Pretibial lacerations among elderly patients : A province-wide study from Kymenlaakso, Finland, 2015-2019

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Seppälä , T , Grünthal , V & Koljonen , V 2021 , ' Pretibial lacerations among elderly patients : A province-wide study from Kymenlaakso, Finland, 2015-2019 ' , Journal of Plastic, Reconstructive & Aesthetic Surgery , vol. 74 , no. 9 , pp. 2244-2250 . https://doi.org/10.1016/j.bjps.2020.12.107

Title: Pretibial lacerations among elderly patients : A province-wide study from Kymenlaakso, Finland, 2015-2019
Author: Seppälä, T.; Grünthal, V.; Koljonen, V.
Contributor organization: Department of Surgery
HUS Musculoskeletal and Plastic Surgery
Plastiikkakirurgian yksikkö
Date: 2021-09
Language: eng
Number of pages: 7
Belongs to series: Journal of Plastic, Reconstructive & Aesthetic Surgery
ISSN: 1748-6815
DOI: https://doi.org/10.1016/j.bjps.2020.12.107
URI: http://hdl.handle.net/10138/341406
Abstract: In this retrospective cohort study, we analysed treatment and outcomes among >= 65-year-old patients who experienced a traumatic pretibial laceration in the province of Kymenlaakso, Finland, between 2015 and 2019. We reviewed computerised medical records for 116 patients with a pretibial laceration, 107 of whom we analysed in further detail. Patients were traced from injury to healing, including rehabilitation periods in health care centres. As expected, the majority of patients were elderly women (67%). Most lacerations were superficial and small, explaining why treatment was mostly conservative. Only 11 (9.48%) patients were treated operatively with surgical debridement or a split-thickness skin graft. The number of overall complications in wounds was high, with a complication rate of 30.2%. Most complications were local wound infections. We found that wound healing took more than 3 months in 32% of patients. Thorough patient tracing revealed numerous follow-up visits and long rehabilitative hospitalisation periods, indicating a significant decline in patient independence and the excessive use of resources. Successful wound healing was eventually observed in 89.66% patients. Furthermore, no terminology regarding pretibial lacerations was found in patient records. This study indicates that pretibial lacerations remain poorly recognised and understood in Finland. (C) 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Subject: Plastic surgery
Pretibial laceration
Lower limb haematoma
Traumatic wound
Elderly
MANAGEMENT
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: draft


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