Question
This large open wound is over the dorsal carpal region. What
are the problems associated with the wound and what possible options for
closure are there?
Answer
This is a large wound over a site of high motion with
limited surrounding skin in the area. Closure by second-intention healing could
be lengthy and lead to suboptimal function and cosmesis. There is no local
closure or axial pattern flap available, so the best option would be to plan
and place a full-thickness skin graft.
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