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Madiedo et al. Plast Aesthet Res 2018;5:40 I http://dx.doi.org/10.20517/2347-9264.2018.40 Page 7 of 10

Table 2. Classification of results based on the Vancouver Scar Scale
Variable Number of patients Percentage
Mild scar (Vancouver score < 3) 130 94.2%
Moderate scar (Vancouver score 4-7) 4 2.89%
Severe scar (Vancouver score ≥ 8) 4 2.89%

A B C

Figure 5. A: Thirty-two-year-old female patient with a deep partial-thickness flame burn to both lower limbs, who underwent eschar
removal by tangential excision; B: placement of split-thickness skin grafts transversely; C: results at postoperative year 1. No evidence of
contracture, and both texture and color are adequate

A B C D

Figure 6. A: Twenty-eight-year-old male patient with a full-thickness flame burn of 18% total body surface area to back and gluteal
region; B: appearance following 3 escharectomies performed by electric dermatome, and temporary coverage with skin allografts; C:
intraoperative appearance after placing split-thickness skin grafts transversely; D: results at postoperative month 12

or muscle contractures, or functional limitations of involved joints; however, they reported persistence of pain
at rest and during activity, decreased joint ROM, decrease in strength, and ADLs limitations, which improved
at week 6 following surgical contracture release by placing new grafts and restarting rehabilitation.

DISCUSSION
In the researched literature, we did not find studies evaluating the evolution of split-thickness skin graft sheets
in burn patients while taking into account their placement orientation. Conversely, abnormal scarring and