Open wound care
Consider special dressings
Any open wound needs to be protected from secondary contamination. A sealed dressing (e.g., antibiotic bead pouch, or vacuum-assisted wound closure (VAC)) can be used. VACs help to reduce the size of an open wound and promote the formation of granulation tissue. It may permit early split-thickness skin graft closure.
Closure with local, or free flaps is appropriate for larger and more complicated wounds and for open joints, as soon as staged wound excision is complete.
It is important to close a complex wound, especially involving a joint, as soon as the wound appears healthy (preferably at 5-7 days), rather than to leave it open and risk hospital infection.