One study compared two-stage

One study compared two-stage find more versus one-stage BKA; one study compared skew flaps BKA versus long posterior flap BKA; and one study compared sagittal flaps BKA versus long posterior flap BKA. Overall the

quality of the evidence from these studies was moderate. BKA using skew flaps or sagittal flaps conferred no advantage over the well established long posterior flap technique (primary stump healing was 60% for both skew flaps and long posterior flap (risk ratio (RR) 1.00, 95% confidence interval (CI) 0.71 to 1.42) and primary stump healing was 58% for sagittal flaps and 55% for long posterior flap (Peto odds ratio (OR) 1.04, 95% CI 0.45 to 2.43). For participants with wet gangrene, a two-stage procedure with a guillotine amputation at the ankle followed by a definitive long posterior flap amputation led to better primary stump healing than a one-stage procedure (Peto OR 0.08, 95% CI 0.01 to 0.89). Post-operative GSI-IX clinical trial infection

rate or wound necrosis, reamputation, and mobility with a prosthetic limb were similar in the different comparisons. Authors’ conclusions There is no evidence to show a benefit of one type of incision over another. However, in the presence of wet gangrene a two-stage procedure leads to better primary stump healing compared to a one-stage procedure. The choice of amputation technique can, therefore, be a matter of surgeon preference taking into account factors such as previous experience of a particular technique, the extent of nonviable tissue, and the location of pre-existing surgical scars.”
“Background: This paper concerns a reflection on one interdisciplinary doctorate supervision project. It outlines key elements for success within this supervisory context. Aim: The aim of this paper is to present a reflection on interdisciplinary doctorate supervision project experience and examine these experiences in light of

literature on the topic. Methods: Reflection was carried out using Rolfe et al. (2010) framework for reflexivity. Findings: The supervised engineering Stem Cells & Wnt inhibitor project aimed to develop, demonstrate and evaluate a new framework for the design of customisable assistive technology (AT) which involved professionals working with AT and users with disabilities. As this research occurs in between disciplines, it required an innovative and interdisciplinary approach, with an ultimate merger between health sciences and design engineering disciplines and external liaison with adults with disabilities and a disability service provider. Conclusion: Interdisciplinary research is popular contemporarily and addresses societal needs. In the case outlined, clear understandings were developed, in addition to clear territorial boundaries that helped guide the novel research.

Comments are closed.