Expanding Access to Orthopedic Trauma Care: Evaluation of a Task‐Sharing Model With a Remote Quality Assessment Tool for Open Tibia Shaft Fractures in Malawi

When embedded within integrated surgical teams and adequate infrastructure, task sharing for open fracture external fixation yielded satisfactory technical performance but lagged district-level implementation despite training. Comprehensive institutional support-mentoring intensity, equipment, supply chains, and referral adherence-is likely required for safe scale-up. Validation of FFATEF against clinical outcomes and economic evaluation of delivery models are priorities.