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Article ; Online: Letter to the editor: Healthcare sustainability: The bigger picture.

Shaw, Abigail V / Wormald, Justin Cr

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

2020 Volume 73, Issue 7, Page(s) 1357–1404

Language	English
Publishing date	2020-05-05
Publishing country	Netherlands
Document type	Letter ; Comment
ZDB-ID	2217750-4
ISSN	1878-0539 ; 1748-6815 ; 0007-1226
ISSN (online)	1878-0539
ISSN	1748-6815 ; 0007-1226
DOI	10.1016/j.bjps.2020.03.028
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Article ; Online: Relative motion orthoses for early active motion after finger extensor and flexor tendon repairs: A systematic review.

Shaw, Abigail V / Verma, Yash / Tucker, Sarah / Jain, Abhilash / Furniss, Dominic

Journal of hand therapy : official journal of the American Society of Hand Therapists

2023 Volume 36, Issue 2, Page(s) 332–346

Abstract: ... rehabilitation.: Conclusions: There is now good evidence that the RM approach is safe in zones V-VI extensor ...

Abstract	Background: The relative motion (RM) orthosis was introduced over 40 years ago for extensor tendon rehabilitation and more recently applied to flexor tendon repairs. Purpose: We systematically reviewed the evidence for RM orthoses following surgical repair of finger extensor and flexor tendon injuries including indications for use, configuration and schedule of orthosis wear, and clinical outcomes. Study design: Systematic review. Methods: A PRISMA-compliant systematic review searched eight databases and five trial registries, from database inception to January 7, 2022. The protocol was registered prospectively (CRD42020211579). We identified studies describing patients undergoing rehabilitation using RM orthoses after surgical repair of acute tendon injuries of the finger and hand. Results: For extensor tendon repairs, ten studies, one trial registry and five conference abstracts met inclusion criteria, reporting outcomes of 521 patients with injuries in zones IV-VII. Miller's criteria were predominantly used to report range of motion; with 89.6% and 86.9% reporting good or excellent outcomes for extension lag and flexion deficit, respectively. For flexor tendon repairs, one retrospective case series was included reporting outcomes in eight patients following zones I-II repairs. Mean total active motion was 86%. No tendon ruptures were reported due to the orthosis not protecting the repair for either the RME or RMF approaches. Discussion: Variation was seen in use of RME plus or only, use of night orthoses and orthotic wear schedules, which may be the result of evolution of the RM approach. Since Hirth et al's 2016 scoping review, there are five additional studies, including two RCTs reporting the use of the RM orthosis in extensor tendon rehabilitation. Conclusions: There is now good evidence that the RM approach is safe in zones V-VI extensor tendon repairs. Limited evidence currently exists for zones IV and VII extensor and for flexor tendon repairs. Further high-quality clinical studies are needed to demonstrate its safety and efficacy.
MeSH term(s)	Humans ; Retrospective Studies ; Orthotic Devices ; Tendon Injuries/surgery ; Tendon Injuries/rehabilitation ; Tendons ; Fingers ; Finger Injuries/surgery ; Finger Injuries/rehabilitation ; Range of Motion, Articular
Language	English
Publishing date	2023-04-08
Publishing country	United States
Document type	Systematic Review ; Journal Article
ZDB-ID	639284-2
ISSN	1545-004X ; 0894-1130
ISSN (online)	1545-004X
ISSN	0894-1130
DOI	10.1016/j.jht.2023.02.011
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Article ; Online: Learning Head and Neck Anatomy Through a Radiological Imaging Platform.

Hussey, Daniel / Shaw, Abigail V / Brian, Pamela L / Lazarus, Michelle D

MedEdPORTAL : the journal of teaching and learning resources

2022 Volume 18, Page(s) 11230

Abstract: Introduction: Head and neck anatomy is complex for students to learn and educators to teach. Instructing students on anatomy using radiological imaging can aid comprehension and prepare them for future clinical practice. Computer-aided anatomy ... ...

