Measuring the carbon cost of hand surgery: A single-centre observational study.

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Abstract

Conflict of interest statement: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. 9. Int Orthop. 2017 Feb;41(2):309-313. doi: 10.1007/s00264-016-3318-9. Epub 2016 Nov 2. Clinical series of three hundred and twenty two cases of Achilles tendon section with laceration. Alhammoud A(1), Arbash MA(2), Miras F(2), Said MN(2), Ahmed G(2), Al Dosari MA(2). Author information: (1)Department of Orthopedic Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar. aghammoud85@hotmail.com. (2)Department of Orthopedic Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar. PURPOSE: We aim to report the epidemiology of open Achilles tendon lacerations to determine the incidence of associated complications and identify the factors contributing to the development of the infection after repair and to propose a treatment protocol for this rare injury. METHODS: Retrospective review of the medical charts of patients with open Achilles tendon injury operated and followed up at the orthopedic department at Hamad Medical Corporation, Doha, Qatar, from 2010 to 2015. RESULTS: There were (322) cases of open Achilles tendon lacerations, average age (32.1 years), (97.5 %) male. The most common cause was found to be slipping in the bathroom (81.7 %), followed by injury from sharp objects (15.5 %), and injury while using a grinder (2.8 %). Partial cuts were more common than complete cuts (63.5 %) and (35.9 %). The infection rate was 8.7 %. The patient-related factors that affected the infection rate was age (p = 0.02), diabetes, smoking status, the cause of injury and type of cut did not affect the infection rate. Management-related factors that affected the infection rate were time to surgery (p