fig5

Figure 5. A patient with 31% third-degree burns to his face, arms, hands, and legs nearly 10 years ago. He underwent sheet grafts on his hands and face, and meshed grafts on the other areas. (A) The dorsal hand covered with one sheet of skin using a 6-inch-wide dermatome (except for the distal index finger); (B) The palmar side shows the obvious color difference due to the lack of pigmentation on the normal palm. The difference between the sheet STSG and the meshed STSG on the forearm is obvious. Even with extensive burns, placing sheet grafts on the hands is worthwhile despite the more proximal meshed grafts. The patient provided consent for the use of the picture. STSG: Split-thickness skin graft.