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Latest Advances in Biologic Augmentation for Rotator Cuff Repair: Clinical Evidence in Yemeni Patients? 5f452

Muhammad Al-Khamisi
Jul 24, 2025
1007 views
5 replies
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Muhammad Al-Khamisi
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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Faiq Al-Zarami
Member
Jul 24, 2025 4:25 PM
I prefer the anterior approach for most primary THA due to faster initial recovery and lower perceived dislocation risk, which is important for patient mobility in Yemen. However, it does have a steeper learning curve and can be challenging in very muscular or obese patients. Exposure can be limited for complex femoral anatomy.
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Abdul Salam Al-Janid
Member
Jul 24, 2025 4:25 PM
I agree, CT is essential for that non-union. Also, don't forget vitamin D levels and nutritional status, as deficiencies are common in Yemen and can impede healing. Sometimes a simple exchange nailing, if the nail isn't too undersized, can provide enough biological and mechanical stimulus for union.
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Abdullah Al-Faqih Al-Wazir
Member
Jul 24, 2025 4:25 PM
Absolutely, Dr. Al-Wazir! We've implemented a similar multimodal protocol in our Sana'a hospital. Adding gabapentin or pregabalin pre-operatively for chronic pain patients has also shown promising results in reducing post-op opioid needs. It's about tailoring the pain regimen to the patient's individual risk factors, which are often complex here.
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Yasin Rahmah
Member
Jul 24, 2025 4:25 PM
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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