Which of the following is NOT accomplished by using a meshed split-thickness skin graft (STSG)?

• A. Decreases scarring
• B. Improves graft adherence
• C. Allows for drainage
• D. Decreases contracture

Answer: (D)

A meshed split-thickness skin graft (STSG) serves various functions in reconstructive surgical procedures, but reducing contracture is not one of them. When a meshed graft is applied, it is often expanded to cover a larger area, creating a mesh pattern that allows for flexibility and mobility. However, this mesh design does not inherently decrease the risk of contractures, which are often related to the original tissue loss and healing process.

On the other hand, the other advantages of a meshed STSG are significant. The mesh design improves graft adherence by increasing the surface area that comes into contact with the underlying wound bed. This can promote better integration with the recipient site. Additionally, the meshing allows for drainage of fluids, which can help prevent seroma or hematoma formation under the graft. Lastly, by creating a more pliable graft that can comfortably expand over the recipient area, scarring may be minimized compared to a traditional full-thickness graft, which has a more limited capacity for flexibility.

In summary, while a meshed STSG offers multiple benefits, decreasing the risk of contractures is not one of them, making the option regarding contracture the correct answer to this question.