Managing and Preserving Tattoos During Orthopaedic Surgery.

Area of Science:

• Orthopaedic Surgery
• Dermatology
• Plastic Surgery

Background:

• Tattoos are increasingly common in surgical sites.
• Surgeons must decide whether to avoid, disregard, border, or incorporate tattoos into incisions.
• Understanding tattoo significance and physiology is crucial for surgical planning.

Purpose of the Study:

• To review the history, value, and physiology of tattoos.
• To outline principles of surgical incision planning around tattoos.
• To provide guidance on managing tattoos in orthopaedic surgery for optimal outcomes.

Main Methods:

• Literature review on tattoo history, physiology, wound healing, and surgical cosmesis.
• Analysis of cosmetic outcomes and tattoo-specific complications post-surgery.
• Development of a decision tree for surgical management of tattoos.

Main Results:

• Tattoos possess personal, social, and artistic value.
• Surgical planning requires consideration of tattoo location, ink depth, and patient expectations.
• Specific techniques can minimize complications and improve cosmetic results when addressing tattoos.

Conclusions:

• A systematic approach is needed for managing surgical site tattoos.
• Decision-making should involve collaboration between surgeons and patients.
• Optimizing cosmetic outcomes and minimizing tattoo-related complications are key goals.