> ## Content Index
> Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt
> Use this file to discover other available public pages before exploring further.

# Bury K-wires? Sunday Quiz Winners, Trending Cosmetic Articles.
- URL: https://www.theplasticsfella.com/may-19th/
- Published: 2024-05-18T09:56:00.000Z
- Updated: 2024-05-18T09:59:16.000Z
- Description: Also: Behind the 'Fella trailer is release, & new content in theFellow's Corner
- Author: PlasticsFella
- Tags: thePlasticsPaper

#### In this week's edition

1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/may-19th/#a-letter-from-pfella)  
The Buried K-Wire Paradox
2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/may-19th/#the-sunday-quiz) **\+ Leaderboard**  
Winners announced! And we got a tie!
3. ****🎙️** [****Trailer Release!**](https://www.theplasticsfella.com/may-19th/#behind-the-fella)  
Listen to Behind the 'Fella trailer!
4. 🎓 [****theFellow's Corner**](https://www.theplasticsfella.com/may-19th/#the-fellows-corner)  
What's new with the team?
5. ****🔥** [****Cosmetic Articles of the Week**](https://www.theplasticsfella.com/may-19th/#articles-of-the-week)  
Soft-tissue fillers, WAMs, & cosmetic tourism  
With 1 sentence summaries!
6. 💕 [****Feedback**](https://www.theplasticsfella.com/may-19th/#feedback)  
Suggest ideas & give feedback!

## A Letter from P'Fella

**The Buried K-wire Paradox.* 

👋

****Hey Team!**  
  
Ever notice how a simple surgical decision can spark deeper debates in our field? This week, we dug into whether K-wires should be left exposed or buried—a topic that really highlights a fundamental paradox in plastic surgery.  
  
👇

### 

Should we bury our K-wires or keep them exposed? Our Fellows debated this in an upcoming episode of [Behind the 'Fella](https://www.theplasticsfella.com/may-19th/#behind-the-fella). One side argued that exposed K-wires, if managed well, avoid additional surgeries and reduce hospital stays. The other side said buried K-wires reduce infections and increase comfort.

We ran a Twitter poll, and nearly 80% of you prefer keeping K-wires exposed.

> I like not burying k-wires because they are easy to take out.  
> But patients don't like metal sticking out of their fingers.   
>  
> What are your thoughts?
> 
> — thePlasticsFella (@PlasticsFella) [November 23, 2021](https://twitter.com/PlasticsFella/status/1463224271266885636?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com)

So, what’s the deal with the "Buried K-wire paradox"? It’s all about balancing short-term surgical efficiency with potential long-term patient outcomes:

- **Exposing K-wires:** This method avoids another surgery, saving operating room time and hospital stays. It allows for quick, easy removal in a clinical setting without extra intervention. It’s practical and resource-efficient.
- **Burying K-wires:** This method reduces pin-site infections and increases patient comfort. While it requires another procedure to remove the wires, it eliminates the discomfort and appearance of exposed metal.

The paradox is that each approach's potential benefits have the potential to undermine the other's, making it difficult to determine which method provides the best overall outcome. This inherent conflict between immediate efficiency and potential long-term benefits creates a genuine paradox in surgical decision-making

This debate isn't just about K-wires; it highlights broader issues in surgical practices that are hard to prove in trials but impact our work. It raises questions like dissolvable vs. non-dissolvable sutures, showing how we balance evidence-based practices with real-world experience and resource limits. 

P'Fella ❤️

  
****tl;dr**  
  
The "Buried K-wire paradox" highlights a conflict in plastic surgery: exposed K-wires save time and reduce hospital stays, while buried K-wires has the potential to lower infection risk and increase comfort, with 80% favouring exposed K-wires  
  
## The Sunday Quiz

**\*Drumroll*🥁**\* We've got winners!*

****Congratulations to the Winners** of The Weekly Quiz!  
  
We're thrilled to announce the winners of this edition's quiz. After six rounds of questions on plastic surgery, our top scorers are ****Alex**, ****Maitumelo**, ****Hatan**, and ****Paul**.  
  
With a tie at the top, we're considering a playoff, possibly live on our podcast! We'll contact the finalists soon.  
  
