Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Wichlas, F; Tsitsilonis, S; Guanti, MD; Strada, G; Deininger, C.
Orthopedic trauma surgeon in Sierra Leone: how to keep one's head over water.
Arch Orthop Trauma Surg. 2019; 139(9): 1217-1223.
Doi: 10.1007/s00402-019-03171-1
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- Führende Autor*innen der Med Uni Graz
- Deininger Christian
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- Abstract:
- PURPOSE: Developing a guideline for orthopedic trauma surgeons working in civilian trauma hospitals in low-income countries. METHODS: This is a retrospective data analysis in a non-governmental organizational trauma hospital in Sierra Leone, Africa. Trauma victims (282), with 349 fractures, were admitted to the hospital 10/2015-01/2016. The incidence of open and closed fractures and the use of implants were evaluated. RESULTS: The most common fractures were open and closed tibial shaft fractures and closed femoral shaft fractures in adults, and closed supracondylar humerus fractures in children. The most used implants were external fixators, K-wires, and intramedullary nails. External fixators were used for open fractures, K-wires for closed fractures in children, hand and foot, and nails for closed fractures of the lower extremity in adults. Plates were used the least and mostly for fractures of the upper extremity, the proximal tibia and malleolar region in adults. The complication rate was 5.67%. CONCLUSION: Surgeons in low-income country trauma hospitals should treat conservatively on outpatient basis only, to reduce the amount of stationary patients. Open fractures should be treated with external fixators, and closed fractures in children, hand and foot, with K-wires. Closed fractures in adults of the lower extremity should be nailed, and closed fractures in adults of the upper extremity can be treated with plates.
- Find related publications in this database (using NLM MeSH Indexing)
- Fractures, Bone - epidemiology, surgery
- Humans - administration & dosage
- Orthopedic Procedures - adverse effects, instrumentation, statistics & numerical data
- Orthopedic Surgeons - administration & dosage
- Practice Guidelines as Topic - administration & dosage
- Retrospective Studies - administration & dosage
- Sierra Leone - epidemiology
- Find related publications in this database (Keywords)
- Trauma surgery
- Low-income country
- Africa
- Third world
- