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Multidisciplinary Management of a Post-Lobectomy Bronchopleural Fistula Using Endobronchial Stent and Dual Muscle Flaps (Pectoralis Major and Serratus Anterior): A Case Report

Sara Degiovanni

Bronchopleural fistula (BPF) is a rare but serious complication of pulmonary resection. Its clinical impact depends on: timing of onset, size, underlying cause and patient’s condition. Management of BPF is complex and ranges from conservative and endoscopic techniques to extensive surgical procedures. A multidisciplinary approach is essential for optimal treatment planning.

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Hoffa’s Fat Pad Loose Body: An Unusual Cause of Knee Pain

Daniel Roos

A 71-year-old male was referred to his orthopaedic surgeon with 6 months of sharp pain antero-laterally in the right knee, catching on flexion/extension, like having a “pebble” in the joint. It was exacerbated on hill climb and worse after a recent volleyball match, requiring frequent paracetamol and meloxicam for analgesia. He reported no “locking” of the knee. There was a history of significant anterior compression trauma to that knee 15-years previously from losing his footing while running upstairs. This was not investigated at the time and the injury settled conservatively, although there were subsequent episodes of moderate pain and swelling following vigorous exercise, managed with physiotherapy and analgesia.

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