Tattoos masquerading as full-thickness burns: limitations of laser Doppler burns assessment.
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Biomedical subjects
Publications and source records attributed to Steven Lo.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
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OBJECTIVES: The purpose of this study was to review the types of facial lacerations for which tissue glue was used as a closure method and assess whether current evidence was being followed. METHODS: A retrospective analysis of facial lacerations presenting to an adult Accident and Emergency Department was made over a 6-month period. RESULTS: Out of 200 facial lacerations, 45 were closed using tissue glue. The mean length of the wounds was 2.05 cm, with a range of 0.5-6 cm; 42 were linear and three were non-linear. Senior house officers closed 16 wounds, middle grade doctors closed 19, emergency nurse practitioners closed seven, and consultants closed three. Six cases were closed against current evidence (13%). This included three lacerations that were non-linear and three lacerations greater than 4 cm in length. Four out of six of these cases were closed by senior house officer grades (80%). CONCLUSION: The lack of clarity over the use of tissue glue for facial wounds may be attributable to a lack of awareness and training, and the misinterpretation of randomized trials. Greater awareness is needed of the role of tissue glue, especially among senior house officers.
Tenosynovitis of the flexor tendons of the hand is a rare manifestation of gout. We present an unusual case of gouty tenosynovitis mimicking infection. The role of ultrasound in the management of this condition is emphasised.
The purpose of this study was to determine the reliability of preoperative templating in primary total knee arthroplasty and the influence of the seniority of the surgeon on templating. A retrospective study of 25 randomly selected total knee replacements was undertaken, with templating of preoperative radiographs by four surgical staff members. These included a consultant, a specialist registrar and two senior house officers. Reliability for an exact match between template size and implant actually used was 49% for the femoral component and 67% for the tibial component. The statistical agreement between templated size and actual implant size was classed as only fair to moderate. There was no statistical difference in templating reliability between junior and senior surgical staff. These results indicate that the current system of templating for total knee arthoplasties is prone to error and can only be used as an approximate guide.