Rapid healing of MRSA infection at the suprafascial radial donor site.
Methicillin-resistant Staphylococcus aureus (MRSA) infection at the radial suprafascial donor site resulted in significant loss of the skin graft, but no tendon exposure, in two patients. The complication was successfully managed with wound debridement, appropriate antibiotics, a negative-pressure wound dressing and early partial-thickness skin grafting. The suprafascial dissection creates a donor site that resists both skin graft loss and tendon exposure. It also allows early re-grafting with no loss of function in the event of skin graft loss from infection. These advantages have not been described previously.
Department of Maxillofacial Surgery, University Hospitals of Leicester, Leicester Royal Infirmary, UK.
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Avery
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Harrop
D000368:Aged; D005260:Female; D005542:Forearm / Q000601:surgery*; D006084:Graft Rejection; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D012086:Reoperation; D016038:Skin Transplantation / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000150:complications / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects; D013530:Surgical Wound Infection / Q000209:etiology / Q000382:microbiology; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D014945:Wound Healing