Randomized nonblinded comparison of convalescence for 2 and 7 days after split-thickness skin grafting to the lower legs.
BACKGROUND
There is an increasing expectation of shortened postoperative recovery times and a suggestion that shorter convalescence times may not compromise lower leg split-thickness skin graft results.


OBJECTIVE
To determine whether mobilization after 2 days of convalescence compromises graft survival or patient morbidity.


METHODS
A pilot study was initiated in which patients undergoing split-thickness skin grafting to the lower legs were randomized to 2 or the routine 7 days of convalescence. Baseline characteristics were determined, and patients were followed up in dressing clinics and with a standardized telephone interview.


RESULTS
There was no difference in baseline patient comorbidities and no significant difference in the number of grafts lost, the number of dressing clinics, bleeding, or wound infections.


CONCLUSIONS
The results suggest that 2 days of convalescence after split-thickness skin grafting to the lower legs may not compromise graft survival or increase patient morbidity. Further study with larger numbers is required to confirm this finding.
Tallon
Ben
B
Department of Dermatology, Auckland Hospital, Auckland, New Zealand. bentallon@gmail.com
Lamb
Steven
S
Patel
Denesh
D
D000368:Aged; D001510:Bed Rest; D004434:Early Ambulation / Q000009:adverse effects*; D006085:Graft Survival; D006801:Humans; D007866:Leg; D010865:Pilot Projects; D020127:Recovery of Function; D016038:Skin Transplantation / Q000009:adverse effects / Q000534:rehabilitation*; D013997:Time Factors