A full time regional ortho-plastic unit; initial results

Sargazi, Nastaran; El-Gawad, Ahmed; Narayan, Badri; Bell, Darren; Shanks, L.; Nayagam, Selvadurai; Graham, Kenneth E.

doi:10.1016/j.bjps.2015.12.005

Cited by 6 publications

(12 citation statements)

References 3 publications

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“…In our original paper, "A full time regional ortho-plastic unit; initial results" [8], we described our experience of trauma care, focusing on the management of trauma patients with injuries requiring input from both orthopaedic and plastic surgeons [8]. This combined ortho-plastic approach is a well established concept in the management of those with extremity trauma, with its cornerstone being combined surgical care from both specialities [9].…”

Section: Resultsmentioning

confidence: 99%

“…As previously mentioned, these vast improvements were not only due to constant availability of a plastic surgeon within our unit but also due to the increased ease of communication between the orthopaedic and plastic surgeons in addition to the presence of a dedicated trauma theatre available for the management of such trauma patients [8]. This ortho-plastic model has highlighted the positive impact of combined surgical care in enabling management of bony and soft tissues injuries, hence allowing earlier mobilisation and discharge of patients to help improve functional outcomes and reduce complications associated with prolonged lengths of in-patient stay [8]. Hence we feel it is a model which should be used in other regional MTCs.…”

Section: Aortho-plastic Model Of Trauma Carementioning

confidence: 99%

“…Given the increasing number of trauma patients admitted to RLH, expansion of our trauma and orthopaedic department, a regional unit which also consists of ortho-plastic, sarcoma and foot and ankle services has resulted in a surprisingly large improvement in the care of both those with acute and chronic injuries. In this paper we describe the progress of our services since our original paper, "A full time regional ortho-plastic unit; initial results" [8].…”

Section: Orthopedics and Rheumatologymentioning

confidence: 99%

“…Following the addition of a consultant plastic surgeon within our unit in September 2014, all trauma patients requiring plastic surgical input for soft tissue coverage were managed within our regional T&O unit (prospective group), unless a free flap was required, in which case they were transferred to the regional plastic unit due to current lack of facilities for free flap construction and monitoring at our T&O unit [8]. The initial results of such intervention was examined and published in our original paper [8], showing a 83% decrease in time until plastic surgical review and 67% decrease in time until soft tissue coverage in addition to a 79% and 78% reduction in length and cost of inpatient stay respectively [8] (Table 1). As previously mentioned, these vast improvements were not only due to constant availability of a plastic surgeon within our unit but also due to the increased ease of communication between the orthopaedic and plastic surgeons in addition to the presence of a dedicated trauma theatre available for the management of such trauma patients [8].…”

Section: Aortho-plastic Model Of Trauma Carementioning

confidence: 99%

“…The initial results of such intervention was examined and published in our original paper [8], showing a 83% decrease in time until plastic surgical review and 67% decrease in time until soft tissue coverage in addition to a 79% and 78% reduction in length and cost of inpatient stay respectively [8] (Table 1). As previously mentioned, these vast improvements were not only due to constant availability of a plastic surgeon within our unit but also due to the increased ease of communication between the orthopaedic and plastic surgeons in addition to the presence of a dedicated trauma theatre available for the management of such trauma patients [8]. This ortho-plastic model has highlighted the positive impact of combined surgical care in enabling management of bony and soft tissues injuries, hence allowing earlier mobilisation and discharge of patients to help improve functional outcomes and reduce complications associated with prolonged lengths of in-patient stay [8].…”

Section: Aortho-plastic Model Of Trauma Carementioning

confidence: 99%

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The Liverpool Ortho-Plastic Model

Gawad¹

2016

OROAJ

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Introduction:The ever increasing incidence of trauma and its associated multiple complex injuries has paved the way for an ortho-plastic approach to the management of such patients within the recently introduced "Major Trauma Centres" (MTCs). Unfortunately, many MTCs lack the presence of an on-site plastic surgical team, which may delay treatment in those requiring input for soft tissue coverage. The presence of plastic surgeons within a MTC or regional trauma units does not only improve the level of care provided in acute injuries but enables the establishment of multiple elective services for those with chronic bone and joint conditions. Patients and Materials:In this paper we describe the impact on the trauma and elective services provided by our regional trauma and orthopaedic unit at The Royal Liverpool University Hospital following the appointment of a full-time on-site consultant plastic surgeon.Results: The addition of a consultant plastic surgeon within our busy regional trauma and orthopaedic (T&O) unit and has resulted in a profound reduction in time to review and definitive soft tissue coverage in trauma patients in addition to a substantial reduction durations and cost of in-patient stay. Furthermore, we have been able to show a similar trend in our elective sarcoma and foot and ankle patients. Discussion:The constant availability of a plastic surgeon within out T&O unit has facilitated the creation of multiple new services including the foot and ankle MDT to enable a multidisciplinary approach to the management of such patients. Conclusion:This ortho-plastic model is one which should be considered and replicated in all large regional T&O units or MTCs.

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Section: Resultsmentioning

confidence: 99%

Section: Aortho-plastic Model Of Trauma Carementioning

confidence: 99%

Section: Orthopedics and Rheumatologymentioning

confidence: 99%