Hi dear.......creating density is an art and best surgeon always remain behind the surgery.Why the dense paking need experties of an experinced surgeon because it may result in some complication.Its important that the client should not be a smoker....because the close multiplr trauma ll not heal and ll result in Necrosis.Secondly the client should not be diabetic...because it may result in infection and finally Necrosis.
So its the experties of a surgeon to decide ...how much close paking is possible in order not creat any trouble.
As most of Patient are MPB type seven and most of tehm are stasfied from the density so i keep my self(Dr.ashfaq) on the top and then dr.kneel