Thank you to everyone who participated. Stay tuned for more fun quizzes in future editions

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/05/Leaderboard-Team-Post-Template.png)

  
Here's the rest of the leaderboard

## Behind the ‘Fella

**The Trailer is here!* 

🎉 Exciting News! Our new podcast, "Behind the Fella," is now live on Apple Podcasts and Spotify!   
  
Join us for exclusive insights from our team meetings and engaging discussions on plastic surgery with our fellows. Get a unique, behind-the-scenes look at our practice! 

****Subscribe on** [****Spotify**](https://open.spotify.com/show/46pGp957C6aXCUKSqe03qR?ref=theplasticsfella.com) **or** [****Apple**](https://podcasts.apple.com/ie/podcast/behind-the-fella/id1746377600?ref=theplasticsfella.com)

**🌟 The first episode drops tomorrow! 🌟**   
  
We’ll explore Ring Avulsion Injury, AI Image Creation, Writing Op-Notes, Reading Patterns, and debate whether Steri-Strips should be applied longitudinally or transversely.

[Subscribe on Apple](https://podcasts.apple.com/ie/podcast/behind-the-fella/id1746377600?ref=theplasticsfella.com)

[Subscribe on Spotify](https://open.spotify.com/show/46pGp957C6aXCUKSqe03qR?ref=theplasticsfella.com)

  
## the Fellows' Corner

**What have the fellows been up to?*

  
Our team has been hard at work creating fantastic new content for our community, including fresh **articles**, clinical **cases**, and surgical **techniques** focused on tumors. Don't miss our recent article on **Seymour Fractures**

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/05/Main-Article-Images--5--1.png) 

#### Seymour Fractures

[****Definition** ](https://www.theplasticsfella.com/seymour-fracture/#definition-of-seymour-fracture)A Seymour fracture is an open, displaced distal phalangeal physeal fracture with an associated nailbed injury.

[****Anatomy** ](https://www.theplasticsfella.com/seymour-fracture/#anatomy-of-seymour-fracture)They present as mallet fingers with a flexion deformity due to the level of flexor and extensor tendons at the distal phalanx.

[****Clinical Features**  ](https://www.theplasticsfella.com/seymour-fracture/#clinical-features-of-seymour-fracture)Crush injuries associated with a nail plate avulsion and proximal nail bed interposition at the fracture site. 

[****Investigations** ](https://www.theplasticsfella.com/seymour-fracture/#investigations-for-seymour-fracture)X-rays are required for adequate diagnosis with distinct features seen on the lateral view.

[****Treatment** ](https://www.theplasticsfella.com/seymour-fracture/#treatment-of-seymour-fracture)Treatment is multimodal and involves irrigation, debridement, reduction, fixation, and antibiotics.

[****Complications** ](https://www.theplasticsfella.com/seymour-fracture/#complications-of-seymour-fracture)Include osteomyelitis, nail dystrophy, non-union or malunion, and growth disturbances of the distal phalanx.

[Read the Article](https://www.theplasticsfella.com/seymour-fracture/) 

## Articles of the Week

**3 interesting articles with 1 sentence summaries.* 

1️⃣

***What are the possible complications of injecting soft-tissue fillers?** ([Ozturk](https://academic.oup.com/asj/article/33/6/862/2801380?searchresult=1&ref=theplasticsfella.com), 2013)  
  
Explore the risks associated with soft-tissue fillers such as necrosis and blindness, along with high-risk injection sites.

2️⃣

***Wearable Activity Monitors (WAMs) in tracking postoperative recovery** ([Kwasnicki](https://www.jprasurg.com/article/S1748-6815%2824%2900232-8/fulltext?ref=theplasticsfella.com), 2024)  
  
Discover how WAMs help track gradual improvement in patients' functional mobility over six months after abdominal wall surgery.

3️⃣

***The financial impact of cosmetic surgery tourism** ([Roberts](https://www.sciencedirect.com/science/article/abs/pii/S1479666X24000441?dgcid=author&ref=theplasticsfella.com), 2024)  
  
A five-year look back at Canniesburn Plastic Surgery Unit highlights the high costs and common complications, showing the importance of better patient awareness and stronger global policies.

## Feedback

### I hope you enjoyed it 😄

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