User:MaiaIdzikowski/sandbox
I would like to update the sentence on NPWT to say that “there is conflicting evidence to suggest the effectiveness of negative pressure wound therapy, with several sources citing a decreased risk in infection, [1][2] and others suggesting no proven benefit.[3]
I would like to update the section on wound debridement and closure to include the following sentence: “The optimal timing of performing wound debridement and closure is debated and dependent on the severity of the injury, resources and antibiotics available, and individual needs.[4] Debridement time can vary from 6 to 72 hours, and closure time can be immediate (less than 72 hours) or delayed (72 hours to up to 3 months)”.[4]
I also found a high quality prospective, randomized, hospital based study which found that the outcomes achieved when using water versus saline are comparable.[5] Since this article is current (published in 2017) and the Wikipedia page lacks a citation for this statement, I would like to add this source to the page.
I propose to add the sentence “amputation is a last resort intervention, and is determined by factors such as tissue viability and coverage, infection, and the extent of damage to the vascular system”.[1] I would also like to link the word ‘amputation’ to the Wikipedia page on amputation in order to provide patients with direct access to more information.
- ^ a b Manway, J (2014). "Open Fractures of the Foot and Ankle". Foot and Ankle Specialist. 1 (8): 59–64. doi:10.1177/1938640014557072.
{{cite journal}}:|access-date=requires|url=(help) - ^ Schlatterer, Daniel R.; Hirschfeld, Adam G.; Webb, Lawrence X. (2015-01-17). "Negative Pressure Wound Therapy in Grade IIIB Tibial Fractures: Fewer Infections and Fewer Flap Procedures?". Clinical Orthopaedics and Related Research®. 473 (5): 1802–1811. doi:10.1007/s11999-015-4140-1. ISSN 0009-921X. PMC 4385370. PMID 25595096.
{{cite journal}}: CS1 maint: PMC format (link) - ^ Iheozor-Ejiofor, Zipporah; Newton, Katy; Dumville, Jo C; Costa, Matthew L; Norman, Gill; Bruce, Julie (2018-07-03). "Negative pressure wound therapy for open traumatic wounds". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd012522.pub2. ISSN 1465-1858.
- ^ a b O’Brien, C.L.; Menon, M.; Jomha, N.M. (2014-06-27). "Controversies in the Management of Open Fractures". The Open Orthopaedics Journal. 8 (1): 178–184. doi:10.2174/1874325001408010178. ISSN 1874-3250. PMC 4110387. PMID 25067972.
{{cite journal}}: CS1 maint: PMC format (link) - ^ Olufemi, Olukemi Temiloluwa; Adeyeye, Adeolu Ikechukwu (2017). "Irrigation solutions in open fractures of the lower extremities: evaluation of isotonic saline and distilled water". SICOT-J. 3: 7. doi:10.1051/sicotj/2016031. ISSN 2426-8887. PMC 5278649. PMID 28134091.
{{cite journal}}: CS1 maint: PMC format (link)
Comments
[edit]Thanks for sharing your proposed changes. I have a few notes:
- Citations are placed immediately after the punctuation like this.1
- If you have commas your sentence would look like this,1 and like this.2 Please keep an eye on the extra spaces and commas added.
- Citation needed tag added. You may re-use the same citation if appropriate.
- Be sure to not use the word patients in WP article. I think you just used it above in your description of you edit though.
Great work so far!