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Effectiveness of Tele-Rehabilitation for ACL Reconstruction Patients in Rural Areas of Yemen? 0d40a

Obaid Al-Razzaqi
Jul 24, 2025
947 views
4 replies
O
Obaid Al-Razzaqi
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Esteemed Members, I'd like to initiate a discussion on the ethical dilemmas we often face in resource-limited settings in Yemen when prioritizing elective orthopedic surgeries. How do we balance patient need, urgency, availability of resources, and social equity? What frameworks or principles guide your decision-making when difficult choices must be made? Your practical insights are invaluable for our community.
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Akram Fadl
Member
Jul 24, 2025 4:25 PM
#2
I favor the posterior approach for THA due to its excellent exposure and versatility in managing various deformities, which we often see in Yemen. While the dislocation rate can be a concern, meticulous capsular repair significantly mitigates this risk. Patient positioning is also simpler for our OR teams.
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Fuad Al-Shazli
Member
Jul 24, 2025 4:25 PM
#3
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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Hani Al-Muqaddasi
Member
Jul 24, 2025 4:25 PM
#4
Regarding the non-union, Dr. Al-Muqaddasi, I'd first get a CT scan to assess the fracture gap and hardware position. If there's a significant gap or malalignment, revision surgery with robust internal fixation (plate or longer nail) and bone grafting (autograft from iliac crest if possible) is often necessary. Consider checking for infection markers, which are crucial in our context.

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