Skip to main content
Sticky

Challenging Case: Non-Union of Distal Tibia Fracture after IM Nailing – Management Strategies in Sana'a? c55c8

Hussein Al-Halali
Jul 24, 2025
1024 views
4 replies
H
Hussein Al-Halali
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.
Y
Yasin Al-Qudsi
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.
M
Mu'tasem Al-Sayrafi
Member
Jul 24, 2025 4:25 PM
#3
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.
A
Abdul Salam Al-Janid
Member
Jul 24, 2025 4:25 PM
#4
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.

Join the Discussion

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

Sign In Create Account