Abstract	Introduction: Head and neck anatomy is complex for students to learn and educators to teach. Instructing students on anatomy using radiological imaging can aid comprehension and prepare them for future clinical practice. Computer-aided anatomy instruction is accessible to diverse learners and avoids barriers identified with face-to-face teaching. Methods: We designed a self-guided PowerPoint tutorial with multiple medical imaging modalities, clinical correlations, and self-review questions incorporated throughout. The tutorial was evaluated with a group of 178 Australian preclinical medical students who had prior teaching related to head and neck anatomy. Student participants were divided into experimental and control groups. Participants completed two knowledge assessments: experimental group before and after tutorial engagement and control group before tutorial engagement. All participants were invited to provide feedback on their experiences with the tutorial via questionnaires. Results: Engagement with the tutorial improved overall head and neck anatomy knowledge ( Discussion: Given the improved outcomes following tutorial exposure, our results suggest that this tutorial is efficacious when used in concert with existing anatomy curricula. Participants' perceived value of the tutorial additionally suggests that it would be taken up well by medical students and is an effective addition to the existing tutorial series. Further research is needed to assess the tutorial's use as a stand-alone addition to the anatomy curriculum.
MeSH term(s)	Australia ; Curriculum ; Education, Medical, Undergraduate/methods ; Educational Measurement/methods ; Humans ; Students, Medical
Language	English
Publishing date	2022-03-10
Publishing country	United States
Document type	Journal Article
ISSN	2374-8265
ISSN (online)	2374-8265
DOI	10.15766/mep_2374-8265.11230
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Article ; Online: Change in the Face of the COVID-19 Pandemic: Shaping Plastic Surgery Services of the Future.

Shaw, Abigail V / Goodall, Richard / Armstrong, Alexander / Fries, Charles Anton

Plastic and reconstructive surgery

2020 Volume 146, Issue 3, Page(s) 395e–396e

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Reconstructive Surgical Procedures/trends ; SARS-CoV-2 ; Surgery, Plastic/trends
Keywords	covid19
Language	English
Publishing date	2020-05-28
Publishing country	United States
Document type	Letter
ZDB-ID	208012-6
ISSN	1529-4242 ; 0032-1052 ; 0096-8501
ISSN (online)	1529-4242
ISSN	0032-1052 ; 0096-8501
DOI	10.1097/PRS.0000000000007219
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Article ; Online: Learning Head and Neck Anatomy Through a Radiological Imaging Platform

Daniel Hussey / Abigail V. Shaw / Pamela L. Brian / Michelle D. Lazarus

MedEdPORTAL, Vol

2022 Volume 18

Abstract: Introduction Head and neck anatomy is complex for students to learn and educators to teach. Instructing students on anatomy using radiological imaging can aid comprehension and prepare them for future clinical practice. Computer-aided anatomy instruction ...

Abstract	Introduction Head and neck anatomy is complex for students to learn and educators to teach. Instructing students on anatomy using radiological imaging can aid comprehension and prepare them for future clinical practice. Computer-aided anatomy instruction is accessible to diverse learners and avoids barriers identified with face-to-face teaching. Methods We designed a self-guided PowerPoint tutorial with multiple medical imaging modalities, clinical correlations, and self-review questions incorporated throughout. The tutorial was evaluated with a group of 178 Australian preclinical medical students who had prior teaching related to head and neck anatomy. Student participants were divided into experimental and control groups. Participants completed two knowledge assessments: experimental group before and after tutorial engagement and control group before tutorial engagement. All participants were invited to provide feedback on their experiences with the tutorial via questionnaires. Results Engagement with the tutorial improved overall head and neck anatomy knowledge (p < .001). Knowledge outcomes were maintained across question group type (e.g., multiple-choice questions, identification, and short-answer questions; p < .05), with participants reporting 96% overall positive feedback related to the tutorial experience. Discussion Given the improved outcomes following tutorial exposure, our results suggest that this tutorial is efficacious when used in concert with existing anatomy curricula. Participants’ perceived value of the tutorial additionally suggests that it would be taken up well by medical students and is an effective addition to the existing tutorial series. Further research is needed to assess the tutorial's use as a stand-alone addition to the anatomy curriculum.
Keywords	Head ; Neck ; Imaging ; Radiology ; Tutorial ; Anatomy Review ; Medicine (General) ; R5-920 ; Education ; L
Subject code	300
Language	English
Publishing date	2022-03-01T00:00:00Z
Publisher	Association of American Medical Colleges
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Hand and Wrist trauma: Antimicrobials and Infection Audit of Clinical Practice (HAWAII ACP) protocol.

