Bone is pretty amazing tissue—constraining and directing the forces of muscle, and adapting under heavy loads. So, can you apply that metaphor to your client communication? Veterinary surgeon Dr. David Dycus explains how poor communication led to one super smelly cat, and offers tips getting clients to follow your fracture management recommendations.
Consider performing this reconstruction technique the next time you need to repair a square or rectangular wound and direct closure could result in the distortion of a body structure—or when skin for closure is only available on one side of the wound.
Multiple punctate relaxing incisions are small parallel, staggered incisions made unilaterally or bilaterally (usually bilaterally) in skin adjacent to a wound to relieve the tension associated with wound closure.
The adjustable horizontal mattress suture is indicated primarily for limb wounds that are either relatively new or are in the wound contraction phase and in which the edges cannot initially be apposed.