If in any doubt about the severity, extent, and need for a plastic surgeon for your child's laceration, REQUEST ONE! Full thickness lacerations in visible locations, especially along the face should be evaluated by a Board Certified Plastic surgeon if available. Fine suturing may be required to reduce future scarring. Cuts or lacerations along the mouth, periorbital, or nasal area should often be repaired by the plastic surgeon. Smaller lacerations, that are NOT full thickness, may be cleaned and closed by emergency physicians at their discretion. Remember, if in any doubt, request a plastic surgeon if you are uncertain and if available.
E Brantley. Burns, MD
Specialty: Hand Surgery
- hand surgery
- orthopedic surgery
Location and Office HoursTennessee Orthopaedic Clinics
105 W Troutman
Knoxville, TN 37916
- monday: 8:00AM - 5:00PM
- tuesday: 8:00AM - 5:00PM
- wednesday: 8:00AM - 5:00PM
- thursday: 8:00AM - 5:00PM
How do I know if my child's cut needs a plastic surgeon?
Stuart Linder, MD, Plastic/reconstructive Surgery, answered
What precautions should I take after a posterior hip replacement?
The traditional posterior hip replacement is a well-known approach that has a good track record. The downside of the posterior approach is the risk of dislocating your hip replacement after the surgery. Therefore, you must maintain some precautions for a period of time after a posterior hip replacement, including:
- You can’t sit too low in a chair.
- You can’t bring your knees together while you sleep.
- You can’t bend over too far.
Why are women susceptible to knee injuries?
Scott Martin, MD, Orthopedic Surgery, answeredSome knee injuries, notably those of the strong central ligament of the knee, the anterior cruciate ligament (ACL), occur more than twice as often in women than in men. The explanation is a combination of anatomy, hormones, and differences in fitness training.
As a group, women's knees are different from men's. Women's hips tend to be wider, so the thighbone reaches the knee at the larger Q-angle, sometimes giving a slightly knock-kneed appearance. Of the four quadriceps muscles, the three extending to the outside of the hip are often stronger, tugging the kneecap in that direction—sometimes enough to cause pain.
Estrogen is a suspect in women's knee vulnerability. Some (but not all) studies show that female athletes injure their knees more frequently at ovulation, when estrogen levels are high. Researchers speculate that high levels of estrogen and other hormones, which make ligaments more flexible during pregnancy, might also make knee ligaments more prone to injury.
Ordinarily, flexibility is a good thing because it allows tissues to stretch farther without tearing. But if ligaments and muscles supporting the knee are overly flexible, they may absorb less of the stress of an impact. This forces the joint to absorb more of the impact, possibly rupturing the ACL.
Other experts suggest that training techniques and muscle use among female athletes may be the culprit. Women tend to run in a more upright position, strongly contracting the quadriceps muscles on the front of their thighs (rather than their often-weaker hamstrings) and putting more strain on their ligaments. When jumping, women tend to land more on one leg or with straighter legs especially with a quick stop, such as when planting the legs in basketball.
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