Published : 21 October 2026

Neglected Third-Degree Burn Wounds of The Lower Limbs: Full-Thickness Skin Graft Technical and Functional Considerations

  • Tiffany Tiffany
  • Audrey Beatricia Suwandi
  • Qori Haly

Volume 13, Issue 2, (2026) Jurnal Plastik Rekonstruksi | Pages : 56-60

DOI: 10.14228/jprjournal.v13i2.58   Reader : 1 times PDF Download : 0 times

Abstract

This case report describes the reconstruction of neglected bilateral deep burns near the popliteal joints in a 50-year-old woman with severe restriction of knee extension. The burn area was estimated at 25% TBSA (22% partial-thickness; 3% full-thickness). Under general anaesthesia, eschar was excised to the fascia, and inguinal full-thickness skin grafts (FTSGs) were applied; donor sites were closed primarily. Therasorb and transparent dressings protected the grafts, and a back slab was used for two weeks. Inpatient cefotaxime and discharge cefadroxil were documented. Daily rehabilitation began after immobilisation. Complete clinical graft take was reported within two to three weeks, and knee extension improved qualitatively, without goniometric measurements. This case illustrates technical and functional considerations of FTSG adjacent to highly mobile joints.

Data Availability

All data generated during this study are included in this published article [and its supplementary information files].

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Keywords

  • Skin Graft Viability
  • Burns
  • Third-Degree
  • Grafts
  • Skin
  • Full-Thickness
  • Autologous Transplantation
  • Thigh Injuries

Author Information

Tiffany Tiffany

General Practitioner, Royal Progress Hospital, Jakarta, Indonesia.

Email: tiffanylim123@gmail.com

ORCID : https://orcid.org/0009-0005-0577-9310

Audrey Beatricia Suwandi

General Practitioner, Royal Progress Hospital, Jakarta, Indonesia.

Email: audreybtrcs@gmail.com

ORCID : https://orcid.org/0009-0001-5687-2778

Qori Haly

Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, and Royal Dermatology and Aesthetic Centre Royal Progress Hospital, Jakarta, Indonesia.

Email: qoriwashere@hotmail.com

ORCID : https://orcid.org/0009-0002-7908-5272

Article History

Submitted : 11 December 2025
Revised : 20 August 2026
Published : 21 October 2026

How to Cite This

Tiffany, T., Suwandi , A. B., & Haly, Q. (2026). Neglected Third-Degree Burn Wounds of The Lower Limbs: Full-Thickness Skin Graft Technical and Functional Considerations. Jurnal Plastik Rekonstruksi, 13(2), 56–60. https://doi.org/10.14228/jprjournal.v13i2.58

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