Sugar sustained a major laceration to the front of her carpus during the big snowstorm we had in September 2014. Even though her owner found it the day it happened, there was already a large amount of swelling present as well as a large amount of dirt and contamination in the wound. Initial treatment included intravenous regional limb perfusions with antibiotics, intravenous antibiotics, and bandaging. Because of the large amount of motion present on the front of the carpus, we ultimately decided to use pinch grafts in this wound. Pinch grafts are small 3mm discs of skin, harvested by removing an elevated cone of skin, that are implanted into small slits in the granulation tissue.