> ## 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.

# 🗞 thePlasticsPaper - Black Friday sales...
- URL: https://www.theplasticsfella.com/theplasticspaper-november-28th/
- Published: 2021-11-28T17:43:58.000Z
- Updated: 2024-11-19T14:21:07.000Z
- Description: Curated evidence-based Plastic Surgery, every week. It can be hard to find time to keep up-to-date with all the reading. thePlasticsPaper sends you 1 email per week - just the highlights!
- Author: PlasticsFella
- Tags: thePlasticsPaper

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## 💬 In This Week's Edition

1. [✍️ P'Fella looks at Black Friday Sales for Submission Fees ](https://www.theplasticsfella.com/theplasticspaper-november-28th/#a-letter-from-pfella)
2. [📝 Article of the Week - Should we bury K-wires??](https://www.theplasticsfella.com/theplasticspaper-november-28th/#article-of-the-week)
3. [🤓 Quiz Competition - Get to the top of the Leaderboard](https://www.theplasticsfella.com/theplasticspaper-november-28th/#quiz-competition)
4. 🎭 [Upcoming Plastic Surgery Events](https://www.theplasticsfella.com/theplasticspaper-november-28th/#upcoming-events)
5. 🔜 [Interviews and Exams - 2 new features coming soon! ](https://www.theplasticsfella.com/theplasticspaper-november-28th/#coming-soon)
6. 🧐 [Feedback! ](https://www.theplasticsfella.com/theplasticspaper-november-28th/#feedback)

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## ✍️

## A Letter from P'Fella

**We all know what Black Friday is, right?!**

It's the moment of the year when prices of products are increased on a Thursday and then suddenly reduced to a "reduced" price on a Friday. Whilst there are some great deals to be had, some of them are quite predatory. 

This made me wonder, **why aren't those predatory journals advertising any black Friday deals?** I’m surprised predatory journals aren’t offering Black Friday sales on their fees to submit manuscripts. After all, they do have a history of offering "sales". Check it out below 👇

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/11/thePlasticsPaper-Logo-12.png)

"Sales" on Journal Submission Fees

The unfortunate downward spiral of medical education. Perhaps it should all be decentralized by a DAO ([which recently tried to by the US constitution](https://www.wsj.com/articles/copy-of-constitution-sells-for-43-2-million-as-crypto-group-is-outbid-11637285144?ref=theplasticsfella.com)). 

It's fair to say at this point, there is a general consensus in the plastic surgery community on the current negative state of journals and publications. In a [previous edition of thePlasticsPaper](https://www.theplasticsfella.com/theplasticspaper-october-31st/), P'Fella asked users if they thought journals can be predatory.. here are the results...

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/11/thePlasticsPaper-Logo-13.png)

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## 📝

## Article of the Week

[![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/11/thePlasticsPaper-Logo-14.png)](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977964/pdf/gox-6-e1747.pdf?ref=theplasticsfella.com)

**Buried vs. Exposed Kirschner Wires after Hand Fracture Fixation: Clinician & Patient Survey*

This [PRS Global Open Publication](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977964/pdf/gox-6-e1747.pdf?ref=theplasticsfella.com) 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](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977964/?ref=theplasticsfella.com). 

**Here are some stats 👇**

- \~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 👇**

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

**Patient's perspective 👇** 

- Exposed K-wires → more concerned about infection.

**Conclusion👇**

- Decisions to bury or expose K-wire are based on dogma rather than evidence.
- WIRE Research Collaborative published a [protocol](https://pubmed.ncbi.nlm.nih.gov/34140031/?ref=theplasticsfella.com) for further research.

### How did P'Fella come across this article??

A really interesting discussion happened on [Twitter](https://twitter.com/PlasticsFella/status/1463224271266885636?s=20&ref=theplasticsfella.com) this week. P'Fella [tweet](https://twitter.com/PlasticsFella/status/1463224271266885636?s=20&ref=theplasticsfella.com) a poll that received +100 votes. **Should we bury K-wires?**

The results of the [Twitter pol](https://twitter.com/PlasticsFella/status/1463224271266885636?s=20&ref=theplasticsfella.com)l are very one-sided 👇 During the thread discussion, this article was pointed out. 

> 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)

Twitter Poll - Should we bury K-wires? 

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## 🤓

## Quiz Competition

This is the [third installment](https://quiz.theplasticsfella.com/?ref=theplasticsfella.com) of the international [Quiz Competiton](https://quiz.theplasticsfella.com/?ref=theplasticsfella.com). It's only in its early days, but its end goal is to create an international leaderboard to determine ["who is the smartest Plastic Surgeon".](https://quiz.theplasticsfella.com/?ref=theplasticsfella.com)

[![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/11/Craniosynostosis-11.png)](https://quiz.theplasticsfella.com/?ref=theplasticsfella.com)

[Click here to do the test!](https://quiz.theplasticsfella.com/?ref=theplasticsfella.com)

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## 🎭

## Upcoming Events

1. [**Pulvertaft**](https://pulvertafthandcentre.org.uk/derby-on-line-teaching-programme/?ref=theplasticsfella.com#Donald2):29th November - Sports Injuries with Mike Hayton.
2. [**ICCPCA Cleft:**](https://cleft2022.com/iccpca-webinar/?ref=theplasticsfella.com) 27th November - Speech Surgery for VPI
3. [**Stoke Mandeville Plastics:**](https://www.stokemandevilleplastics.com/webinars?ref=theplasticsfella.com) 30th November - Skin Cancer Recon
4. **BAAPS**: 1st December - Cosmetic Surgery Certification
5. **PLASTA**: 2nd December - Innovation in Plastic Surgery
6. **BAPRAS 75 years:** 3rd December
7. [**2nd Stoke Mandeville Plastic Surgery Symposium**](https://www.stokemandevilleplastics.com/meetings?ref=theplasticsfella.com) \- 14th December
8. [**BSSH**](https://www.bssh.ac.uk/about/events/4454/bssh%5Fchristmas%5Fmeeting%5F2021?ref=theplasticsfella.com)**:** 16th December - Christmas Meeting 2021

  
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## 🚀

## Coming Soon! 

thePlasticsFella is **always** growing. Always trying to improve current features and developing exciting new educational opportunities. In the next couple of months, 2 new features will be rolling out - **they might be perfect for you!** 

### [thePlasticsQuiz](https://www.theplasticsfella.com/quiz-coming-soon/)

The commonest one for Plastic Surgery trainees to revise is through practice questions. So P'Fella and the community is currently building the largest online questionbank. 

You can reserve your place on the waiting list [here](https://www.theplasticsfella.com/quiz-coming-soon/). 

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/11/thePlasticsQuiz-3.png)

[Yes, I'm Interested!](https://www.theplasticsfella.com/quiz-coming-soon/)

### [thePlasticsInterview](https://www.theplasticsfella.com/interview/)

P'Fella loves 2 seasons - Christmas and Interviews. This is a brand new version for 2021/2022 interview season.

If you have an upcoming interview, [check out](https://www.theplasticsfella.com/interview/) what is coming soon!

[![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2021/11/Plastic-Surgery-Interview---Landing-Page-45.png)](https://www.theplasticsfella.com/interview/)

[Yes, I have an upcoming Interview](https://www.theplasticsfella.com/interview/)

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## 🧐 

## Feedback! 

As always, P'Fella is **always** looking for feedback! If you have any suggestions, comments or thoughts then feel free to reply to this email! thePlasticsFella is built on the work of the Plastic Surgery community. So, thank you :) 

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