An Emergency Medicine Foundation (EMF) funded study into the treatment of a common hand injury is set to make a significant impact to fracture patient recovery times while also helping to ease Emergency Department demand.
Gold Coast University Hospital Emergency Department physician and research lead, Richard Pellatt said the randomised, controlled trial of 126 patients who presented with a ‘boxer’s fracture’ compared the outcomes from the routine practice of plastering these injuries, with a more ‘user friendly’ approach.
“We see up to ten patients presenting with a fifth metacarpal fracture of neck of the hand per week, many of which are working age men in their mid-20’s,” Dr Pellatt said.
“Having an immobilised hand in plaster cast results in a significant amount of time off work and subsequent loss of income, and sport and social activities for these patients,” he said.
“When we buddy taped, we found the patients generally spent 30 minutes less in the ED than plaster patients and went back to work within seven days of presenting, with some resuming normal activities straight away.”
Dr Pellatt said boxer’s fracture patients were a notoriously difficult group to follow up post-ED treatment, with very few attending their outpatient clinic appointment.
“Buddy tape patients could be followed up over the phone or with their GP, rather than attending the fracture clinic for orthopaedic specialist review,” he said.
“This in turn frees up appointments for patients with more acute orthopaedic needs and frees up some time for orthopaedic specialists and plaster technicians.”
Emergency physician Gerben Keijzers said when the study commenced three years ago it was the only Australian trial of its kind on a local population.
“A $17,000 grant from the Emergency Medicine Foundation was a big boost for the trial and allowed us to hire a full-time research nurse to follow patients and put some money towards the statistical analysis from our Griffith University colleagues,” Mr Keijzers said.
Emergency Medicine Foundation General Manager, Dr Sonĵ Hall said the buddy taping research had led to a rapid change in clinical practice, which was benefiting both patients and the emergency healthcare system.
“Dr Richard Pellatt’s buddy taping research is an example of the quality research funded by the Emergency Medicine Foundation, which is reducing the ever increasing demands on our emergency departments,” said Dr Hall.
The Emergency Medicine Foundation’s Queensland Research Program is funded by Queensland Health.
Coast doctors have made a breakthrough that could see the end of plaster casts for broken bones.www.7NEWS.com.au#7NEWS
Posted by 7NEWS Gold Coast on Wednesday, 10 July 2019
Posted: 10 July 2019