A farmer in rural northern Ghana, West Africa, sliced his elbow on the roof edge of a truck he was boarding, resulting in a full-thickness laceration 0.5cm deep and 3.5cm long x 0.5 cm at the widest point. He was unable to get to the clinic until the next day, so the wound was allowed to heal by second intention. The patient's dressing needed to stay in place during farming using a short-handled locally-made hoe. The wound also needed to be kept moist without maceration despite the high humidity brought on by frequent heavy rains. Use of standard foam and hydrocolloid dressings led to dramatic fungal and bacterial infections in this very warm (100º F daily) setting. Flexible polymeric membrane dressings have demonstrated ability to reduce wound pain and inhibit infection while keeping wounds appropriately moist. Therefore, polymeric membrane dressings were initiated. Treatment included prayer, a course of oral antibiotics and direct wound care. Bevel-cut polymeric membrane wound filler was covered with a standard polymeric membrane dressing when the wound was deepest. After one week of every-other-day wound care the treatment was modified to a single thicker polymeric membrane dressing. Dressings were changed three times per week. Unless debris worked its way under the dressing, no wound-bed cleaning at all was needed. The patient was able to return to manual farming immediately after the initiation of treatment. Granulation tissue formed quickly and the wound moisture became appropriate without infection or maceration. Despite constant movement of the elbow during farming, the laceration healed completely in 31 days. Polymeric membrane dressings provided effective wound management for a full-thickness laceration from initiation of treatment to complete wound closure.