Randomized Nonblinded Comparison of Convalescence for 2 and 7 Days After Split-Thickness Skin Grafting to the Lower Legs

Abstract

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 AND MATERIALS: 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. CONCLUSION: 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.