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New Guidelines for Osteoporosis Screening and Treatment in Post-Menopausal Women in Yemen? 39eb4

Ghanem Al-Khulani
Jul 24, 2025
2101 views
8 replies
G
Ghanem Al-Khulani
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Dear Colleagues, I'm seeking insights and current protocols on optimizing post-operative pain management following major orthopedic surgeries, such as total joint replacements or complex spine fusions, specifically within Yemeni clinical settings. What are your best practices, particularly regarding multimodal analgesia and opioid-sparing techniques, that are applicable given our resources? Are there any specific challenges or successful strategies you've implemented? Looking forward to your valuable contributions.
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Fuad Al-Shazli
Member
Jul 24, 2025 4:25 PM
#2
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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Muhammad Al-Khamisi
Member
Jul 24, 2025 4:25 PM
#3
This is a crucial ethical discussion for Yemen. In our hospital, we try to prioritize based on functional impairment and potential for significant improvement, while also considering emergency cases, especially trauma. It's challenging, but transparency with patients and families about resource limitations is key.
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Abdullah Al-Ma'ini
Member
Jul 24, 2025 4:25 PM
#4
My general rule for pediatric supracondylar fractures is immediate closed reduction and pinning for any displaced or unstable fracture. Neurovascular status must be assessed meticulously before and after reduction. Don't hesitate to involve a pediatric orthopedic specialist, especially if resources are limited.
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Tawfiq Al-Maflahi
Member
Jul 24, 2025 4:25 PM
#5
My general rule for pediatric supracondylar fractures is immediate closed reduction and pinning for any displaced or unstable fracture. Neurovascular status must be assessed meticulously before and after reduction. Don't hesitate to involve a pediatric orthopedic specialist, especially if resources are limited.
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Muhammad Salem
Member
Jul 24, 2025 4:25 PM
#6
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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Yaser Rahmah
Jul 24, 2025 4:25 PM
#7
My general rule for pediatric supracondylar fractures is immediate closed reduction and pinning for any displaced or unstable fracture. Neurovascular status must be assessed meticulously before and after reduction. Don't hesitate to involve a pediatric orthopedic specialist, especially if resources are limited.
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Ghanem Al-Khulani
Member
Jul 24, 2025 4:25 PM
#8
Regarding the non-union, Dr. Al-Khulani, 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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