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Dermal Overgrafting of the Leg
GEORGE V. WEBSTER; REX A. PETERSON; HAROLD L. STEIN
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Department of Surgery (Plastic), University of California School of Medicine, Los Angeles
1958 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1958; 40:796-802 
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Abstract

The advantages of the overgraft technique are:

1. Preservation of any areolar cushioning tissue beneath old scar, while additional layers of elastic dermis are added. Layer upon layer can be added at subsequent operations to reinforce areas of scar, ulcerations, or adjacent poor skin.

2. Simplicity of the method obviates the necessity of deep dissection. A good take of graft is usually obtained.

3. Nothing is lost if the graft should fail, for a large area has not been excised. The grafts tend to withstand time. If ulceration recurs after an overgraft is done, it is usually small and additional overgrafts may be added as required with a minimum operative procedure.

Hynes recently reported the satisfactory treatment of a variety of scar conditions by shaving and skin graft, essentially the same technique as herein described. He emphasized the simplicity of the method and mentioned no adverse complications.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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