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This study aimed to investigate the need for surgical intervention as well as the outcome and safety of skin grafting in the treatment of 46 patients with vasculitic ulcers and 34 with pyoderma gangrenosum ulcers using data recorded in the validated Wound Registry. Of the 80 patients with atypical ulcers, 14% (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200911) were treated surgically; these patients were older (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.039), had lower mobility status (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.002), and more often pulmonary diseases, rheumatoid arthritis, and previous arterial procedures (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.007;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.031;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.031, respectively) than those treated conservatively. Of 181 ulcers, 15% (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200927) were surgically treated, 78% once and 22% multiple times. During follow\u2010up, 92.3% of both surgically and conservatively treated ulcers with available data healed. Of the surgically treated ulcers, median healing time after first surgical procedure was 96\u2009days, and post\u2010surgical complications were considered mild or unrelated to surgery. Our results suggest that if surgery is indicated, skin grafting is a safe and efficient treatment method provided that multidisciplinary approach is applied.\n                  <\/jats:p>","DOI":"10.1111\/iwj.14943","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T06:58:45Z","timestamp":1718866725000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The role of split\u2010thickness skin grafting in the treatment of vasculitic and pyoderma gangrenosum ulcers in a multidisciplinary wound centre"],"prefix":"10.1111","volume":"21","author":[{"given":"Laura","family":"Suoniemi","sequence":"first","affiliation":[{"name":"Department of Dermatology Tampere University Hospital  Tampere Finland"},{"name":"Faculty of Medicine and Health Technology Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7459-4938","authenticated-orcid":false,"given":"Teea","family":"Salmi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Tampere University Hospital  Tampere Finland"},{"name":"Faculty of Medicine and Health Technology Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heini","family":"Huhtala","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Kaartinen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere University  Tampere Finland"},{"name":"Department of Musculoskeletal Surgery and Diseases Tampere University Hospital  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Kiiski","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere University  Tampere Finland"},{"name":"Department of Musculoskeletal Surgery and Diseases Tampere University Hospital  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1704-5785","authenticated-orcid":false,"given":"Teija","family":"Kimpim\u00e4ki","sequence":"additional","affiliation":[{"name":"Department of Dermatology Tampere University Hospital  Tampere Finland"},{"name":"Faculty of Medicine and Health Technology Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.Sup6.S1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.dad.0000181109.54532.c5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.40375"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-014-0076-6"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2017.01980"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2017.5980"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-017-0251-7"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2014.23.12.601"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-3803"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12882"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2020.1160"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13727"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/02844310510006196"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2608"},{"issue":"5","key":"e_1_2_9_16_1","first-page":"S1","article-title":"Exploring the concept of a team approach to wound care: managing wounds as a team","volume":"23","author":"Moore Z","year":"2014","journal-title":"J Wound Care"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2018.27.5.288"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2017.01.007"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14270"},{"key":"e_1_2_9_20_1","volume-title":"Working Group Set up by the Finnish Medical Society Duodecim and the Finnish Dermatological Society","author":"Chronic lower extremity ulcer. 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