Jowan G Penn-Barwell
- Aggressive soft tissue infections and amputation in military trauma patientsJ G Penn-Barwell
J R Nav Med Serv 98:14-8. 2012..hydrophillia from wounds was significantly associated with a requirement for a more proximal amputation level (p=0.0038) and greater number of debridements (p=0.0474) when compared to residual limb wounds withoutA. hydrophillia...
- Gun-shot injuries in UK military casualties - Features associated with wound severityJowan G Penn-Barwell
Institute of Naval Medicine, Trauma and Orthopaedic Registrar Royal Navy, United Kingdom Electronic address
Injury 47:1067-71. 2016..The aim of this study is to firstly characterise the GSW injuries sustained by UK forces, and secondly test the hypothesis that the likely severity of GSWs can be predicted by features of the wound...
- Acute bilateral leg amputation following combat injury in UK servicemenJ G Penn-Barwell
Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine RCDM, Birmingham, UK Institute of Naval Medicine, Gosport, Hampshire, UK Electronic address
Injury 45:1105-10. 2014..This study aims to characterise the injuries and surgical management of British servicemen sustaining bilateral lower limb amputations...
- Severe open tibial fractures in combat trauma: management and preliminary outcomesJ G Penn-Barwell
Royal Centre for Defence Medicine, National Institute of Health Research, Surgical Reconstruction and Microbiology Research Centre NIHR SRMRC, Queen Elizabeth Medical Centre, Edgbaston, Birmingham B15 2TH, UK
Bone Joint J 95:101-5. 2013..008). This series characterises the complex orthopaedic-plastic surgical management of severe open tibial fractures sustained in combat and defines the importance of aggressive prevention of infection...
- Comparison of the antimicrobial effect of chlorhexidine and saline for irrigating a contaminated open fracture modelJowan G Penn-Barwell
Extremity Trauma Bone Group, US Army Institute of Surgical Research, Fort Sam Houston, San Antonio, TX, USA
J Orthop Trauma 26:728-32. 2012..The objective of this study is to compare antimicrobial effect of irrigation with chlorhexidine gluconate (CHG) to saline in an animal model...
- Outcomes in lower limb amputation following trauma: a systematic review and meta-analysisJowan G Penn-Barwell
Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, ICT Research Park, Vincent Drive, Edgbaston, Birmingham B15 2SQ, UK
Injury 42:1474-9. 2011..This analysis aims to resolve this question by systematically collecting and pooling published and unpublished data on this subject...
- Early antibiotics and debridement independently reduce infection in an open fracture modelJ G Penn-Barwell
Royal Centre for Defence Medicine, Academic Department of Military Surgery and Trauma, Birmingham Research Park, Vincent Drive, Birmingham B15 2SQ, UK
J Bone Joint Surg Br 94:107-12. 2012..These findings are consistent with the concept that bacteria progress from a vulnerable planktonic form to a treatment-resistant biofilm...
- PVL Staphylococcus aureus osteomyelitis complicating septic arthritis in a UK soldier serving in IraqJ G Penn-Barwell
Selly Oak Hospital, Raddlebarn Road, Selly Oak, Birmingham B29 6JD
J R Army Med Corps 155:208-9. 2009..aureus infection. Military clinicians need to be aware of PVL secreting S. aureus and have a low threshold for requesting specific testing in aggressive musculoskeletal S. aureus infections...
- The injury burden of recent combat operations: mortality, morbidity, and return to service of U.K. naval service personnel following combat traumaJowan G Penn-Barwell
Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine RCDM, ICT Research Park, Vincent Drive, Edgbaston, Birmingham B15 2SQ, United Kingdom
Mil Med 178:1222-6. 2013..Data comprehensively include all casualties of the Royal Navy and Royal Marines and all functional outcomes...
- Local antibiotic delivery by a bioabsorbable gel is superior to PMMA bead depot in reducing infection in an open fracture modelJowan G Penn-Barwell
Extremity Trauma and Regenerative Medicine, US Army Institute of Surgical Research, San Antonio, TX Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, United Kingdom and Infectious Disease Service, Brooke Army Medical Center, San Antonio, TX
J Orthop Trauma 28:370-5. 2014..The purpose of this study was to determine whether a bioabsorbable gel delivering vancomycin and gentamicin is more effective in reducing infection than beads delivering vancomycin and tobramycin...
- Pre-clinical evaluation of therapies to prevent or treat bone non-union: a systematic review protocolSarah K Stewart
Royal Centre for Defence Medicine, Queen Elizabeth Hospital, Birmingham, B15 2TH, West Midlands, UK
Syst Rev 4:161. 2015..The proposed systematic review will evaluate current therapies of bone non-union in animal models, in order to identify those that may translate successfully to clinical therapies...
- Local bismuth thiols potentiate antibiotics and reduce infection in a contaminated open fracture modelJowan G Penn-Barwell
Extremity Trauma Bone Group, US Army Institute of Surgical Research, San Antonio, TX Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, United Kingdom and Microbion BioSciences Corporation, Bozeman, MT
J Orthop Trauma 29:e73-8. 2015..This proof-of-concept study tested the hypothesis that combining bismuth thiols (BTs) with systemic antibiotics will more effectively reduce infection in an animal model of contaminated open fracture than systemic antibiotics alone...
- Isolated hand injuries on operational deployment: an examination of epidemiology and treatment strategyJowan G Penn-Barwell
Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, ICT Research Park, Vincent Drive, Birmingham B 15 2SQ, United Kingdom
Mil Med 176:1404-7. 2011..This study supports the current recommendation of delaying tendon and nerve repair until repatriation...