Evidence map›Paper›PMID 40599518›Full record

ArticleCureus2025

A Comparative Study of Split-Thickness Skin Graft Fixation and Uptake Using Autologous Platelet-Rich Plasma Versus Conventional Methods.

Divyang Gb, Manjunath Kotennavar, Aravind V Patil, Pradeep P Jaju, Sanjeev Rathod, Manjunath S Savant, Veena Ghanteppagol, Shreeya Doddannavar, Eswar Medikonda, Smit Parikh

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Divyang GbSurgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Manjunath KotennavarGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Aravind V PatilGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Pradeep P JajuGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Sanjeev RathodGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Manjunath S SavantGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Veena GhanteppagolGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Shreeya DoddannavarGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Eswar MedikondaGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.
Smit ParikhGeneral Surgery, Shri BM Patil Medical College, Hospital and Research Centre, BLDE (Deemed to be University), Vijayapura, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSplit-thickness skin grafting is a cornerstone in reconstructive surgery for managing skin defects. However, graft failure remains a significant challenge. This study evaluated the effectiveness of autologous platelet-rich plasma (PRP) in enhancing split-thickness skin graft (STSG) fixation and uptake compared to conventional methods.

methodsThis prospective comparative study included 104 patients requiring STSGs, randomly allocated into two equal groups (n=52 (50%) each). The PRP group received autologous PRP application at the recipient site before graft placement, while the control group underwent conventional fixation with staples/sutures. Outcomes were assessed based on immediate postoperative adhesion, graft uptake percentage, and complications (edema and hematoma) at days 3, 5, and 7 postoperatively.

resultsThe groups were comparable in terms of demographic characteristics and wound parameters. Immediate postoperative adhesion was observed in 36 (69.2%) patients in the PRP group versus none in the control group (p<0.001). The PRP group demonstrated significantly higher graft uptake on day 3 (96.07±5.7% versus 86.33±6.06%, p<0.001) and day 5 (92.7±8.4% versus 79.9±9.1%, p<0.001), with sustained difference on day 7 (90.8±10.5% versus 75.62±11.2%, p=0.07). The PRP group exhibited significantly less graft edema and hematoma throughout the follow-up period (p<0.001).

conclusionAutologous PRP significantly enhances STSG fixation and uptake, improves overall graft take rates, and reduces postoperative complications. The immediate adhesion effect provides enhanced graft stability without additional mechanical fixation, which is valuable in anatomically challenging areas. The improvement in graft take rate is clinically significant and can translate into reduced need for regrafting, shorter hospital stays, and improved outcomes. PRP's anti-inflammatory, pro-angiogenic, and hemostatic properties create an optimal environment for graft integration, supporting its incorporation as a valuable adjunct in split-thickness skin grafting procedures.

Indexed as

autologous platelet-rich plasmagraft adhesiongraft fixationgraft uptakereconstructionskin defectssplit-thickness skin graftwound healing

Identifiers

PMID40599518
PMCPMC12208804

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.