Enhancing Lower Extremity Defect Coverage: High Viability Ultra-Thin Split-Thickness Skin Grafts Obtained from the Scalp

The study at the University Clinic of Navarra investigated using ultra-thin split-thickness skin grafts (STSGs) from the scalp to cover lower extremity defects in 15 patients with conditions like venous ulcers and carcinomas. Grafts were harvested using a DermaBlade and showed a 90% success rate, with complete healing typically in 24 days and no significant complications. The scalp's rapid healing and minimal scarring made it an effective donor site, with no hair transfer or alopecic scarring observed. The method proved simple, fast, and reproducible, offering excellent cosmetic results and patient satisfaction, though further studies with larger sample sizes are recommended.