We studied the clinical results of skin grafts performed in 19 patients with soft tissue injuries of the lower limbs. In 15 cases, skin grafts were required in the below knee area. Split thickness skin grafts were performed in 13 cases, including six mesh skin grafts. Four full-thickness skin grafts, four pedicle flaps, and two peroneal island flaps were performed. They were classified into five categories according to the accompanying musclo-skeletal injuries, 3 cases without musclo-skeletal injuries, 3 cases with muscular injury, 2 cases with vascular injuries, 2 cases with closed fractures, and 8 cases with open fractures. In those with severe open fractures, grafting was required repeatedly to cover the large skin defects. Skin defects accompanying open fractures should be covered as early as possible to avoid infection, and minimize the functional deficit.
