Comparison of healing parameters of full thickness wounds transplanted with micrografts, spit thickness skin grafts or cultured keratinocytes

Abstract

INTRODUCTION: Transplantation of split-thickness skin grafts, culturedautologouskeratinocytesandskinmicrograftsresultinhealing of full-thickness wounds. This study compares these methods in a porcine wound model, investigating the utility of micrograft transplantation in skin restoration. METHODS: Full-thickness wounds were created on Yorkshire pigs and assigned to one of the following treatment groups: meshed splitthickness skin graft (STSG), cultured autologous keratinocytes (CK), skin micrografts (MG), wet environment (W) and dry environment (D). Dry wounds were covered with gauze and the other groups were enclosed in a polyurethane chamber containing 2 mL of saline. Samples were taken 6, 12 and 18 days post wounding. Macroscopic wound healing was quantified using the Vancouver Scar Scale (VSS). Wound healing parameters such as contraction, reepithelialization, epidermal characteristics and scar formation was determined by quantitative morphometric or morphologic analysis. RESULTS: Grafted wounds had a lower VSS score compared to non-grafted wounds (STSG:4, CK:6, MG:3, W:8.5, D:10, unwounded skin:0). Wounds grafted with STSG and MG showed significantly reduced contraction compared to non-grafted wounds (STSG:25%, CK:35%, MG:28%, W:43%, D:44%). All grafted wounds showed increased epidermal healing compared to nongrafted wounds. Furthermore, transplantation with STSG or MG led to less scar tissue formation compared to the non-grafted wounds andnosignificantimpactonscarformationwasobservedaftertransplantation of CK.