Complex wounds Discussion

Complex wounds of the hand pose a number of difficult problems. Soft tissue defects may require skin grafts, pedicled flaps, or microsurgical reconstruction. Treatment recommendations must take into consideration wound size, geometry, depth, location, duration, contamination, associated injuries, physiologic age of the patient, and patient cooperation as well as other factors. Adequate debridement, early wound closure or resurfacing, skeletal stabilization and early motion are primary treatment goals. In general stiffness is the most common single problem following treatment of a complex hand wound. Treatment must be highly individualized and prognosis is difficult to predict.

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