Neglected Third-Degree Burn Wounds of The Lower Limbs: Full-Thickness Skin Graft Technical and Functional Considerations

Tiffany Tiffany (General Practitioner, Royal Progress Hospital, Jakarta)
Audrey Beatricia Suwandi (General Practitioner, Royal Progress Hospital, Jakarta)
Qori Haly (Division of Plastic, Reconstructive, and Aesthetic Surgery, Department of Surgery, and Royal Dermatology and Aesthetic Centre Royal Progress Hospital, Jakarta)

Jurnal Plastik Rekonstruksi
Vol. 13 No. 2 (2026): (2026) Jurnal Plastik Rekonstruksi

This case report describes the reconstruction of neglected bilateral deep burns near the popliteal joints in a 50-year-old woman with severe restriction of knee extension. The burn area was estimated at 25% TBSA (22% partial-thickness; 3% full-thickness). Under general anaesthesia, eschar was excised to the fascia, and inguinal full-thickness skin grafts (FTSGs) were applied; donor sites were closed primarily. Therasorb and transparent dressings protected the grafts, and a back slab was used for two weeks. Inpatient cefotaxime and discharge cefadroxil were documented. Daily rehabilitation began after immobilisation. Complete clinical graft take was reported within two to three weeks, and knee extension improved qualitatively, without goniometric measurements. This case illustrates technical and functional considerations of FTSG adjacent to highly mobile joints.