This document discusses soft tissue injuries, including different types of soft tissues like skin, fat, muscle, and tendons. It defines wounds, defects, and ulcers and classifies injuries as clean, contaminated, or dirty. It covers different mechanisms of injury such as abrasions, contusions, lacerations, and burns. Treatment involves the ABCDE approach, stabilizing the patient, investigations, and debridement to remove dead tissue. Ideal dressings promote healing while preventing infection and different grafting techniques include split thickness and full thickness skin grafts as well as flaps.

1. Soft Tissue Injuries
Dr Prashant Choudhari

2. Soft Tissue
• Skin?
• Fat
• Muscle and tendons
• Ligaments
• Blood vessels
• Nerve
• Organs?

3. Wound vs defect vs ulcer
• Wound : damage to the integrity of tissue i.e. skin mucuous
membranes or organ
• Defect : imperfection or abnormality which impairs the quality and
function
• Ulcer : breach or discontinuity in the lining epithelium due to
molecular death

4. Classification
• Clean
• Clean-contaminated
• Contaminated
• Dirty

5. ABRASION CONTUSION SHARP CUT

6. CRUSH INJURY
BURNS

7. Mx
• ABCD
• Stabilize
• General investigation

8. Abrasion

9. Cut injury

10. Infected/contaminated wound

11. Debridement
• Removal of dead and necrotic tissue

12. Types
• Surgical/ mechanical
• Chemical
• Enzymatic
• Biological

13. • lucilia sericata ( Green bottle fly)

14. Dressing

15. Ideal Dressing Material
1. Provide moist environment
2. Prevent bacterial infection
3. Maintain temperature
4. Promote angiogenesis
5. Increase epidermal migration
6. Allow gaseous exchange
7. Non adherent
8. Sterile, non-toxic, non-allergic

16. Ideal dressing Material doesn't exist

18. Skin Grafting
• Spilt thickness
• Full Thickness

19. Full thickness

20. Flaps