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General Orthopaedics

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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXIX | Pages 258 - 258
1 Sep 2012
Stammers J Williams D Berber O Abidin SZ Hunter J Leckenby J Vesely M Nielsen D
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Aims

The BOA/BAPRAS guidelines for the management of open tibial fractures (2009) recommend early senior combined orthoplastics input and appropriate facilities to manage a high caseload. St Georges Hospital is one of four London Trauma Centres fulfilling these criteria. Our aim is to determine whether becoming a trauma centre has affected the management of patients with open tibial fractures.

Methods

Data were obtained prospectively on consecutive open tibial fractures during two 8 month periods: before and after becoming a Major Trauma Centre (May 2009–Dec 2009 and April 2010–Oct 2010 respectively). Data on patient pathway including, admitting hospital, length of stay, timing and number of operations were recorded.