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Updated: Dec 17, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Soft Tissue Coverage for Severe Infections
Vanessa Prokuski1, Adam Strohl2
1Philadelphia Hand to Shoulder Center/Jefferson, Philadelphia, PA, USA; Orthopedic Care Physicians Network, 675 Paramount Drive, Suite 205, Raynham, MA 02767, USA.
Abstract:
Coverage of soft tissue defects in the upper extremity caused by infection and debridement of infected tissue is a challenging problem. Treatment starts with prompt identification and eradication of infection, including antibiotics and extensive debridement. Optimizing the patient's medical and nutritional status can facilitate eradication of infection and wound healing. Coverage of soft tissue defects caused by infection and debridement demands consideration of many factors. Options include healing by primary or secondary intention, skin grafts, local flaps, and distant flaps. Negative pressure wound therapy and acellular dermal matrices can also aid in coverage.
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