RT Book, Section A1 Kantor, Jonathan SR Print(0) ID 1141252881 T1 The Legs T2 Atlas of Suturing Techniques: Approaches to Surgical Wound, Laceration, and Cosmetic Repair YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071836579 LK dermatology.mhmedical.com/content.aspx?aid=1141252881 RD 2024/10/04 AB When contemplating wound closures on the lower extremities, clinicians should keep in mind that closures above the knee are fundamentally different from their below-the-knee counterparts. Thigh closures may be conceptualized as similar to closures on the upper arm—the dermis is moderate in thickness, and the area is under often-substantial tension. On the shins, however, closures are often significantly more challenging. The presence of impaired circulation and high tension mean that closures below the knee may be technically challenging to effect and are concomitantly fraught with an increased risk of infection and dehiscence when compared with closures elsewhere on the body.