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Latest Advances in Biologic Augmentation for Rotator Cuff Repair: Clinical Evidence in Yemeni Patients? d93ca

Muhammad Ja'far
Jul 24, 2025
2346 views
6 replies
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Muhammad Ja'far
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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Ghanem Al-Khulani
Member
Jul 24, 2025 4:25 PM
#2
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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Samir Al-Shamsi
Member
Jul 24, 2025 4:25 PM
#3
From a public health perspective in Yemen, such dilemmas highlight the need for stronger primary prevention programs to reduce the burden of preventable orthopedic conditions, thereby freeing up resources for more urgent cases. Advocacy for increased healthcare funding is also crucial.
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Yasin Al-Hajami
Member
Jul 24, 2025 4:25 PM
#4
From a public health perspective in Yemen, such dilemmas highlight the need for stronger primary prevention programs to reduce the burden of preventable orthopedic conditions, thereby freeing up resources for more urgent cases. Advocacy for increased healthcare funding is also crucial.
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Majed Salem
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. Salem. 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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Ammar Al-Hashimi
Member
Jul 24, 2025 4:25 PM
#6
Excellent topic, Dr. Al-Hashimi! 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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