An exposure fixation technique for skin graft in burns

Abstract

The primary treatment of burns by exposure, as against that by occlusive dressings, is well established, soundly conceived in its principles and satisfactory in its results. Encouraged by reports of its successful application in the Middle East, the method was introduced into our wards at St. Luke's Hospital, Malta as early as 1952-53, and it has continued to be the standard form of treatment with us for burns of most sites and in the great majority of patients of all ages. Reference is made to a case study of a thirteen year-old male, who has been treated successfully by this technique, whereby the relative benefits are described. This technique has been used on a number of cases requiring skin grafting of both large and small extent, and have been well satisfied with the results. Skin grafts thus treated are more viable, healthier and more supple; they very quickly become indistinguishable from normal skin. No claim to priority is made for the technique described, particularly as the search of the literature has been incomplete. However, it is presented as a well tried and tested method which seeks to follow principles that have proved their worth in the treatment of burns.