Publications by authors named "S P Hettiaratchy"

Background: There is no standardised definition of what constitutes a junctional injury. Although well described in military literature, this is not the case in the civilian setting. This study aims to characterise the epidemiology of the civilian penetrating junctional injuries in our centre.

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Achieving a functional and aesthetic reconstruction following complex trauma is a challenge. Skin substitutes, including acellular dermal matrices, and newer, synthetic options such as NovoSorb biodegradable temporizing membrane (BTM) have given the reconstructive surgeon a useful tool where autologous options have been exhausted, are inappropriate, or would present a suboptimal reconstruction. This case series describes 6 patients admitted to an urban level I major trauma center between July and December 2022.

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Background: Armed conflict injury is a growing public health concern, particularly in regions like the Middle East and North Africa (MENA). The protracted conflicts and political unrest in this region have led to a substantial number of injuries. Despite this, there is still limited understanding of the specific injury patterns stemming from conflicts, such as the 2006 Lebanon conflict.

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Article Synopsis
  • Limb salvage by ortho-plastic teams is the standard for treating gunshot-related open tibial fractures in high-income countries, but there's a lack of research in conflict areas like the Gaza Strip, prompting a study to evaluate the clinical impact and management differences.
  • The study, which reviewed medical records of 244 patients with such fractures, found high rates of non-union (53%) and infections (92.5%), with the ortho-plastic team managing more severe cases and performing numerous surgeries but showing no significant outcome differences compared to other groups.
  • Key risk factors for non-union included bone loss greater than 1 cm, vascular injury, and the use of definitive fixators at initial treatment, highlighting the complex nature of
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