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Ethical Dilemmas in Resource-Limited Settings: Prioritizing Orthopedic Surgeries in Yemen? d2dd8

Ahmed Al-Bisht
Jul 24, 2025
1613 views
3 replies
A
Ahmed Al-Bisht
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Orthopedic community, I'd like to open a debate on the optimal surgical approach for primary total hip arthroplasty in Yemen: anterior vs. posterior. What are the key advantages and disadvantages of each from your experience, particularly concerning post-operative dislocation rates, pain, and recovery time? Are there specific patient profiles that might favor one approach over the other in our context? Your clinical perspectives are highly valued.
Y
Yaser Rahmah
Jul 24, 2025 4:25 PM
#2
Regarding the non-union, Dr. Rahmah, 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.
H
Hussein Al-Halali
Member
Jul 24, 2025 4:25 PM
#3
My general rule for pediatric supracondylar fractures is immediate closed reduction and pinning for any displaced or unstable fracture. Neurovascular status must be assessed meticulously before and after reduction. Don't hesitate to involve a pediatric orthopedic specialist, especially if resources are limited.

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