Outcome of the management of open XXXX in an ortho-plastic specialist centre.

@entity1 @entity1171
INTRODUCTION: We reviewed the functional outcome of 68 @entity1 with open @entity1171 managed in an orthoplastic specialist centre. MATERIALS AND METHODS: @entity1 managed at Frenchay Hospital over a 6 year period were divided into 3 groups: group P were @entity1 initially seen and managed at Frenchay Hospital (an orthoplastic specialist centre), group S were @entity1 stabilised at a different unit and referred for definitive management, while group R were @entity1 managed in a different unit and referred following complications. Injuries were graded using the AO score and outcome was measured using the Enneking score (both validated). RESULTS: 19 @entity1 (group P, mean age: 43 years), 26 @entity1 (group S, mean age: 41 years) and 23 @entity1 (group R, mean age: 41.9 years) made the cohort. 82.4% @entity1 required free tissue transfer. Mean AO scores of groups P, S and R were 11.5, 12.3 and 9.7 (p+0.03). Mean number of procedures for P, S and R were 2.6, 3.5 and 4.2 (p=0.0006). Mean follow up time was 55.5, 61.0 and 57.0 weeks respectively (p=0.72). Mean Enneking scores for groups P, S and R were 63.3, 74.8 and 73.5 (p=0.16). CONCLUSION: @entity1 from groups S and R underwent more procedures. However, a similar outcome can be achieved, highlighting the importance of managing such injuries in an orthoplastic specialist centre.
