of deep open upper extremity wounds is rarely as simple as repairing the
mechanical disruption. Treatment must be undertaken with the long-term
outcome in mind at all times. The two main priorities are healing
and function. Healing goals are adequate blood supply, stable
skeleton and mobile soft tissue cover. Functional goals are
function, passive range of motion, and finally active range
of motion. Along with these goals, the orderly sequence of procedures
must be carefully considered.