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|Maintitle = '''Definition: a wound that has components of one or more of the other types that is complicated by factors that either preclude simple [[Healing Fundamentals - Donkey#Primary or first intention healing|primary union]] or are likely to result in serious delays in healing.'''

'''Definition: a wound that has components of one or more of the other types that is complicated  

'''by factors that either preclude simple [[Healing Fundamentals - Donkey#Primary or first intention healing|primary union]]  

'''or are likely to result in serious delays in healing.'''

[[Image:Facial injury.jpg|left|thumb|250px|<small><center>This facial injury was complicated by severe damage to the facial nerve resulting in facial paralysis and an oro-cutaneous-nasal fistula (direct communication between the skin wound and the mouth and nasal cavity). The wound had been in existence for some 10 days before presentation and the bone underlying the wound was necrotic. There were therefore significant complications and reasons why the wound was likely to heal slowly, if at all. (Image courtesy of [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary])</center></small>]]

[[Image:Facial injury.jpg|left|thumb|250px|<small><center>This facial injury was complicated by severe damage to the facial nerve resulting in facial paralysis and an oro-cutaneous-nasal fistula (direct communication between the skin wound and the mouth and nasal cavity). The wound had been in existence for some 10 days before presentation and the bone underlying the wound was necrotic. There were therefore significant complications and reasons why the wound was likely to heal slowly, if at all. (Image courtesy of [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary])</center></small>]]