Systematic review on autologous skin graft versus artificial skin graft in hand wounds
DOI:
https://doi.org/10.5281/zenodo.17064820Keywords:
autologous skin, artificial, cosmeticAbstract
This study compares autologous and artificial skin grafts in the management of hand wounds, evaluating their efficacy, functionality, and aesthetic results. Given that these injuries affect both appearance and mobility, selecting the appropriate graft is key to recovery. A systematic review was conducted using the PRISMA method, analyzing 30 studies published in the last ten years. Research evaluating graft integration rates, postoperative functionality, and patient satisfaction was included, excluding those without a clear comparative analysis. The results show that autologous grafts remain the gold standard due to their high integration and biological compatibility, while artificial grafts have proven to be a viable alternative in cases where autologous skin is limited. Although artificial grafts have advanced with bioengineering, they present challenges in terms of cost and risk of infection. It is concluded that the ideal treatment may require a hybrid approach and that future research should focus on the durability of artificial grafts and new technologies such as 3D skin printing.
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