Many surgical options are available to a reconstructive surgeon when faced with a difficult wound.However, any decision about management should be holistic and take into account factors such as the occupational circumstances of the patient and likely period of time off work, comorbidity, likelihood of success, donor morbidity, functional outcome, and the risks of surgery and anaesthesia.The basic principles of wound management apply to all wounds.
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Boyce et al. (2006) studied this question.
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