Shafi, Shiraz Q / Yoshimura, Ryo / Harrison, Conrad J / Wade, Ryckie G / Shaw, Abigail V / Totty, Joshua P / Rodrigues, Jeremy N / Gardiner, Matthew D / Wormald, Justin C R

Bone & joint open

2024 Volume 5, Issue 4, Page(s) 361–366

Abstract: Aims: Hand trauma, consisting of injuries to both the hand and the wrist, are a common injury seen worldwide. The global age-standardized incidence of hand trauma exceeds 179 per 100,000. Hand trauma may require surgical management and therefore result ... ...

Abstract	Aims: Hand trauma, consisting of injuries to both the hand and the wrist, are a common injury seen worldwide. The global age-standardized incidence of hand trauma exceeds 179 per 100,000. Hand trauma may require surgical management and therefore result in significant costs to both healthcare systems and society. Surgical site infections (SSIs) are common following all surgical interventions, and within hand surgery the risk of SSI is at least 5%. SSI following hand trauma surgery results in significant costs to healthcare systems with estimations of over £450 per patient. The World Health Organization (WHO) have produced international guidelines to help prevent SSIs. However, it is unclear what variability exists in the adherence to these guidelines within hand trauma. The aim is to assess compliance to the WHO global guidelines in prevention of SSI in hand trauma. Methods: This will be an international, multicentre audit comparing antimicrobial practices in hand trauma to the standards outlined by WHO. Through the Reconstructive Surgery Trials Network (RSTN), hand surgeons across the globe will be invited to participate in the study. Consultant surgeons/associate specialists managing hand trauma and members of the multidisciplinary team will be identified at participating sites. Teams will be asked to collect data prospectively on a minimum of 20 consecutive patients. The audit will run for eight months. Data collected will include injury details, initial management, hand trauma team management, operation details, postoperative care, and antimicrobial techniques used throughout. Adherence to WHO global guidelines for SSI will be summarized using descriptive statistics across each criteria. Discussion: The Hand and Wrist trauma: Antimicrobials and Infection Audit of Clinical Practice (HAWAII ACP) will provide an understanding of the current antimicrobial practice in hand trauma surgery. This will then provide a basis to guide further research in the field. The findings of this study will be disseminated via conference presentations and a peer-reviewed publication.
Language	English
Publishing date	2024-04-24
Publishing country	England
Document type	Journal Article
ISSN	2633-1462
ISSN (online)	2633-1462
DOI	10.1302/2633-1462.54.BJO-2023-0144.R1
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Article ; Online: Psychosocial Impact of Coronal Access Scars in Craniosynostosis Procedures on Patients and Their Families.

Shaw, Abigail V / Kennedy-Williams, Patrick / Care, Helen / Dalton, Louise / Wall, Steven / Johnson, David

The Journal of craniofacial surgery

2021 Volume 33, Issue 1, Page(s) 168–173

Abstract: Abstract: The coronal incision is the mainstay for access in craniosynostosis surgery. Scarring is a common concern of parents whose children are offered an open procedure. To the author's knowledge, there are no previous studies looking at the ... ...

Abstract	Abstract: The coronal incision is the mainstay for access in craniosynostosis surgery. Scarring is a common concern of parents whose children are offered an open procedure. To the author's knowledge, there are no previous studies looking at the psychosocial impact of scarring from coronal access incisions for craniosynostosis procedures. The author's study focused on patients undergoing procedures for nonsyndromic single-suture craniosynostosis.This study comprised 3 parts: worldwide survey regarding coronal access incisions for craniosynostosis surgery, questionnaire to determine the psychosocial impact of the scars on patients and their parents, and measurement of postoperative scars in craniosynostosis patients.Survey responses from 46 craniofacial centers worldwide revealed a zig-zag was the most commonly utilized incision. Seventy-two percent of survey responses reported problems with postoperative stretching of the scar; only 20% of centers reported formal data collection of whether families were affected by this.Psychology questionnaires revealed that the majority of patients and their parents were not bothered by the zig-zag coronal scars. Patient felt the scars were less noticeable than the parents. Parent perceptions improved with age and time postsurgery.Coronal access scars following craniosynostosis surgery appear to stretch more in the supra-auricular region compared with the midline.These findings are useful for the craniofacial multidisciplinary team to inform parents contemplating surgery and who may be concerned about the impact of the scar in the future.
MeSH term(s)	Child ; Cicatrix ; Craniosynostoses/surgery ; Humans ; Parents ; Postoperative Period ; Sutures
Language	English
Publishing date	2021-07-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	1159501-2
ISSN	1536-3732 ; 1049-2275
ISSN (online)	1536-3732
ISSN	1049-2275
DOI	10.1097/SCS.0000000000008181
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Article: Change in the Face of the COVID-19 Pandemic: Shaping Plastic Surgery Services of the Future

