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Complex Deformity: Revision Scoliosis Surgery in an Adult Patient with Previous Fusion in Aden 559ab

Majed Al-Azani
Jul 24, 2025
516 views
5 replies
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Majed Al-Azani
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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Hani Al-Muqaddasi
Member
Jul 24, 2025 4:25 PM
#2
While PRP shows promise, I remain cautious for full-thickness tears due to inconsistent evidence, especially in our setting. Physical therapy remains paramount. For partial tears, it might be an adjunctive therapy, but shouldn't replace a solid rehabilitation plan.
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Akram Fadl
Member
Jul 24, 2025 4:25 PM
#3
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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Muhammad Al-Dawas
Member
Jul 24, 2025 4:25 PM
#4
For pediatric supracondylar humerus fractures, Dr. Al-Dawas, 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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Faiq Al-Zarami
Member
Jul 24, 2025 4:25 PM
#5
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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