Coverage of Large Bone-Exposed Scalp Defect With Bone Burring Followed by Dermal Regeneration Template and Split-Thickness Grafting

Abstract

wrap, and this is kept on for another week. Anecdotally, it appears that the dehiscence rate with this is lower than when allowing patients to change their bandage and wrap their legs themselves.In our experience, DORFs provide an effective and reproducible reconstructive technique for small-to medium-sized leg defects. Our study is limited by its retrospective nature, the lack of a comparison repair group, and not tracking specific factors that might contribute to dehiscence in any given patient. These are somewhat mitigated by the relatively large number of patients, which highlights the reproducibility of the repair, and the relatively low incidence of complications. Proper patient selection based on defect size and tissue laxity is critical, as is proper flap design and execution to ensure that secondary defects close readily along least-tension lines and that triangles are properly transposed.