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Complex Deformity: Revision Scoliosis Surgery in an Adult Patient with Previous Fusion in Aden 7a3af

Obaid Al-Razzaqi
Jul 24, 2025
1586 views
6 replies
O
Obaid Al-Razzaqi
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Greetings, I'm interested in the latest clinical evidence regarding biologic augmentation (e.g., PRP, bone marrow aspirate concentrate, allografts) for rotator cuff repair in Yemeni patients. Are there compelling studies or personal experiences that suggest a significant improvement in healing rates or functional outcomes compared to standard repair? What are the practical considerations for implementing these techniques in our orthopedic practice in Yemen? Thank you for your input.
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Fuad Abdul Wahab Al-Wuhaybi
Member
Jul 24, 2025 4:25 PM
#2
For pediatric supracondylar humerus fractures, Dr. Al-Wuhaybi, 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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Muhammad Hameed Al-Din
Jul 24, 2025 4:25 PM
#3
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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Hani Al-Muqaddasi
Member
Jul 24, 2025 4:25 PM
#4
I agree, CT is essential for that non-union. Also, don't forget vitamin D levels and nutritional status, as deficiencies are common in Yemen and can impede healing. Sometimes a simple exchange nailing, if the nail isn't too undersized, can provide enough biological and mechanical stimulus for union.
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Musleh Salem
Jul 24, 2025 4:25 PM
#5
For pediatric supracondylar humerus fractures, Dr. Salem, 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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Ghanem Al-Khulani
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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