[x_section parallax=”true” bg_image=”https://reconstructivesurgerytrials.net/wp-content/uploads/2015/11/Hands-image-1-e1448922294859.png” bg_color=”” style=”margin: 0px 0px 0px 0px; padding: 45px 0px 45px 0px; “][x_row inner_container=”false” marginless_columns=”false” bg_color=”” style=”margin: 0px auto 0px auto; padding: 0px 0px 0px 0px; “][x_column bg_color=”” type=”1/1″ style=”padding: 0px 0px 0px 0px; “][x_gap size=”150px”][/x_column][/x_row][/x_section][x_section style=”margin: 0px 0px 0px 0px; padding: 0px 0px 45px 0px; “][x_row inner_container=”true” marginless_columns=”false” bg_color=”” style=”margin: 0px auto 0px auto; padding: 0px 0px 0px 0px; “][x_column bg_color=”#ffffff” type=”2/3″ class=”left-text ” style=”padding: 0px 0px 0px 0px; “][x_gap size=”20px”][x_custom_headline level=”h2″ looks_like=”h3″ accent=”false”]BSSH National Trauma Audits[/x_custom_headline][x_text]The RSTN is collaborating with the BSSH to deliver a national audit of current practice in managing open flexor and open flexor tendon injuries. [/x_text][x_line][x_custom_headline level=”h2″ looks_like=”h4″ accent=”false” class=”center-text “]UPDATE 15/06/2020[/x_custom_headline][x_text]The manuscripts are now drafted and will be submitted for publication shortly.

Email us at bsshtraumaaudit@gmail.com.[/x_text][x_line][x_custom_headline level=”h2″ looks_like=”h4″ accent=”false” class=”center-text “]UPDATE 15/01/2016[/x_custom_headline][x_text]A big thank you to all of the units that have uploaded data. We now have over 600 flexor tendon injuries and 300 fractures. Well done!
The final upload period is now finished. Please get in touch if with any queries or if you are struggling with missing data.

Email us at bsshtraumaaudit@gmail.com.[/x_text][x_line][x_custom_headline level=”h2″ looks_like=”h4″ accent=”false” class=”center-text “]UPDATE 17/12/2015[/x_custom_headline][x_text]A big thank you to all of the units that have uploaded data. We now have over 520 flexor tendon injuries and 270 fractures. Well done!
Final follow up data needs to be uploaded by 14th January. Any problems get in touch with bsshtraumaaudit@gmail.com.[/x_text][x_line][x_custom_headline level=”h2″ looks_like=”h4″ accent=”false” class=”center-text “]UPDATE 30/11/2015[/x_custom_headline][x_text]As discussed at the BAPRAS Winter Scientific Meeting, ALL cases need to be uploaded by 14th December to ensure collaborator status. Final follow up data needs to be uploaded by 14th January.[/x_text][x_line][x_custom_headline level=”h2″ looks_like=”h4″ accent=”false” class=”center-text “]UPDATE 18/11/2015[/x_custom_headline][x_feature_list][x_feature_box title=”Two audits” title_color=”” text=”We are auditing open flexor tendon injuries and open fractures of the hand over a three month period. As of 18/11/15, 126 fractures and 253 flexor tendon injuries have been registered.” text_color=”” graphic=”icon” graphic_size=”40px” graphic_shape=”circle” graphic_color=”#ffffff” graphic_bg_color=”#b1005d” align_h=”left” align_v=”top” side_graphic_spacing=”20px” max_width=”none” child=”true” connector_width=”1px” connector_style=”dashed” connector_color=”#272727″ graphic_icon=”eye”][x_feature_box title=”Multicentre” title_color=”” text=”This is a primarily a UK audit but includes international centres. A total of 57 hand surgery units are registered.” text_color=”” graphic=”icon” graphic_size=”40px” graphic_shape=”circle” graphic_color=”#ffffff” graphic_bg_color=”#b1005d” align_h=”left” align_v=”top” side_graphic_spacing=”20px” max_width=”none” child=”true” connector_width=”1px” connector_style=”dashed” connector_color=”#272727″ graphic_icon=”share-alt”][x_feature_box title=”Collaborative” title_color=”” text=”We have 126 collaborators registered across the 57 units. ” text_color=”” graphic=”icon” graphic_size=”40px” graphic_shape=”circle” graphic_color=”#ffffff” graphic_bg_color=”#b1005d” align_h=”left” align_v=”top” side_graphic_spacing=”20px” max_width=”none” child=”true” connector_width=”1px” connector_style=”dashed” connector_color=”#272727″ graphic_icon=”group”][/x_feature_list][x_line][x_custom_headline level=”h2″ looks_like=”h5″ accent=”false”]Background[/x_custom_headline][x_text]The RSTN is collaborating with the BSSH to deliver a national audit of current practice in managing open flexor and open flexor tendon injuries.

