title: Soft-tissue management after trauma: initial management and wound coverage.
abstract: Before proceeding with treatment, it is necessary to recognize that bony injuries are always associated with soft-tissue disruption and damage. A good soft-tissue envelope is essential to fracture healing and overall extremity function. Injury management begins by recognizing and classifying the injury. Wound débridement with irrigation fluid at low pressure and the administration of antibiotics are essential aspects of treatment. Wound treatment starts with applying dressing material using negative suction and can be guided by the tenets of an algorithm modeled on the reconstructive ladder.
authors.affiliation: Department of Orthopaedics, New York University Hospital for Joint Diseases, NY, USA.
authors.forename: Nirmal C
authors.initials: NC
authors.lastname: Tejwani
authors.forename: Lawrence X
authors.initials: LX
authors.lastname: Webb
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Harvey
authors.forename: Philip R
authors.initials: PR
authors.lastname: Wolinsky
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003646:Debridement; D005121:Extremities / Q000293:injuries; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D005597:Fractures, Open / Q000145:classification / Q000150:complications; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D017768:Skin, Artificial; D017695:Soft Tissue Injuries / Q000150:complications / Q000628:therapy*; D013524:Surgical Flaps; D007507:Therapeutic Irrigation; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents