Authors:Hasan Gökcer Tekin, MD, Christian Kaare Paaskesen, Med. Stud, Magnus Avnstorp, MD, Bjørn Thomas Crewe, MD and Consultant wound specialist

Definition: Wounds  extending to subdermal underlying layers and structures such as fascia, tendon, muscle or bone.

Description: All types of wound tissue may be present in cavity wounds. Additional features in cavity wounds are non-visible wound bed complications such as sinus formation, fistulas and undermining.  

Treatment aim:  Promote granulation tissue from base up and manage bacterial colonization. Debridement of non-vital tissue and deep infections such as osteomyelitis. Facilitate drainage and consider delayed reconstructive surgery to fill out dead space.

Wound dressing (dry wounds):  N/A

Wound dressing (wet wounds): Alginates (rope or ribbon). hydrofiber (rope), medical honey dressings, composite silver dressings, NPWT

Wound exampels:

Leg cavity ulcer

Ischial Tuberositas pressure ulcer