Split-Thickness Skin Grafting

A Primer for Orthopaedic Surgeons

Benjamin C. Taylor, MD; Jacob J. Triplet, DO; Mark Wells, MD


J Am Acad Orthop Surg. 2021;29(20):855-861. 

In This Article


Before harvesting the STSG, it is important that all necessary instruments are made available. The air-powered dermatome allows the STSG to be harvested reliably with the ability to adjust the graft thickness and width. Typically, the width is determined by 1-inch increments as determined by a guard (1–4-inch guards are most commonly available). The depth of the harvest can be adjusted on the order of thousandths per inch.[1] In addition, mineral oil, epinephrine, sponges, Adson tissue forceps, meshing device, wound vac and sponges, stapler, Adaptic, and Xeroform must be available.