thePlasticsPaper - February 27th

Curated evidence-based Plastic Surgery, direct to your inbox. It's hard to keep up-to-date. thePlasticsPaper sends you 1 email per week - just the highlights!
thePlasticsPaper - February 27th

In this Week's Edition

1. ✍️ Letter from P'Fella - Yes, 600+ verified flashcards

2. 🧐 Weekly Quiz Competition - Round 1 (new season!)

3. πŸ”  Wordle for Plastics Surgeons - ok, this is hard.

4. 🎭 Upcoming Events - 21 webinars & courses.

5. 🐣 Tweets of the Week - memes, images, ideas.

6. πŸš€ New features - thePlasticsFlash is here! Popular 🀩

7. πŸ“ Articles of the Week - Rapid Review & Deep Dive


A Letter from P'Fella

Welcome the newest member of the family - thePlasticsFlash.

This is great.
It is. Trust me.

thePlasticsFella community was asked 1 question - what is your preferred way to study Plastic Surgery? The answer, flashcards.

So P'Fella created them. 600+ evidence-based flashcards with detailed answers and references. The average flashcard collection costs ~$90 and is never updated. thePlasticsFlash is the lowest possible cost to support the sustainable, not-for-profit, education model.

You can now see the family tree below πŸ‘‡

Family Tree


Weekly Quiz Competition

Round 1! Don't miss out.

Last season, 200+ people took part in the weekly quiz. Now season 2 is here!

The new rules...

  1. There will be a fresh new leaderboard!
  2. There will be a $100 voucher prize.
  3. There will be 10 questions in the season.
  4. 1 winner will be crowned the "smartest plastic surgeon in the world".


Wordle for Plastic Surgeons

Created specifically for Plastics!

p.s - share your results on Twitter and @plasticsfella.


Upcoming Events

18 Webinars, Conferences, and Courses

  1. Pulvertaft - Polishing your Presentation - Feb 28th
  2. PLASTA - ST3 Interview Prep - March 1st
  3. ASPS In-Service Exam - Virtual, March 2022.
  4. ASPS Spring Meeting - Virtual, March 2022.
  5. ASSH - Upper Limb Micro Recon - Virtual, March 26th.
  6. AAPS Centennial Meeting - San Diego, April 2022.
  7. BAPRAS AEC Trunk Reconstruction - April 2022.
  8. BAAPS Masterclass in Aesthetic Practice - London, May 2022.
  9. RACS 90th Annual Scientific Conference - Brisbane, May 2022.
  10. British Burns Association Annual Meeting - Bristol, May 2022.
  11. Australian ASPS Congress - Goldcoast, June 2022
  12. Aesthetics In-Service Exam - Virtual, June 2022.
  13. ISAPS World Congress - Istanbul, July 2022
  14. ICCPCA Cleft Congress - Edinburgh, July 2022
  15. ASSH Annual Meeting - Boston, September 2022.
  16. BAAPS Annual Conference 2022 - London, September 2022.
  17. Plastic Surgery, The Meeting - Boston, October 2022.
  18. AEC Limb Reconstruction - Virtual, October 2022


Tweets of the Week

Here are 3 tweets you might have missed!


New Feature

thePlasticsFlash Β (Launched)

It's built! And people are using it already.


Articles of the Week

New Important Articles

Rapid Review: Is Tranexamic Acid good for blood loss?
Kjersti et al, PRS

Aim: To review the local use of tranexamic acid in soft-tissue surgery,
Methods: A literature review of publications relating to pharmacological effects and possible adverse reactions, and presents recommendations for use in plastic surgery.
Results: 14 RCTs were included (a total of nearly 2000 patients)
Conclusions: may reduce blood loss comparably to intravenous prophylactic use with negligible risk of systemic adverse effects. There are concerns for high concentrations, direct contact with nerves, and not knowing what the correct dose should be!

P'Fella's Opinion: Need more evidence! Still lacking

Deep Dive Article

Buried vs Exposed Kirschner Wires - What's best?

From next week, the Deep-Dive article is available for those who support thePlasticsFella's mission by having thePlasticsPro account.

This PRS Global Open Publication in 2018 by the WIRE Research Collaborative provides insight into the attitudes and decision-making behind the question - should we bury K-wires? It's worth reading the entire article here.

Here are some stats πŸ‘‡

  • ~800 surveyed (423 surgeons, 187 therapists, 187 patients)
  • 53% of Plastic surgeons prefer to leave K-wires exposed
  • 34% of Plastic surgeons have no preference
  • 10% of Plastic surgeons bury their K-Wires.

The decision-making process πŸ‘‡

  • Infection concern β†’ more likely to bury K-wire
  • Want it easily removed β†’ less likely to bury K-wire
  • Aesthetics, service provision, economic impact don't influence decisions.

Patient's perspective πŸ‘‡

  • Exposed K-wires β†’ Β more concerned about infection.


  • Decisions to bury or expose K-wire are based on dogma rather than evidence.
  • WIRE Research Collaborative published a protocol for further research.

What does the community think.

A really interesting discussion happened on Twitter this week. P'Fella tweet a poll that received +100 votes. Should we bury K-wires?

The results of the Twitter poll are very one-sided πŸ‘‡ During the thread discussion, this article was pointed out.

About the author

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Plastic Surgery

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