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Debate: Anterior vs. Posterior Approach for Primary Total Hip Arthroplasty – Which is Superior in Yemen? 93a85

Imad Al-Radhi
Jul 24, 2025
1532 views
4 replies
I
Imad Al-Radhi
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Dear Pediatric Orthopedists, I'm seeking guidance on the management of pediatric supracondylar humerus fractures, specifically regarding the decision-making process for when to manage non-operatively versus when to refer for surgical fixation in Yemeni hospitals. What are the critical radiographic signs or clinical parameters that tip the balance towards intervention? Any tips for closed reduction techniques in challenging cases? Thank you for your insights.
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Ra'ed Al-Sarabi
Member
Jul 24, 2025 4:25 PM
#2
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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Mutahar Al-Eryani
Member
Jul 24, 2025 4:25 PM
#3
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
#4
Absolutely, Dr. Salem! 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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