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Debate: Anterior vs. Posterior Approach for Primary Total Hip Arthroplasty – Which is Superior in Yemen? f2013

Walid Al-Husseini
Jul 24, 2025
1561 views
3 replies
W
Walid Al-Husseini
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.
M
Muhammad Al-Dawas
Member
Jul 24, 2025 4:25 PM
I've personally seen good results with PRP augmentation in partial rotator cuff tears in my Yemeni patients, Dr. Al-Dawas. 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.
S
Salem Al-Amri
Member
Jul 24, 2025 4:25 PM
Regarding the non-union, Dr. Al-Amri, 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.

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