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Pediatric Supracondylar Humerus Fractures: When to Refer, When to Manage Non-Operatively in Yemeni Hospitals? 71211

Ammar Al-Hashimi
Jul 24, 2025
1097 views
4 replies
A
Ammar Al-Hashimi
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Orthopedic community, I'd like to open a debate on the optimal surgical approach for primary total hip arthroplasty in Yemen: anterior vs. posterior. What are the key advantages and disadvantages of each from your experience, particularly concerning post-operative dislocation rates, pain, and recovery time? Are there specific patient profiles that might favor one approach over the other in our context? Your clinical perspectives are highly valued.
M
Muhammad Al-Khamisi
Member
Jul 24, 2025 4:25 PM
#2
For pediatric supracondylar humerus fractures, Dr. Al-Khamisi, 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.
I
Imad Al-Radhi
Member
Jul 24, 2025 4:25 PM
#3
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.
G
Ghanem Al-Khulani
Member
Jul 24, 2025 4:25 PM
#4
Regarding the non-union, Dr. Al-Khulani, I'd first get a CT scan to assess the fracture gap and hardware position. If there's a significant gap or malalignment, revision surgery with robust internal fixation (plate or longer nail) and bone grafting (autograft from iliac crest if possible) is often necessary. Consider checking for infection markers, which are crucial in our context.

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