Workload and prevalence of openwounds in the community: French Vulnus initiative.
PubMed
Meaume, S; Kerihuel, J C; Fromantin, I; Téot, L
2012-02-01
To calculate the prevalence of open cutaneous wounds presented on a routine working day in community settings in metropolitan France, and to estimate the workload associated with the care of these wounds by nurses, GPs and specialists (dermatologists, diabetologists and phlebologists). A transversal epidemiological survey was conducted on a randomly selected sample of the above practitioners between June and July 2008. The percentage of patients presenting on a routine working day with open a cutaneous lesion of any origin, location, size and duration was assessed. All local and systemic care performed on the patient during that day because of the wound was also recorded. In total, 475 GPs, 453 specialists and 238 nurses participated (n=1166) and saw a total of 29 663 patients, of whom 3037 presented with one or more cutaneous wound. The overall non-weighted prevalence of patients with a wound was 10.2% (95%CI: 9.9%;10.6%). This prevalence was similar for GPs (6.0%) and for specialists (6.9%), but was higher for nurses (22.0%). Forty-three per cent of all wounds had a duration of over 6 weeks. These chronic wounds were predomi
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External fixation in open tibial fractures best evidence
1. EXTERNAL FIXATION IN OPEN TIBIAL FRACTURES-BEST EVIDENCE Hitesh Gopalan U Clinical Asst Professor www.orthoevidence.com www.orthopaedicprinciples.com 2. Extensive Research Reamed Vs Unreamed External Fixation Vs Nailing Ex Fix followed by Delayed Nailing SPRINT trial, Tornetta et al.,, Bhandari et al., Petrisor et al., Schemitsch et al., Swiontkowski et al..Giannoudis et al.. 4. External Fixation 3B Bone loss Extensive periosteal stripping Contamination Delayed Presentation 5. Meta analysis 5 Randomised control trials comparing Ex Fix Vs Nailing Ex Fix Vs Nailing: no difference in deep infection rates The no of patients with type 3B injuries was low(eg., SPRINT Trial) Bhandari M, Guyatt GH, Swiontkowski MF, Schemitsch EH: Treatment of open fractures of the shaft of the tibia. J Bone Joint Surg Br 2001;83:62-68 LEVEL 2. 6. High Quality RCT Need for a high quality RCT that compares nailing Vs external fixation in 3B fractures 7. Infection after IM nailing Catastrophe Multiple Surgeries Prolonged treatment Circular Fixator 8. Grading of Complications Reoperation Dynamisation Bone Grafting Pin tract infections Treatment for an infected IM nail 9. Cier 
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AIM AND OBJECTIVES IN Say publicly RESEARCH..pptx
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