Management of deep open upper extremity wounds is rarely as simple as repairing the mechanical disruption. Treatment must be undertaken with the long-term outcome in mind at all times. The two main priorities are healing and function. Healing goals are adequate blood supply, stable skeleton and mobile soft tissue cover. Functional goals are nerve function, passive range of motion, and finally active range of motion. Along with these goals, the orderly sequence of procedures must be carefully considered.
 
 

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