Description
In this engaging medical discussion, speakers Jayne Ward and Joanna Skillman delve into the collaboration between plastic and orthopedic surgeons within the specialized field of orthoplastics, particularly in the treatment of complex foot and ankle injuries. They present a detailed case study of a 30-year-old woman who sustained a severe distal tibial fracture from a high-energy fall while horse riding.
The presentation highlights the importance of early intervention and comprehensive assessment in trauma cases. Initially, the patient's soft tissue injury appeared minor, but careful examination revealed the potential for significant underlying damage. The speakers discuss the critical role of advanced imaging and diagnostic techniques, such as CT scans and pulse oximetry, in evaluating vascular integrity following such injuries.
As the case unfolds, the discussion transitions to the surgical approach. Despite early attempts to manage the injury with localized flap coverage, complications arose that necessitated a more thorough surgical revision using a free flap, ultimately leading to successful tissue regeneration. The effective collaboration between the plastic and orthopedic teams was pivotal in ensuring a favorable outcome for the patient, illustrating the complexities and challenges faced in the management of traumatic injuries to the foot and ankle.
The talk emphasizes the need for thorough assessments and the willingness to adapt treatment strategies based on evolving clinical findings, showcasing the dynamic nature of orthopedic and plastic surgery in achieving successful patient outcomes.