Skip to main content

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

Alaa Al-Attas
Jul 24, 2025
980 views
5 replies
A
Alaa Al-Attas
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.
A
Abdul Rahman Baqa
Member
Jul 24, 2025 4:25 PM
#2
Regarding the non-union, Dr. Baqa, 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.
M
Muhammad Al-Khamisi
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.
A
Abdullah Al-Ma'ini
Member
Jul 24, 2025 4:25 PM
#4
For chronic low back pain in Yemen, I firmly believe non-surgical management should always be exhausted first, unless there are clear neurological deficits. A combination of targeted physical therapy, pain education, and lifestyle modification often yields good results. Surgical fusion should be a last resort given our resources.
S
Samir Al-Shamsi
Member
Jul 24, 2025 4:25 PM
#5
While PRP shows promise, I remain cautious for full-thickness tears due to inconsistent evidence, especially in our setting. Physical therapy remains paramount. For partial tears, it might be an adjunctive therapy, but shouldn't replace a solid rehabilitation plan.

Join the Discussion

Sign in to reply to this topic and participate in the conversation.

Sign In Create Account