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12 Jul, 9 tweets, 4 min read
#EJPSJournalClub starts RIGHT NOW! ⏰

Join us as we discuss: "One-stage treatment of chronic osteomyelitis with an antibiotic-loaded biocomposite and a local or free flap"

We'll be live-tweeting highlights and discussion in the Thread below.

1/n
Have a burning question for our Panel? 🔥

Post it in a reply to this Tweet and we'll ask them LIVE during the Journal Club
First a presentation of the article by @FerrioMD:

The surgical protocol used in the article combined extensive debridement, Cerament G injection and a local or free flap 🦴
@FerrioMD Now for Horacio Mayer, the editor of
@EurJPlastSurg

to put questions to the authors

"How much does this procedure cost and is it cost-effective?"

Dr Gottlieb: "Saving just two nights admission per patient makes this product almost free"
@FerrioMD @EurJPlastSurg Two patients experienced flap necrosis and required further surgery.

Dr Lorentzen explains that this is a complicated patient cohort, often with multiple medical co-morbidities, which may contribute to their outcomes.
@FerrioMD @EurJPlastSurg Dr Gottlieb: "One of the most important factors for outcomes is the immune status and co-morbities of the patient"
@FerrioMD @EurJPlastSurg Now a question from @dimireissis regarding the MDT approach to Osteomyelitis patients described in the article:

"Its equally important to have the plastic surgeon, orthopaedic surgeon and internal medicine doctor, so that the whole patient is treated"
@FerrioMD @EurJPlastSurg @dimireissis Dr Mayer "For countries that can't afford this product, what is the solution?"

Dr Obinah "Our approach allows the orthopaedic surgeon to perform the debridement that is required. The dead space could be filled by a free muscle flap instead of the biocomposite"
How to get involved in academic plastic surgery: Advice to trainees from Dr Obinah "Identify key people in your department who are doing research. Knock on their door!"

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More from @PLASTAUK

1 Jun 20
The use of a dermatome to harvest a skin graft is a familiar sight within any modern plastic surgery operating room. But how and when did the practice of skin grafting start? (1/14)
#plasticsurgery #historyofmedicine
According to some accounts, the use of skin grafts can be traced back to ancient India, where the Tilemaker caste utilised skin taken from the gluteal region, which they then beat with wooden slippers, in the correction of nasal defects incurred as punishment. (2/14)
The use of skin grafts then disappeared for 2,500 years and re-emerged in the 19th Century with reports by Cooper and Bünger of their successful use of skin grafts in humans. Bünger published on his work in 1823. (3/14)
Read 14 tweets

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