• J Plast Reconstr Aesthet Surg · Sep 2012

    Review

    The tertiary management of pretibial lacerations.

    • Steven Lo, M J Hallam, Shona Smith, and Tania Cubison.
    • Department of Plastic and Reconstructive Surgery, Queen Victoria Hospital, Holtye Rd., East Grinstead RH19 3DZ, United Kingdom. stevenjlo@gmail.com
    • J Plast Reconstr Aesthet Surg. 2012 Sep 1;65(9):1143-50.

    AbstractPretibial lacerations remain one of the commonest yet most neglected conditions facing emergency departments and plastic surgeons alike. Furthermore, these injuries afflict the most vulnerable groups of adults - the elderly and the infirm. It is essential therefore to have an approach to pretibial lacerations based on best available evidence, in order to optimize wound outcomes, but perhaps more importantly, to safeguard the general health of the vulnerable individual. We present an evidence-based approach to the tertiary management of these injuries and propose a treatment algorithm that we have utilized in our unit to successfully manage 40% of tertiary referrals of pretibial lacerations in a conservative manner.Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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