External fixation of the hand: a simple approach to comminuted proximal interphalangeal joint fractures.

Proximal interphalangeal joint (PIPJ) fractures are a treatment challenge for hand surgeons. Poor treatment options may lead to stiffness, non-union and markedly reduced range of movement (ROM). We describe our experience using the Hoffman-2 micro static external fixation device (Stryker) in a case series of ten patients with closed comminuted intra-articular PIPJ fractures.

Improving operating theatre efficiency: an intervention to significantly reduce changeover time.

Background: Operating theatre inefficiency and changeover delays are not only a significant source of wasted resources, but also a familiar source of frustration to patients and health-care providers. This study aimed to prove that the surgical registrar through active involvement in patient changeover can significantly improve operating room efficiency and minimize delays.

Methods: A two-phase prospective cohort study was undertaken, conducted over the course of 4 weeks at a single institution.