Shaw, Abigail V / Goodall, Richard / Armstrong, Alexander / Fries, Charles Anton

Plast Reconstr Surg

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #497201
Database	COVID19

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Article ; Online: Change in the Face of the COVID-19 Pandemic

Shaw, Abigail V. / Goodall, Richard / Armstrong, Alexander / Fries, Charles Anton

Plastic & Reconstructive Surgery

Shaping Plastic Surgery Services of the Future

2020 Volume 146, Issue 3, Page(s) 395e–396e

Keywords	Surgery ; covid19
Language	English
Publisher	Ovid Technologies (Wolters Kluwer Health)
Publishing country	us
Document type	Article ; Online
ZDB-ID	208012-6
ISSN	1529-4242 ; 0032-1052 ; 0096-8501
ISSN (online)	1529-4242
ISSN	0032-1052 ; 0096-8501
DOI	10.1097/prs.0000000000007219
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: RSTN COVID Hand: Hand trauma in the United Kingdom and Europe during the COVID-19 pandemic.

Shaw, Abigail V / Holmes, David / Jansen, Victoria / Fowler, Christy / Wormald, Justin C R / Wade, Ryckie G / Taha, Rowa / Reay, Emma / Gardiner, Matthew D

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

2023 Volume 84, Page(s) 258–265

Abstract: The COVID-19 pandemic rapidly impacted the delivery of hand surgery services throughout the UK and Europe; from triage to treatment. Our aim was to assess the impact on management of common hand trauma injuries to inform future service delivery and ... ...

Abstract	The COVID-19 pandemic rapidly impacted the delivery of hand surgery services throughout the UK and Europe; from triage to treatment. Our aim was to assess the impact on management of common hand trauma injuries to inform future service delivery and research. The Reconstructive Surgery Trials Network led a service evaluation during the first wave of COVID-19 in 2020. Data was collected on hand injury management during the COVID-19 pandemic and was compared to the management clinicians would have delivered prior. Across 35 hand surgery units, 2540 patients with hand trauma were included. There was an increase of between 3% and 7% in non-operative management of injuries, apart from flexor tendon injuries where management remained unchanged. Cases triaged by a consultant doubled, with a 22% increase in the see-and-treat model. There was a move to operating in low-resource settings; a 13% increase in the use of minor operating theatres and 10% in clinic rooms. Use of WALANT, absorbable sutures, and remote follow-up also increased by 16%, 24%, and between 11% and 25%, respectively. The reported 30-day complication rate was 3.2%, with a surgical site infection rate of 1.8%. The pandemic led to rapid change in many aspects of hand trauma care. It was the impetus for increased out-of-theatre operating, use of local anaesthetic, and more non-operative management of injuries, without an increase in complication rate. Further research needs to assess the clinical and cost-effectiveness of these changes to ensure that COVID-19 is a catalyst for a modern, evidence-based, and environmentally sustainable delivery of hand trauma services.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Pandemics ; Hand/surgery ; SARS-CoV-2 ; United Kingdom/epidemiology ; Hand Injuries/epidemiology ; Hand Injuries/surgery ; Europe/epidemiology
Language	English
Publishing date	2023-04-29
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2217750-4
ISSN	1878-0539 ; 1748-6815 ; 0007-1226
ISSN (online)	1878-0539
ISSN	1748-6815 ; 0007-1226
DOI	10.1016/j.bjps.2023.04.077
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