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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