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Related Experiment Video

Updated: Sep 29, 2025

Massive Pontine Hemorrhage by Dual Injection of Autologous Blood
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Pretibial hematomas - A real-world single-center study.

T Seppälä1, V Grünthal2, V Koljonen1

  • 1Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

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|March 25, 2022
PubMed
Summary
This summary is machine-generated.

Dermatoporosis, a condition of fragile skin, significantly increases the risk of skin necrosis and surgical intervention for elderly patients with pretibial hematomas. Early diagnosis and surgical evacuation are crucial for better outcomes.

Keywords:
DermatoporosisHematoma evacuationPlastic surgeryPretibial hematomaPretibial injury

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Area of Science:

  • Geriatric Medicine
  • Dermatology
  • Vascular Surgery

Background:

  • Pretibial hematomas in elderly patients can lead to complications like skin necrosis.
  • Identifying risk factors is crucial for managing these hematomas effectively.

Purpose of the Study:

  • To analyze treatment, outcomes, and risk factors for skin necrosis in elderly patients with pretibial hematomas.
  • To identify factors associated with prognosis and the need for operative treatment.

Main Methods:

  • Retrospective analysis of 60 patients (≥65 years) treated for pretibial hematomas (2015-2019).
  • Comparison of patient cohorts with distinct outcome trajectories.
  • Review of medical records for skin quality, comorbidities, and treatment details.

Main Results:

  • 41.7% of patients required hematoma evacuation, primarily due to skin necrosis.
  • Dermatoporosis (poor skin quality) was a significant predictor of complicated outcomes (p<0.0001).
  • Operatively treated patients had higher comorbidity indices, greater need for walking aids, and prolonged hospitalizations.

Conclusions:

  • Dermatoporosis is a key risk factor for skin necrosis and adverse outcomes in pretibial hematoma patients.
  • Prompt surgical evacuation is recommended for fragile patients with dermatoporosis to prevent complications.
  • Delayed diagnosis and misdiagnosis (e.g., erysipelas, DVT) highlight the need for increased recognition of pretibial hematomas.