Advertisement
Tips, Quips, and Pearls| Volume 49, ISSUE 1, P98-100, January 2010

Download started.

Ok

Sterile Cast Padding as an Alternative to Commercially Available Cotton Balls for Split-thickness Skin Graft Bolster Dressing

  • Valerie L. Schade
    Affiliations
    Fellow (PGY-5), Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA
    Search for articles by this author
  • Thomas S. Roukis
    Correspondence
    Address correspondence to Thomas S. Roukis, DPM, PhD, FACFAS, Chief, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Director Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Madigan Army Medical Center, 9040-A Fitzsimmons Drive, MCHJ-SV, Tacoma, WA 98431.
    Affiliations
    Chief, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Director Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Madigan Army Medical Center, Tacoma, WA
    Search for articles by this author

      Abstract

      The use of a bolster dressing to secure a split-thickness skin graft to the underlying wound bed is essential for successful healing. Sterile medical grade commercially available cotton balls are commonly used; however, they are relatively expensive and frequently not readily available in sufficient quantities. In this techniques report, the authors describe the use of handmade cotton balls from sterile cotton cast padding, which are inexpensive and simple to fabricate from a readily available source.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ratner D.
        Skin grafting: from here to there.
        Dermatol Clin. 1998; 16: 75-90
        • Donato M.C.
        • Novicki D.C.
        • Blume P.A.
        Skin grafting: historic and practical approaches.
        Clin Podiatr Med Surg. 2000; 17: 561-598
        • Schneider A.M.
        • Morykwas M.J.
        • Argenta L.C.
        A new and reliable method of securing skin grafts to the difficult recipient bed.
        Plast Reconstr Surg. 1998; 102: 1195-1198
        • Chouhary S.
        • Lam D.G.
        Simple tie-over: the herniotomy approach.
        Plast Reconstr Surg. 1999; 104: 1573-1574
        • Fullerton J.K.
        • Smith C.E.
        • Milner S.M.
        The “stegosaurus” dressing: a simple and effective method of securing skin grafts in the burn patient.
        Ann Plast Surg. 2000; 45: 462-464
        • Eroğlu L.
        • Akbaş H.
        • Güneren E.
        • Demir A.
        • Uysal A.
        Securing skin grafts using a surgical glove.
        Plast Reconstr Surg. 2001; 108: 1459-1460
        • Kaplan H.Y.
        A quick stapler tie-over fixation for skin grafts.
        Ann Plast Surg. 1999; 22: 173-174
        • Zgonis T.
        • Stapleton J.
        • Roukis T.S.
        Advanced plastic surgery techniques for soft tissue coverage of the diabetic foot.
        Clin Podiatr Med Surg. 2007; 24: 547-568
        • Roukis T.S.
        • Zgonis T.
        Skin grafting techniques for soft-tissue coverage of diabetic foot and ankle wounds.
        J Wound Care. 2005; 14: 173-176