Bài báo khoa học Tập 66 Số VoL 66. English Version No 1, 2025 15/08/2025

41. RESULTS OF SKIN GRAFT SURGERY IN THE TREATMENT OF SOFT TISSUE DEFECTS DUE TO TRAUMA AT THE DEPARTMENT OF PLASTIC AND AESTHETIC SURGERY IN 2024

Nguyen Thi Kim Dung1, Tran Thi Minh Hien2, Tran Bao Tram2, Nguyen Thi Mai Anh2, Phan Thi Tuyet2, Hoang Ha Cam Tu2, Hoang Van Hong1, Ngo Xuan Khoa1, Pham Van Thanh1, Do Thi Hong Ly1, Pham Thi Thanh Huyen1, Nguyen Thi Hong Nguyet1, Nguyen Thi Anh1, Bui Bich Huyen1
1 Department of Plastic and Aesthetic Surgery, Hanoi Medical University Hospital
2 Institute for Preventive Medicine and Public Health, Hanoi Medical University
Tác giả liên hệ: dung031196@gmail.com
DOI: 10.52163/yhc.v66ienglish.2868
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Tóm tắt

Objectives: To describe the clinical and paraclinical characteristics of patients with soft tissue defects due to trauma. To evaluate the outcomes of skin graft surgery in the treatment of post-traumatic soft tissue defects at the Department of Plastic and Aesthetic Surgery, Hanoi Medical University Hospital, in 2024.

Subjects and Methods: A prospective, descriptive, non-controlled study was conducted on 99 patients with soft tissue defects resulting from traffic accidents, occupational injuries, or domestic accidents. All patients underwent autologous skin grafting at the Department of Plastic and Aesthetic Surgery between June and December 2024. Data were collected from medical records and postoperative follow-up and analyzed using descriptive statistical methods.

Results: Patients aged 20–60 accounted for the highest proportion (54.55%), with males representing 53.54%. The most common cause of injury was traffic accidents (59.6%). The most frequently affected sites were the foot (44.4%) and the lower leg (34.3%). Split-thickness skin grafts were more commonly used (60.61%). The reasonable graft survival rate was 91.92%, and wound healing mainly occurred within 8–12 days (66.67%). The complication rate was low (7.07%). After 3 months, 61.62% of patients had normal sensation at the graft site, and 62.63% had limited joint mobility.

Conclusion: Autologous skin grafting is an effective method for treating post-traumatic soft tissue defects, demonstrating a high graft survival rate, short healing time, and relatively good functional recovery. The findings support the improvement of clinical treatment protocols in plastic surgery departments.

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