A protective and permissive healing medical device comprising a sealable enclosure made from a flexible and see-though dressing, coupled with a scaffold structure capable of separating portions of the inner surface of the sealable enclosure from the outer portions of an extremity sealed inside the device, a plurality of ports for delivering materials into and extracting mediums from the sealable enclosure consistent with a therapeutic environment for the injury within the device, and a plurality of digit receiving portions facilitating individually articulable movement during healing within the sealable enclosure.