Necrotic Complications After Skin Grafts

Skin grafts are used in a variety of clinical situations. The essential indication for the application of a skin graft is wound closure. Skin grafts are usually the initial treatment of choice for many open wounds that cannot be closed primarily. Skin grafts are generally avoided in the management of more complex wounds. Anfractuous wounds; exposed bones, tendons, nerves, or vessels; and deep pressure ulcers normally require the use of flaps for stable wound coverage. Skin grafts have limited success in wounds with a compromised blood supply, such as irradiated wounds or ischemic ulcers.