ABSTRACT

A clean and well-vascularized bed, meticulous hemostasis, and accurate approximation and postoperative immobilization of the graft are essential for a successful skin graft. Graft failure is inevitable with the lack of any one of these. The author has employed a simple technique to get better graft fixation for sheet skin grafts. With the use of an externally attached Kirschner wire, grafts were protected against shear force and were able to get tie-over pressure evenly on the entire surface. The technique has brought about better results in sheet skin grafting.