The incidence of skin cancer in New Zealand is one of the highest in the world.1 Surgical excision is the mainstay of treatment for these lesions. While excision and primary closure is desirable, wounds in the lower limb are often too large or complex to obtain direct apposition and split thickness skin grafting is used to achieve wound closure without tissue tension.2,3 Grafting in the lower limb carries a high risk of failure. Over the years, various methods have been employed to reduce the risk of graft failure.
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