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Treatment of exposed tibial bone by old school burr holes - a case report.
Acta Chir Plast
January 2025
Background: We report a successful wound treatment of a chronic ulcer with bone exposure using a somehow forgotten technique of creating burr holes into the bone. Most clinics would promote flap surgery to cover wounds with bone exposure, however, in some cases invasive surgery is not mandatory. We bring up an alternative treatment for such cases.
View Article and Find Full Text PDFNonoperative Management of Pretibial Lacerations in a Nurse-Led Clinic: An Observational Study.
Plast Aesthet Nurs (Phila)
December 2024
Sebastian Kosasih, MBBS, BSc(Hons), MRCS, is a Plastic Surgery Specialist Trainee at St Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Chelmsford, United Kingdom.
In our tertiary plastic surgery center, patients with wounds that will not be treated surgically, including complex pretibial wounds, that would traditionally have been managed operatively are managed on an outpatient basis in a nurse-led pretibial laceration clinic. We conducted a study to investigate dressing usage and assess correlators with healing time or number of appointments. We collected data regarding dressings used, time to discharge, and number of appointments retrospectively over 14 months between 2019 and 2021.
View Article and Find Full Text PDFUnusual Management of a Rare Case of Methimazole-Resistant Graves Disease.
JCEM Case Rep
January 2025
Baylor University Medical Center, Dallas, TX 75246, USA.
Article Synopsis
- Graves disease (GD) is the main cause of hyperthyroidism but often shows different symptoms like tachycardia and weight loss instead of the typical signs.
- Treatment options include antithyroid drugs (ATDs), radioactive iodine (RAI), and surgery, each with notable side effects and potential complications such as ATD resistance.
- A complex case study of a 58-year-old woman with MMI-resistant GD illustrates the difficulties in treatment, leading to successful management with RAI therapy after unsuccessful attempts with high doses of MMI.
Split-Thickness Skin Grafting for the Management of Traumatic Pretibial Hematomas.
Cureus
October 2024
Department of Surgery, NYU Grossman Long Island School of Medicine, Mineola, USA.
Pretibial traumatic hematomas, a subtype of subcutaneous tension hematomas, are a frequent but understudied injury seen predominantly among the elderly. This patient cohort has a high incidence of comorbidities and frailty. They are frequently taking antiplatelet medications and systemic anticoagulants.
View Article and Find Full Text PDFDoes internal fixation of shaft fracture show specificities in over-80 year-olds?
Orthop Traumatol Surg Res
November 2024
Hôtel Dieu, service d'orthopédie-traumatologie, 1, place Alexis-Ricordeau, 44093 Nantes Cedex 1, France. Electronic address:
Article Synopsis
- Osteoporotic fractures are becoming more common in elderly people, particularly in diaphyseal locations on native bones, which are less frequent overall.
- Internal fixation methods must adapt due to changes in bone structure, requiring larger implants and specific types of screws to ensure stability and prevent further fractures.
- Nailing is primarily used for femoral and tibial fractures, and in cases involving the tibia or humerus, techniques that are gentle on soft tissue are essential to avoid complications in fragile skin.
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