{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T17:25:36Z","timestamp":1732037136488},"reference-count":14,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>ABSTRACT Lower limb recurrent ulcers, usually caused by prolonged decubitus, trauma, diabetes or burns, may not heal with conventional clinical or surgical treatment. Frequently, laminated skin grafts do not integrate with the recipient layer, and the only alternatives are neighbor microsurgical flaps. These have higher morbidity and create secondary defects, to be corrected with skin grafts, when fasciocutaneous or miocutaneous segments are removed for the treatment of the primary defect. We describe the non-conventional use of punch grafts in the treatment of lower limb ulcers, when conventional skin laminated graft failed, without the use of flaps. Since this is a very successful technique, its use should be considered as a valuable alternative for the treatment of recurrent lower limb ulcers. It is a simple and easy-learned technique that may be used by different surgeons, even in remote places without correct specialized hospital facilities.<\/jats:p>","DOI":"10.1590\/0100-69912017006008","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T03:32:57Z","timestamp":1513827177000},"page":"659-664","source":"Crossref","is-referenced-by-count":1,"title":["Punch grafts to treat lower limb intractable sores"],"prefix":"10.1590","volume":"44","author":[{"given":"J\u00daLIO WILSON","family":"FERNANDES","sequence":"first","affiliation":[{"name":"Universidade Positivo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RAFAEL SONODA","family":"AKAMINE","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EDUARDO CASTILHO","family":"CASAGRANDE","sequence":"additional","affiliation":[{"name":"Universidade Positivo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1136\/pmj.76.901.674","article-title":"Management of leg ulcers","volume":"76","author":"Sarkar PK","year":"2000","journal-title":"Postgrad Med J"},{"key":"ref2","first-page":"2007","article-title":"Wound dressing guidelines","volume":"747","author":"Purser K","year":"2007","journal-title":"Royal United Hospital Bath NHS Trust"},{"key":"ref3","first-page":"301","article-title":"Fibroblasts and myofibroblasts in wound healing","volume":"7","author":"Darby IA","year":"2014","journal-title":"Clin Cosmet Investg Dermatol"},{"issue":"4","key":"ref4","first-page":"215","article-title":"Marjolins Ulcer Clinical and pathologic features of 83 cases and review of literature","volume":"27","author":"Fazeli MS","year":"2013","journal-title":"Med J Islam Repub Iran"},{"issue":"2","key":"ref5","first-page":"17","article-title":"Utiliza\u00e7\u00e3o do \"punch\" em bi\u00f3psias da mucosa oral","volume":"50","author":"Louren\u00e7o EA","year":"1984","journal-title":"Braz J Otorhinolaryngol"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1590\/S0365-05962009000500010","article-title":"Bi\u00f3psia de pele e seu estudo histol\u00f3gico Por qu\u00ea? 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