Severe Forearm Open-wound Muscular Laceration - Tips for Muscle Sutures

Description

In this informative video, Dr. Sergio Rowinski from Shoulder Planet presents a detailed case study on a severe muscular laceration of the forearm in a 61-year-old construction worker, who suffered a traumatic injury after falling from a stair and being impaled by a nail. The laceration covered 35 to 40 centimeters in the medial part of the forearm, affecting the flexor-pronator musculature without any fractures. Throughout the presentation, Dr. Rowinski discusses the surgical approach taken, which included meticulous washing and suturing of the muscular units using simple and Kessler sutures, with a focus on reattaching the epimysium.



Despite the initial grim prognosis, the patient displayed remarkable recovery post-surgery, with a pain-free experience and no signs of infection within weeks. The video emphasizes the importance of proper surgical techniques and early rehabilitation, supported by relevant literature indicating that meticulous suturing allows for such outcomes. Dr. Rowinski shares insights on different suture techniques and the significance of incorporating the epimysium for enhanced biomechanical strength. He concludes by encouraging viewers to engage with the content and seek further clarifications, fostering a community of learning and support.

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