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dc.contributor.authorTajsic, Nenad
dc.contributor.authorSørbye, Sigrunn Holbek
dc.contributor.authorNguon, Sophy
dc.contributor.authorSokh, Vannara
dc.contributor.authorLim, Aymeric
dc.date.accessioned2022-08-25T09:05:21Z
dc.date.available2022-08-25T09:05:21Z
dc.date.issued2022-01-13
dc.description.abstractIntroduction: The treatment of open lower limb fractures represents a major challenge for any trauma surgeon, and this even more so in resource-limited areas. The aim of the study is to describe the intervention, report the treatment plan, and observe the effectiveness of the Norwegian Open Fracture Management System in saving lower limbs in rural settings.<p> <p>Materials and Methods: A retrospective and prospective interventional study was carried out in the period 2011 through 2017 in six rural hospitals in Cambodia. The fractures were managed with locally produced external fixators and orthosis developed in 2007. Based on skills and living locations, two local surgeons and one paramedic without reconstructive surgery experience were selected to reach the top of the reconstructive ladder and perform limb salvage surgeries. This study evaluated 56 fractures using the Ganga Hospital Open Injury Score (GHOIS) for Gustilo-Anderson Type IIIA and Type IIIB open fracture classification groups. <p>Results: The primary success rate in open tibia fractures was 64.3% (95% CI, 50.3 - 76.3). The average treatment time to complete healing for all of the patients was 39.6 weeks (95% CI, 34.8 - 44.4). A percentage of 23.2% (95% CI, 13.4 - 36.7) experienced a deep infection. Fifteen of the patients had to undergo soft tissue reconstruction and 22 flaps were performed. Due to non-union, a total of 15 bone grafts were performed. All of the 56 patients in the study gained limb salvage and went back to work. <p>Conclusion: The given fracture management program proves that low-resource countries are able to produce essential surgical tools at high quality and low price. Treatment with external fixation and functional bracing, combined with high-level training of local surgeons, demonstrates that a skilled surgical team can perform advanced limb salvage surgery in low-resource settings.en_US
dc.identifier.citationTajsic N, Sørbye SH, Nguon S, Sokh V, Lim. Norwegian Open Fracture Management System: Outcomes after 10 Years Working in Low-Resource Settings in Cambodian Hospitals. Prehospital and Disaster Medicine. 2022;37(1):90-100en_US
dc.identifier.cristinIDFRIDAID 2022487
dc.identifier.doi10.1017/S1049023X21001291
dc.identifier.issn1049-023X
dc.identifier.issn1945-1938
dc.identifier.urihttps://hdl.handle.net/10037/26402
dc.language.isoengen_US
dc.publisherCambridge University Pressen_US
dc.relation.journalPrehospital and Disaster Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleNorwegian Open Fracture Management System: Outcomes after 10 Years Working in Low-Resource Settings in Cambodian Hospitalsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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