Year: 2024
Type: article
Study design: Case Report
Abstract: Pretibial traumatic hematomas, a subtype of subcutaneous tension hematomas, are a frequent but understudied injury seen predominantly among the elderly. This patient cohort has a high incidence of comorbidities and frailty. They are frequently taking antiplatelet medications and systemic anticoagulants. The treatment of these injuries can be costly and associated with significant morbidity and even mortality. Early detection and treatment are important when managing pretibial hematomas with the potential for skin necrosis. We report on a case where we performed how early operative debridement, negative pressure wound therapy, and subsequent split-thickness tissue grafting may be an effective management strategy for pretibial hematomas and suggest the importance of establishing standardized institutional approaches for their management.
Source: Cureus
DOI: 10.7759/cureus.72340
Language: English
Topic: Case Reports on Hematomas
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4403779172
