Usage of intermingled skin allografts and autografts in a senior patient with major burn injury

Abstract: Mortality rate in older adults following extensive burn injury is extremely high, and management of these patients is challenging. One of the main problems is that autologous split-thickness skin grafts are scarce and the wounds cannot be covered quickly and effectively. Intermingled skin grafting is a low-tech and economic method, which not only maximizes the use of precious autologous skin but also prevents the wounds from infection and consumption. Herein we present a case of extensive burn injury in a 68-year-old female successfully treated with intermingled skin grafting. The patient was accidentally burned by gas flame, resulting in a major burn injury covering 80% of her total body surface area. Early burn wound excision was performed and the wound was temporarily covered with irradiated porcine skin in the first week after injury. Autologous stamp-like skin grafts were applied to the wound bed 4 weeks after injury. In this operation, the results were not satisfactory. The take rate of the skin grafts is only about 50%. We covered the wounds with intermingled skin allografts and autografts 8 weeks after injury: autografts (0.5 cm × 0.5 cm) + fresh close relative’s allografts (1 cm × 1 cm) + cryopreserved allografts (2 cm × 2 cm).

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Usage of intermingled skin allografts and autografts in a senior patient with major burn injury ; volume:16 ; number:1 ; year:2021 ; pages:1745-1748 ; extent:4 ; Open medicine ; 16, Heft 1 (2021), 1745-1748 (gesamt 4)

Contributors, Places and Time

• Creator: Luo, Hongmin ; Bian, Huining ; Sun, Chuanwei ; Zheng, Shaoyi ; Xiong, Bing ; Huang, Zhifeng ; Liu, Zuan ; Ma, Lianghua ; Li, Hanhua ; Chen, Huade ; Lai, Wen

Further information

• DOI: 10.1515/med-2021-0395
• URN: urn:nbn:de:101:1-2022092014081851787242
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:23 AM CEST