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Optimizing Post-Op Pain Management in Major Orthopedic Surgery in Yemen: Current Protocols? 41e36

Hussein Al-Halali
Jul 24, 2025
649 views
5 replies
H
Hussein Al-Halali
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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Majed Al-Azani
Member
Jul 24, 2025 4:25 PM
#2
Excellent topic, Dr. Al-Azani! 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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Muhammad Salem
Member
Jul 24, 2025 4:25 PM
#3
The new guidelines for osteoporosis screening are excellent. We've started implementing universal screening for women over 65 and post-menopausal women with risk factors, leading to earlier diagnosis and initiation of treatment, hopefully reducing fragility fractures, which are a growing concern in Yemen.
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Ahmed Al-Bisht
Member
Jul 24, 2025 4:25 PM
#4
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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Imad Al-Radhi
Member
Jul 24, 2025 4:25 PM
#5
For pediatric supracondylar humerus fractures, Dr. Al-Radhi, 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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