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Challenging Case: Non-Union of Distal Tibia Fracture after IM Nailing – Management Strategies in Sana'a? 5caec

Muhammad Al-Ateef
Jul 24, 2025
2362 views
3 replies
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Muhammad Al-Ateef
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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Abdul Hadi Nasr
Member
Jul 24, 2025 4:25 PM
#2
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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Yasin Rahmah
Member
Jul 24, 2025 4:25 PM
#3
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.

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