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Grafts & Flaps


‘‘the thinner the graft the better the take,’’ vs. ‘‘the thicker the graft the better the function.’’ 

A thick graft is better able to withstand friction and constant use than a thin one and will contract only about 10%; a thin graft may contract 50% to 75%. 

For the graft to survive, it must reestablish its nutrition before death of its entire thickness occurs; great care is therefore needed, both in operative technique and in aftercare, to ensure that it remains undisturbed and in direct contact with the recipient area during healing. This takes careful planning, especially in children. The graft will not survive if a hematoma separates it from the underlying vascular bed; rarely will it survive a gross infection. 

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