Limb trauma predominantly involves skin, muscle and bone. Infection does not loom large as a hazard if the skin is not involved, but it has to be added to the list of possible complications when there is a break in the skin barrier, and this can be particularly serious when a fracture is part of the injury.
It is for this reason that the effective provision of skin cover becomes a matter of urgency, though its provision has to be coordinated with the management of the other damaged structures, each of which carries its own imperative.
When skin loss is a major element in a limb
injury, whether in isolation or as part of combined skin-bone trauma, it usually takes the form of degloving.