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New Guidelines for Osteoporosis Screening and Treatment in Post-Menopausal Women in Yemen? 8df22

Thiyab Al-Sharif
Jul 24, 2025
1980 views
7 replies
T
Thiyab Al-Sharif
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Dear Pediatric Orthopedists, I'm seeking guidance on the management of pediatric supracondylar humerus fractures, specifically regarding the decision-making process for when to manage non-operatively versus when to refer for surgical fixation in Yemeni hospitals. What are the critical radiographic signs or clinical parameters that tip the balance towards intervention? Any tips for closed reduction techniques in challenging cases? Thank you for your insights.
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Walid Al-Husseini
Jul 24, 2025 4:25 PM
#2
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.
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Akram Fadl
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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Fuad Abdul Wahab Al-Wuhaybi
Member
Jul 24, 2025 4:25 PM
#4
I prefer the anterior approach for most primary THA due to faster initial recovery and lower perceived dislocation risk, which is important for patient mobility in Yemen. However, it does have a steeper learning curve and can be challenging in very muscular or obese patients. Exposure can be limited for complex femoral anatomy.
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Fuad Abdul Wahab Al-Wuhaybi
Member
Jul 24, 2025 4:25 PM
#5
I favor the posterior approach for THA due to its excellent exposure and versatility in managing various deformities, which we often see in Yemen. While the dislocation rate can be a concern, meticulous capsular repair significantly mitigates this risk. Patient positioning is also simpler for our OR teams.
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Muhammad Al-Sayrafi
Member
Jul 24, 2025 4:25 PM
#6
I favor the posterior approach for THA due to its excellent exposure and versatility in managing various deformities, which we often see in Yemen. While the dislocation rate can be a concern, meticulous capsular repair significantly mitigates this risk. Patient positioning is also simpler for our OR teams.
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Abdul Hadi Nasr
Member
Jul 24, 2025 4:25 PM
#7
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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