Bury K-wires? Sunday Quiz Winners, Trending Cosmetic Articles.

Also: Behind the 'Fella trailer is release, & new content in theFellow's Corner
Bury K-wires? Sunday Quiz Winners, Trending Cosmetic Articles.

In this week's edition

  1. ✍️ Letter from P'Fella
    The Buried K-Wire Paradox
  2. 🤓 The Sunday Quiz + Leaderboard
    Winners announced! And we got a tie!
  3. 🎙️ Trailer Release!
    Listen to Behind the 'Fella trailer!
  4. 🎓 theFellow's Corner
    What's new with the team?
  5. 🔥 Cosmetic Articles of the Week
    Soft-tissue fillers, WAMs, & cosmetic tourism
    With 1 sentence summaries!
  6. 💕 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. 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.

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 ❤️


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

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 or Apple

🌟 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.

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

Seymour Fractures

A Seymour fracture is an open, displaced distal phalangeal physeal fracture with an associated nailbed injury.

They present as mallet fingers with a flexion deformity due to the level of flexor and extensor tendons at the distal phalanx.

Clinical Features
Crush injuries associated with a nail plate avulsion and proximal nail bed interposition at the fracture site.

X-rays are required for adequate diagnosis with distinct features seen on the lateral view.

Treatment is multimodal and involves irrigation, debridement, reduction, fixation, and antibiotics.

Include osteomyelitis, nail dystrophy, non-union or malunion, and growth disturbances of the distal phalanx.

Read the Article

Articles of the Week

3 interesting articles with 1 sentence summaries.

What are the possible complications of injecting soft-tissue fillers? (Ozturk, 2013)

Explore the risks associated with soft-tissue fillers such as necrosis and blindness, along with high-risk injection sites.

Wearable Activity Monitors (WAMs) in tracking postoperative recovery (Kwasnicki, 2024)

Discover how WAMs help track gradual improvement in patients' functional mobility over six months after abdominal wall surgery.

The financial impact of cosmetic surgery tourism (Roberts, 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.


I hope you enjoyed it 😄

About the author

One platform for everything
Plastic Surgery

A curated suite of educational tools designed specifically for the evidence-based Plastic Surgeon.

Go Pro with a Free Trial

Great! You’ve successfully signed up.

Welcome back! You've successfully signed in.

You've successfully subscribed to thePlasticsFella.

Success! Check your email for magic link to sign-in.

Success! Your billing info has been updated.

Your billing was not updated.