Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (18): 3405-3407.doi: 10.3969/j.issn.1673-8225.2011.18.043

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Meek micrograft technique for extensive deep burns

Hu Wei-dong1, Huang Ai-ping1, Xie Xi-yu1, Zhou Rong1, Li Yue-cheng1, Zeng Yuan-lin2   

  1. 1Department of Burn, Central Hospital, Xinyu Iron & Steel Group Co., Ltd., Xinyu  338001, Jiangxi Province, China
    2Burn Center, First Affiliated Hospital of Nanchang University, Nanchang  330000, Jiangxi Province, China
  • Received:2010-11-04 Revised:2011-02-15 Online:2011-04-30 Published:2011-04-30
  • Contact: Zeng Yuan-lin, Master, Chief physician, Burn Center, First Affiliated Hospital of Nanchang University, Nanchang 330000, Jiangxi Province, China
  • About author:Hu Wei-dong, Attending physician, Department of Burn, Central Hospital, Xinyu Iron & Steel Group Co., Ltd., Xinyu 338001, Jiangxi Province, China huweidongjx@sina.com

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Abstract:

BACKGROUND: The Meek technique of skin expansion is a novel method for wound healing, which has been introduced to many domestic hospitals in the past 5 years.
OBJECTIVE: To investigate the clinical effect of Meek micrograft in treating extensive deep burns.
METHODS: Sixteen cases of extensive deep burns were treated with Meek micrograft technique after early tangential excision, escharectomy, or granulation tissue formation. Meek autografts with expansion ratio of 1:4 was placed on joint position. Besides, expansion ratio of 1:4 or 1:6 was chosen according to size of wound and donor site. As comparison, stamp-like grafts were used in different places of the same bodies in 6 cases with 30% TBSA burns. Scarring proliferation situation was evaluated.
RESULTS AND CONCLUSION: In Meek skin graft group, skin graft survival rate was 65% to 95%; healing time was 21 to 65 days, averaged 35 days. Scar hyperplasia showed light and less contraction. Joint function was satisfied. The results show that Meek technique skin graft has good effect and worth to popularizing in treating extensive burns with the advantages of simple, time saving, high survival rate of skin graft, short time of epithelialization, less scar, and better joint function.

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