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The classification and principles of management of wounds in trauma

FTSTA2 Plastic Surgery, James Cook University Hospital, Middlesbrough, UK, annabarnard{at}doctors.org.uk

K. Allison

Department of Reconstructive Plastic Surgery and Burns, James Cook University Hospital, Middlesbrough, UK

The correct assessment and early management of wounds is vital in achieving a good outcome in both the acute and chronic setting. A robust management plan for the trauma patient depends upon accurate and timely assessment of all injuries and evaluation of key features such as mechanism of injury, pre-hospital findings and intervention, zone of injury, patient characteristics and structures damaged. This article describes the general principles of wound assessment and management, discussing mechanism and zone of injury, debridement techniques, types of irrigation and the use of antibiotic prophylaxis. Particular attention is given to the management of open tibial fractures, fasciotomy wounds, pretibial lacerations and haematomas and bite wounds.

Key Words: wounds • debridement • irrigation • trauma • mechanism of injury • zone of injury

This version was published on July 1, 2009

Trauma, Vol. 11, No. 3, 163-176 (2009)
DOI: 10.1177/1460408609336188


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