Abstract

BRAVO YEPEZ, Cristian; FILLOR VALDES, Carla  and  VALDES PEREZ, Calixto. Closure of injures in patients with diabetic foot by using Davis' skin grafting. Rev Cubana Angiol Cir Vasc [online]. 2017, vol.18, n.1, pp.107-113. ISSN 1682-0037.

Davis´s skin grafting method is autologous skin graft with special characteristics that are similar to other types of grafting but some others make it different such as thickness which is at the central area thicker, but it gradually becomes thinner toward the peripheral area, with a 3 mm diameter, thus facilitating the engraftment. Due to its great resistance, this type of graft is very useful in areas under external traumas such as patients with diabetic foot who have undergone some kind of minor transmetatarsal amputation. Despite de simplicity and usefulness of this surgical technique, it remains underutilized since it is poorly publicized and practically unknown. This is the reason why it is interesting to provide information about it. Here is a type 2 diabetic and hypertensive patient who had suffered from both diseases for a long period of time. He was admitted to the diabetic angiopathy service and diagnosed with neuroinfective diabetic foot. He was performed surgical debridement with amputation of toes and free skin graft by using Davis' method. The results and the recovery were satisfactory. Skin grafting by Davis' method is a good choice for those patients with diabetic foot in need of cutaneos cover, with low morbidity rate and excellent results in patients who cannot be treated with a flap as a first option.

Keywords : Davis' skin graft; diabetic foot; free skin grafts.

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