Pretibial lacerations: a comparison of primary excision and grafting with "defatting" the flap

Br J Plast Surg. 1990 May;43(3):312-4. doi: 10.1016/0007-1226(90)90078-e.


Pretibial lacerations are often followed by slow healing. When a flap is raised, simple suture is doomed to failure and both a conservative approach and one involving skin grafting have been advocated. In this study, 25 patients with pretibial flap lacerations were randomly allocated to treatment either by primary excision and grafting or by "defatting" the flap and laying it on the defect. Healing times were compared in the two groups. Our results showed that healing time was significantly faster in the grafted group (mean 13.2 days) than in the defatted group (mean 40.7 days), Student's t test = 3.29 (p less than 0.01).

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adipose Tissue / surgery*
  • Aged
  • Aged, 80 and over
  • Humans
  • Leg Injuries / surgery*
  • Length of Stay
  • Middle Aged
  • Prospective Studies
  • Randomized Controlled Trials as Topic
  • Surgical Flaps / methods*
  • Time Factors
  • Wound Healing / physiology
  • Wounds, Penetrating / surgery*