Research Week Abstract Book - Northern Health

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Orthopaedics SKIN Closure IN Primary TOTAL HIP ARTHROPlasTY AT THE NORThern HOSPITal Bewsher, S, Karagiannis, P, Sandhu, H and Hau RC Background A recent meta analysis suggested the risk of infection was four times greater using staples for skin closure in hip surgery compared to sub-cuticular sutures, but the rates of haemo-serous wound discharge was not statistically different 1. Aim The aim was to demonstrate that in THR, staples lead to not only an increase in infection rates, but also contributed to increased rates of wound ooze resulting in early dressing change and a high rate of temporary clexane cessation. Methods Retrospective audit of 188 consecutive primary THR recipients from a 3-year period (November 2009 to October 2012) was conducted. Data collected included: stapled or sutured closure, dressing change/reinforcement and temporary cessation of clexane. Adverse outcomes were defined as patients recieving oral Abx, or re-admission for IV antibiotics or washouts due to presumed wound infection. Results There were 188 primary THRs on 175 patients; 136 closed with staples and 52 with sutures. In the staples group, each patient had an average of 2.4 dressing changes until healed versus 0.9 for sutures (OR 5.6 (2.15-11.38) p
Orthopaedics ORTHOPAEDICS RETURNING TO DRIVING FOLLOWING LOWER LIMB SURGERY Hau RC and McLeod-Mills L Background Following an injury or surgery to a lower limb patients are keen to return to normal activities such as work, recreation and driving. Advice on returning to driving should be based on knowledge, clinical experience, functional assessment and radiological information. The challenge of advising a patient on when it is safe to return to driving may result in uncertainty with the patient returning too soon 1. A safe return to driving requires the patient to confidently apply appropriate brake force to stop the car in an emergency situation without hesitation. Eighteen studies have been published on return to driving following lower limb surgery in an attempt to provide guidelines for clinicians. Studies included ankle fracture, pre and post joint arthroplasty, ACL repair and knee arthroscopy. Most studies reported brake reaction time (BRT) and total braking time (TBT), few measured break pedal force (BPF) 1. Our study Ankle fractures are common in the adult population and often require surgical intervention. One study suggests that it takes 9 weeks after an ankle has been operated on before it becomes mobile and agile enough to drive 2. Hypothesis The investigators hypothesize that patients will return to driving quicker if they are allowed to start mobilising their ankles sooner following surgery. Methodology Following two weeks in a half plaster patients will be randomised to: • weight bearing in plaster for 4 weeks • early mobilisation in a CAM walker for 4 weeks • non-weight bearing in plaster for 4 weeks (control) We plan to test driving reaction between three groups of patients at 6, 8, 10, 12 and 24 weeks post surgery. Data measured to achieve an emergency stop will include; BRT, TBT and BPF. 55
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2013 Research Week Abstract Book Br
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contents appointments contents at L
Page 5 and 6: Introduction Health Literacy And Cl
Page 7 and 8: Introduction cont’d IntRODUCTION
Page 9 and 10: Event Schedule cont’d event sched
Page 11 and 12: ABSTRACTS Abstracts 9
Page 13 and 14: Aged Care Aged Care Does physiother
Page 15 and 16: Aged Care Aged Care A COMParison OF
Page 17 and 18: Aged Care Aged Care FALLS TRENDS WI
Page 19 and 20: Aged Care 17
Page 21 and 22: Chronic Disease Management A SYSTEM
Page 23 and 24: Chronic Disease Management APProPri
Page 25 and 26: Chronic Disease Management INTRODUC
Page 27 and 28: CHROnIC DISEASE Management 25
Page 29 and 30: Haematology HaematOLOGY THE IMPleme
Page 31 and 32: Haematology HaematOLOGY HIGH-DOSE M
Page 33 and 34: Haematology HaematOLOGY Intermitten
Page 35 and 36: HaematOLOGY 33
Page 37 and 38: Women’s Health and Paediatrics MU
Page 39 and 40: Women’s Health and Paediatrics TH
Page 41 and 42: Women’s Health and Paediatrics IM
Page 43 and 44: Women’s Health and Paediatrics SA
Page 45 and 46: Health Service Evaluation ESTablish
Page 47 and 48: Health Service Evaluation EValuaTIN
Page 49 and 50: Health Service Evaluation INNOVATIV
Page 51 and 52: Health Service Evaluation EMERGENCY
Page 53 and 54: Health Service Evaluation Northern
Page 55: Orthopaedics ORTHOPAEDICS DisTAL RA
Page 59 and 60: Orthopaedics ORTHOPAEDICS THEATre S
Page 62: Broadmeadows Health Service 35 John
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Research Week Abstract Book - Northern Health

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