Debate: Anterior vs. Posterior Approach for Primary Total Hip Arthroplasty – Which is Superior in Yemen? e81da

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Fuad Abdul Wahab Al-Wuhaybi

Member

Joined Jul 2025

Jul 24, 2025 4:25 PM

Original Post

Greetings, I'm interested in the latest clinical evidence regarding biologic augmentation (e.g., PRP, bone marrow aspirate concentrate, allografts) for rotator cuff repair in Yemeni patients. Are there compelling studies or personal experiences that suggest a significant improvement in healing rates or functional outcomes compared to standard repair? What are the practical considerations for implementing these techniques in our orthopedic practice in Yemen? Thank you for your input.

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Salem Al-Amri

Member

Jul 24, 2025 4:25 PM

#2

Tele-rehabilitation for ACL patients has been a game-changer for us, especially in remote areas of Yemen. Patient compliance has actually improved because it removes transportation barriers. It requires a good internet connection and patient commitment, but the benefits outweigh the challenges.

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Muhammad Salem

Member

Jul 24, 2025 4:25 PM

#3

Excellent topic, Dr. Salem! For post-op pain, we've had great success with a multimodal approach combining regional blocks (femoral nerve block for knee, interscalene for shoulder) with scheduled NSAIDs and paracetamol, reserving opioids for breakthrough pain. This significantly reduces opioid consumption in our Yemeni patients.

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Ali Al-Zarqa

Member

Jul 24, 2025 4:25 PM

#4

I've personally seen good results with PRP augmentation in partial rotator cuff tears in my Yemeni patients, Dr. Al-Zarqa. While large-scale RCTs are still evolving, for select patients, it seems to enhance healing. The cost can be a barrier, but patient education on potential benefits is vital.

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Ahmed Al-Bisht

Member

Jul 24, 2025 4:25 PM

#5

I've personally seen good results with PRP augmentation in partial rotator cuff tears in my Yemeni patients, Dr. Al-Bisht. While large-scale RCTs are still evolving, for select patients, it seems to enhance healing. The cost can be a barrier, but patient education on potential benefits is vital.

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Ghanem Al-Khulani

Member

Jul 24, 2025 4:25 PM

#6

For pediatric supracondylar humerus fractures, Dr. Al-Khulani, I find that any displacement or rotation, even subtle, warrants referral for K-wire fixation to prevent malunion and potential neurovascular compromise. Close follow-up is critical even for non-operative cases, especially in remote areas of Yemen.

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Hussein Al-Dahdouh

Member

Jul 24, 2025 4:25 PM

#7

For chronic low back pain in Yemen, I firmly believe non-surgical management should always be exhausted first, unless there are clear neurological deficits. A combination of targeted physical therapy, pain education, and lifestyle modification often yields good results. Surgical fusion should be a last resort given our resources.

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Yahya Al-Hamdani

Member

Jul 24, 2025 4:25 PM

#8

This is a crucial ethical discussion for Yemen. In our hospital, we try to prioritize based on functional impairment and potential for significant improvement, while also considering emergency cases, especially trauma. It's challenging, but transparency with patients and families about resource limitations is key.