Yes, skin grafting is an effective treatment option for ulcers that have passed the debridement stage and developed healthy granulation tissue but are too large to heal on their own in a reasonable time.
Conditions for Successful Grafting:
- Clean wound bed: Healthy red granulation tissue without dead tissue or infection.
- Adequate circulation: Sufficient blood must reach the area to nourish the new graft.
- Offloading: No mechanical pressure on the graft area.
- Blood sugar control: HbA1c below 8% ideally.
- Good nutrition: Adequate protein to support graft healing.
Types of Grafting:
- Split-thickness graft: Most common — a thin layer is taken from thigh skin and placed on the ulcer.
- Artificial skin substitutes: Membranes of human or animal collagen that stimulate patient's skin growth.
- PRP (Platelet-Rich Plasma): Applied with the graft to improve success rates.
At BEIT TARIQ Center, we meticulously prepare the ulcer before grafting to ensure the best success rate and refer to a plastic surgeon when needed.