Abstract：
BACKGROUND: The modified Meek technique is not commonly used in equine wound management, despite the consistent reliable and superior results compared with other grafting techniques. Major drawbacks are the need for specialised, expensive equipment and general anaesthesia.
OBJECTIVE: To describe adjustments of the modified Meek technique enabling use in the standing horse without the need for the full equipment. This implied the use of full-thickness skin grafts manually harvested from the pectoral area and manually cut into micrografts. Graft acceptance; healing progress; and final functional and cosmetic result were outcome parameters.
METHODS: Descriptive case series.
METHODS: Eight horses with traumatic wounds at the dorsal side of the carpus or tarsus, healing by second intention, were treated. Original wound areas and areas of graft acceptance and rejection were determined from post-processing of digital photographs and percentage acceptance, wound contraction and epithelialisation were calculated.
RESULTS: The initial mean wound area was 55.4 cm2 . Graft acceptance was 95.3 ± 2.5%. Wound closure was due to 46.0 ± 25.6% wound contraction and 54.0 ± 25.6% epithelialisation and resulted in 96.8 ± 1.9% reduction of the initial wound area 28.0 ± 8.5 days after grafting. The scar was flat, flexible and functional, usually with thin and regular hair growth. The adapted procedure was fast and efficient, with a learning curve for the increased manual work.
CONCLUSIONS: Small study population.
CONCLUSIONS: This adapted modified Meek technique can successfully be performed in the standing horse and obviates the need for the full expensive equipment and general anaesthesia. The acceptance of the full-thickness grafts is excellent resulting in fast and satisfactory healing.
OBJECTIVE: To describe adjustments of the modified Meek technique enabling use in the standing horse without the need for the full equipment. This implied the use of full-thickness skin grafts manually harvested from the pectoral area and manually cut into micrografts. Graft acceptance; healing progress; and final functional and cosmetic result were outcome parameters.
METHODS: Descriptive case series.
METHODS: Eight horses with traumatic wounds at the dorsal side of the carpus or tarsus, healing by second intention, were treated. Original wound areas and areas of graft acceptance and rejection were determined from post-processing of digital photographs and percentage acceptance, wound contraction and epithelialisation were calculated.
RESULTS: The initial mean wound area was 55.4 cm2 . Graft acceptance was 95.3 ± 2.5%. Wound closure was due to 46.0 ± 25.6% wound contraction and 54.0 ± 25.6% epithelialisation and resulted in 96.8 ± 1.9% reduction of the initial wound area 28.0 ± 8.5 days after grafting. The scar was flat, flexible and functional, usually with thin and regular hair growth. The adapted procedure was fast and efficient, with a learning curve for the increased manual work.
CONCLUSIONS: Small study population.
CONCLUSIONS: This adapted modified Meek technique can successfully be performed in the standing horse and obviates the need for the full expensive equipment and general anaesthesia. The acceptance of the full-thickness grafts is excellent resulting in fast and satisfactory healing.
摘要：
背景：改良的Meek技术在马伤口处理中并不常用，尽管与其他嫁接技术相比具有一致的可靠和优越的结果。主要缺点是需要专业化，昂贵的设备和全身麻醉。
目的：描述改进的Meek技术的调整，使其能够在不需要完整设备的情况下用于站立马。这意味着使用从胸区手动收获的全厚度皮肤移植物并手动切成微型移植物。移植物接受；愈合进展；最终的功能和美容结果是结果参数。
方法：描述性案例系列。
方法：八匹马背部有外伤，治愈第二种意图，被治疗。根据数码照片后处理和接受百分比确定原始伤口面积和移植物接受和排斥面积，计算伤口收缩和上皮化。
结果:初始平均创伤面积为55.4cm2。移植物接受率为95.3±2.5%。伤口闭合是由于46.0±25.6％的伤口收缩和54.0±25.6％的上皮化，并导致移植后28.0±8.5天的初始伤口面积减少96.8±1.9％。伤疤是平的,灵活和功能，通常有稀疏和规则的头发生长。适应的程序快速有效，具有增加的手动工作的学习曲线。
结论：小研究人群。
结论：这种经过调整的改进的Meek技术可以成功地在站立的马匹上进行，并且消除了对全部昂贵设备和全身麻醉的需要。全厚度移植物的接受度极好,导致快速和令人满意的愈合。
目的：描述改进的Meek技术的调整，使其能够在不需要完整设备的情况下用于站立马。这意味着使用从胸区手动收获的全厚度皮肤移植物并手动切成微型移植物。移植物接受；愈合进展；最终的功能和美容结果是结果参数。
方法：描述性案例系列。
方法：八匹马背部有外伤，治愈第二种意图，被治疗。根据数码照片后处理和接受百分比确定原始伤口面积和移植物接受和排斥面积，计算伤口收缩和上皮化。
结果:初始平均创伤面积为55.4cm2。移植物接受率为95.3±2.5%。伤口闭合是由于46.0±25.6％的伤口收缩和54.0±25.6％的上皮化，并导致移植后28.0±8.5天的初始伤口面积减少96.8±1.9％。伤疤是平的,灵活和功能，通常有稀疏和规则的头发生长。适应的程序快速有效，具有增加的手动工作的学习曲线。
结论：小研究人群。
结论：这种经过调整的改进的Meek技术可以成功地在站立的马匹上进行，并且消除了对全部昂贵设备和全身麻醉的需要。全厚度移植物的接受度极好,导致快速和令人满意的愈合。
