University of Warwick Medical School, Coventry, UK.
Queen Elizabeth Central Hospital, Blantyre, Malawi.
Malawi Med J. 2020 Sep;32(3):112-118. doi: 10.4314/mmj.v32i3.2.
Open fractures are common injuries in Malawi that pose a large burden on the healthcare system and result in long-term disability.
Establishing a multiprofessional agreement on the management of open fractures in Malawi from a consensus meeting.
AO Alliance convened a consensus meeting to build an agreement on the management of open fractures in Malawi. Eighteen members from different professions and various regions of Malawi participated in a 1-day consensus meeting on 7 September 2019. Prior to the meeting the British Orthopaedic Audit Standards for Trauma (BOAST) for open fractures, as well as relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on open fracture management, followed by an open discussion meeting. At the 1-day consensus meeting panel members developed statements for each standard and guideline. Panel members then voted to accept or reject the statements.
Substantial agreement (no rejections) was reached for all 17 guidelines and the associated terminology was agreed on. These guidelines were then presented to the members of the Malawi Orthopaedic Association (MOA) at their annual general meeting on 28 September 2019 and all participants agreed to adopt them.
These MOA/AO Alliance guidelines aim to set a standard for open fracture management that can be regularly measured and audited in Malawi to improve care for these patients.
开放性骨折是马拉维常见的创伤，给医疗体系带来了巨大负担，导致患者长期残疾。
通过共识会议，在马拉维建立多专业人员对开放性骨折管理的协议。
AO 联盟召集了一次共识会议，以制定马拉维开放性骨折管理协议。18 名来自不同专业和马拉维不同地区的成员于 2019 年 9 月 7 日参加了为期 1 天的共识会议。会议前，分发了英国创伤骨科审计标准（BOAST）的开放性骨折标准以及相关系统评价和开创性文献。小组委员会成员就开放性骨折管理进行了专题介绍，随后进行了公开讨论。在为期 1 天的共识会议上，小组成员针对每个标准和指南制定了陈述。然后，小组成员投票决定接受或拒绝这些陈述。
所有 17 条指南都达成了实质性一致（无否决），并就相关术语达成一致。随后，这些指南于 2019 年 9 月 28 日在马拉维骨科协会（MOA）的年会上提交给 MOA 成员，所有与会者都同意采纳这些指南。
这些 MOA/AO 联盟指南旨在为开放性骨折管理设定一个标准，该标准可在马拉维定期衡量和审核，以改善对这些患者的护理。
