{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:32:08Z","timestamp":1776450728121,"version":"3.51.2"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>A prospective interventional study has been carried out on the teaching effect and sustainability of low\u2010cost trauma training program in open tibia fracture management for health workers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>In 2007, an external fixator and a patella\u2010bearing orthosis were developed at a rural workshop in Cambodia. From 2010 to 2016, a core group of nine Cambodian health workers was trained in open fracture management by Norwegian senior surgeons, using the locally made fixator and brace. The training outcome was also assessed by a questionnaire comprising of assertions regarding theoretical understanding, technical skills and self\u2010confidence in understanding the biomechanical properties of locally made external fixator and its application; the use of handmade orthosis and principle in covering of soft\u2010tissue defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The students managed 23 cases with the new technique with a primary healing rate of 70% (95% CI 48.1\u201385.5). A significant increase in self\u2010reported technical skills, understanding, and self\u2010confidence was reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates that the capacity building of reconstructive surgery in low\u2010resource settings by local doctors and paramedics is clearly a reasonable option that may substantially reduce amputation of the limbs.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4245-7","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T15:49:06Z","timestamp":1506354546000},"page":"2981-2989","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Open Fracture Management in Low\u2010Resource Settings: A Medical Training Experience in Cambodian Hospitals"],"prefix":"10.1002","volume":"41","author":[{"given":"Nenad B.","family":"Tajsic","sequence":"first","affiliation":[{"name":"Orthopedic and Trauma Surgery Department University Hospital Northern Norway, Tromsoe 9036 Tromsoe Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puon","family":"Sambath","sequence":"additional","affiliation":[{"name":"Sampov Luon Referral Hospital Battambang Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophy","family":"Nguon","sequence":"additional","affiliation":[{"name":"Military Region 5 Hospital Battambang Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vannara","family":"Sokh","sequence":"additional","affiliation":[{"name":"Military Region 5 Hospital Battambang Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virak","family":"Chheang","sequence":"additional","affiliation":[{"name":"Battambang Referral Hospital Battambang Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaute","family":"Landsem","sequence":"additional","affiliation":[{"name":"Orthopedic and Trauma Surgery Department University Hospital Northern Norway, Tromsoe 9036 Tromsoe Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Zaletel","sequence":"additional","affiliation":[{"name":"Institute of Histology and Embryology \u201cAleksandar \u00d0. 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