The Use of Split-Thickness Skin Grafts on Diabetic Foot Ulcerations: A Literature Review

Table 1

Meta-analysis of STSG on diabetic wounds.

Lead author	Study type	Purpose	Patients	Follow-up	% success*
Mahmoud; (Sudan)	Nonrandomized case-controlled prospective comparative	Determine the difference in hospital days and days to heal between STSG and conservative care	50; (in each group)	1 year; (following closure)	86%
Puttirutvong; (Thailand)	Prospective randomized controlled	Assess meshed versus non-meshed skin grafts	80; (38 meshed)	6 months; (from application)	82.50%
Ramanujam; (USA)	Retrospective consecutive review	Analyze STSG in diabetic patients	83	>6 months; (from application)	65%
Younes; (Jordan)	Case study	Determine the impact of phenytoin ointment prior to STSG application	16	FU not mentioned	93.75%

*Success as determined by 90% graft epithelization by 8 wks with 1 procedure & no documented reulceration or infection to initial site at final follow-up.
Abbreviations: STSG, split-thickness skin graft; FU, follow-up; wks, weeks.