer / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D011182:Postoperative Care; D011300:Preoperative Care; D016038:Skin Transplantation; D014182:Transplantation, Autologous / Q000379:methods