The "Horon Suture" for Complete Fixing of Grafts to the Wound Surface

Abstract

Skin grafts are frequently used for closure of both tissue defects and donor areas of pedicled and free flaps in plastic surgery practice. When a skin graft is used, especially in the closure of flap donor areas, a concavity usually appears depending on the flap thickness. Therefore, graft margins do not completely fit to the surface and the graft stays high.

In order to settle the graft to the borders of concave surface, we put crossed sutures fasting the side height and floor of the defect. Also, we placed simple sutures between crossed ones to complete fitting of graft to the wound edges (Figure 1). Crossed sutures enables the fixing of the graft.