- Podcast
- 05/11/2020
- UK
The Orthopaedic Trauma Society Classification of Open Fractures
Description
This podcast episode from The Bone & Joint Journal, hosted by Andrew Duckworth, focuses on an editorial about the classification of open fractures and the need for modernization in this area. Duckworth thanks the audience and authors for their support throughout the series, emphasizing the journal's goal of improving accessibility and visibility of the work published.
The episode features guest experts Alex Trompeter and Matt Costa, who discuss the significance of proper classification systems in guiding treatment for open fractures and reflect on historical practices that may not be applicable today. Trompeter outlines that many existing classification systems are complicated and often more focused on the surgeons' perspective rather than patient outcomes.
The proposed classification divides open fractures into two main categories: "simple" fractures, which can be managed similarly to closed fractures, and "complex" fractures, which require significant reconstructive efforts and lead to more intricate treatment pathways and outcomes. This new classification aims to be more patient-centered, addressing the functional prognosis and patient-reported outcomes rather than merely descriptive codes.
The conversation highlights the limitations and subjectivity of existing systems, showcasing the need for an evidence-based approach that correlates classifications with actual patient experiences and outcomes. Overall, this episode calls attention to the evolution of practices and the importance of adapting classifications in line with modern patient care.