Outcome of Meek Grafting in Post-Traumatic and Post-Burn Patients

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Author(s): Ali Javed,1 Nauman Gill2

Published: 05/03/2021 | Pages: 2-5 |

The coverage of extensive chronic and post burn wounds is a very common dilemma for the Plastic specialist in the setting of limited donor sites. The Meek technique utilizes widely expanded postage stamp autografts to cover such large areas. This study determined the outcome of micrografting technique in post-traumatic & post burn wounds in terms of percentage of graft take. Methodology: This descriptive case series was held at Department of Plastic Surgery & Mayo Burn Centre. Non-probability consecutive sampling was employed. The study was carried out between Dec 2019 and June 2020. In patients fulfilling inclusion criteria, Modified Meek grafting was done. Twenty patients with total body surface area >30% were included. The statistics of age, gender, etiology of wound, total area involved and graft take rates were recorded. Results: The mean age was 28.62 years (range 9 – 60) and the average total body surface area (TBSA) involved of the patients was 37.30% (range 30–60%). The most common mechanism was post-burn, accounting for 82.5%of cases, while post traumatic was the cause in 17.5%.Mean graft take was 86.81% on the 10th post-operative day. Graft take in post-traumatic patients was 91.55% while in post burn patients was 85.81%. Conclusion: The modified Meek technique can be utilized efficiently for larger areas of wounds where donor sites are minimal. It should be part of reconstructive surgeon’s armamentarium of tools in coverage of large wounds.