This article summarises observational and experimental study designs, RCTs, systematic reviews/meta-analyses, PROMs, qualitative methods, and bias-appraisal tools; highlights registries, collaborative networks, and priority-setting to boost evidence quality in plastic surgery.
A paraplegic male presents with a chronic, infected Grade 4 pressure ulcer over the right ischial tuberosity, with exposed bone and possible osteomyelitis. Management is multidisciplinary with infection control, pressure relief, nutritional support, debridement, and flap reconstruction.
A patient with a prior tibial fracture plating presents with suspected post-traumatic osteomyelitis. Management includes imaging, bone biopsy, and the orthoplastic approach — early debridement, soft tissue coverage, and antibiotics.
Apert syndrome presents with craniosynostosis, midface hypoplasia, and complex syndactyly affecting the upper limbs. The Upton classification helps guide surgery for hand anomalies, with staged interventions to improve function and appearance.
A 97-year-old diabetic woman with a 3-month-old foot wound. History includes wound duration, diabetes control, and treatments. Exam focuses on wound depth, vascular status, and sensation. Chemical debridement, NPWT, and silver-impregnated foam dressing promote healing and infection control.
A 51-year-old woman has persistent pain and sweating asymmetry one year after ORIF for a distal radius fracture, suggesting CRPS. The Budapest criteria support the diagnosis. Treatment includes physical therapy, medications, and interventions like sympathetic blocks.
A patient with a growing sternal mass, initially thought to be a lipoma, is diagnosed with undifferentiated pleomorphic sarcoma. Management includes staging, wide local excision, and possible radiotherapy. Reconstruction options involve pectoralis major or free ALT flap for the sternal defect.
An infant presents with a large erythematous lesion on the face. Diagnosis of infantile hemangioma is confirmed with GLUT-1 positive immunohistochemistry. First-line treatment is propranolol (2mg/kg/day). Surgery may be indicated for visual obstruction, airway issues, or ulceration.
A patient with a mallet finger injury is unable to extend his fingertip. X-rays show a small bony avulsion fragment. This is a closed, bony mallet injury classified as Doyle Type I. Management includes continuous splinting of the DIP joint in extension for 6–8 weeks.
Breast augmentation consultation: A patient seeks fuller breasts. Steps include assessing medical history, expectations, and explaining implant options.
A 65-year-old male farmer presents with stiffness and contracture in his middle finger, impacting daily activities.
A 37-year-old construction worker suffers a ring avulsion injury to his middle finger, classified and managed using Urbaniak's system.
The SCALPEL mnemonic is a comprehensive guide to effectively approaching questions during plastic surgery interviews. This sections provides details this specific strategy that can be used to answer any question (even when you don't really know what to say!).
By following the IDEA! framework, you can effectively balance personal insights with broader perspectives, ensuring your responses are well-rounded, insightful, and reflective of a comprehensive understanding of plastic surgery.
SCARRED is a meticulously crafted framework, tailored for addressing behavioural questions in plastic surgery interviews.
The ACED mnemonic is your key to confidently answering personal questions during plastic surgery interviews. Whether discussing your achievements, passion for the field, or future career plans, ACED provides a structured approach to deliver comprehensive and impressive answers.
Dear Lord, this is such a boring question! It's one of those questions which P'Fella hates
The aim of this section is to improve your ability to diagnose and treat necrotizing fasciitis. A good candidate will be able to convey the important details, explain the severity of the emergency to the patient, and be aware of the urgency of the condition.
Audits are similar to pressure sores - not really that exciting, but an essential part of the Plastic Surgery curriculum. This section will focus on the commonly asked audit questions to help build your answer.
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of both practice and exams
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exams
A curated suite of educational tools designed specifically for the evidence-based Plastic Surgeon.
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