Hand fractures and flexor tendon injuries are common. There are no national guidelines for the management of either of these injuries. The BSSH have created draft ‘Handstands’ for both flexor tendon injuries and open fractures of the hand (see below for files).[/x_text][x_custom_headline level=”h2″ looks_like=”h5″ accent=”false”]Aims[/x_custom_headline][x_text]The RSTN is collaborating with the BSSH to deliver a national audit of current practice in managing open flexor and open flexor tendon injuries. [/x_text][x_custom_headline level=”h2″ looks_like=”h5″ accent=”false”]Methods[/x_custom_headline][x_text]Prospective audit recruiting all patients presenting with an open hand fracture or an open flexor tendon injury over a 3 month period.

Outcome data collected at 3 months.

Central data collection using the REDCap encrypted database

Audit needs to be registered with local Clinical Audit Department. Caldicott approval not required as information is recorded in the REDCap database without patient identifiable information.

Inclusion criteria
Any acute open flexor tendon injury involving zones 1 – 4 (injuries can be single or multiple)
Any acute open hand fracture (injuries can be single or multiple)

Exclusion criteria
Open tuft fracture
Closed flexor tendon injuries i.e. Jersey Finger[/x_text][x_custom_headline level=”h2″ looks_like=”h5″ accent=”false”]Planned output[/x_custom_headline][x_text]Data will be collated and used to assess current standards of management of these two injuries using key markers. This data will help to guide the development of national standards of care in hand trauma produced by the BSSH.

National guidelines will be introduced to optimise patient management and outcome, guided by the results of this audit.[/x_text][x_custom_headline level=”h2″ looks_like=”h5″ accent=”false”]Authorship[/x_custom_headline][x_text]We are keen to encourage as many Units to participate as possible. Therefore anyone who is involved in the recruitment process and logs 5 patients into the database will be eligible for collaborative author status (Pubmed citation) on any publications and presentations.
[/x_text][x_custom_headline level=”h2″ looks_like=”h5″ accent=”false”]How do I get involved?[/x_custom_headline][x_text]The registration and data collection period has closed.
For any queries or problems with REDCap access contact bsshtraumaaudit@gmail.com.[/x_text][/x_column][x_column bg_color=”” type=”1/3″ style=”padding: 0px 0px 0px 0px; “][x_gap size=”20px”][x_accordion][x_accordion_item title=”Status” open=”true”][icon_list] [icon_list_item type=”check-square-o”]Protocol development [/icon_list_item] [icon_list_item type=”check-square-o”]Site recruitment [/icon_list_item][icon_list_item type=”check-square-o”]Data collection [/icon_list_item] [icon_list_item type=”check-square-o”]Data analysis [/icon_list_item] [icon_list_item type=”square”]Manuscript submission [/icon_list_item][icon_list_item type=”square-o”]Publication [/icon_list_item][/icon_list][/x_accordion_item][x_accordion_item title=”Steering group” open=”false”]Matthew D. Gardiner
Consultant Hand and Plastic Surgeon
Wexham Park Hospital, Slough, UK

Jennifer Lane
NIHR Academic Clinical Fellow in Trauma & Orthopaedic Surgery, Oxford, UK

Emma Reay
Consultant Orthopaedic Surgeon
South Tees Hospitals NHS Foundation Trust

Abhilash Jain
Associate Professor of Plastic Surgery
University of Oxford

Ruth Lester
Consultant Plastic Surgeon
Birmingham Children’s Hospital NHS Foundation Trust

Jill Arrowsmith
Consultant Hand & Plastic Surgeon
Pulvertaft Hand Centre

Shehan Hettiaratchy
Chief of Service, Plastics, Orthopaedics, ENT and Major Trauma
Imperial College Healthcare NHS Trust
[/x_accordion_item][x_accordion_item title=”Trials Unit” open=”false”]No trials unit[/x_accordion_item][x_accordion_item title=”Funding” open=”false”]Supported by the BSSH
No funding [/x_accordion_item][x_accordion_item title=”Downloads” open=”false”]No downloads available[/x_accordion_item][x_accordion_item title=”Contact” open=”true”]redcaplogo

bsshtraumaaudit@gmail.com[/x_accordion_item][/x_accordion][/x_column][/x_row][/x_section]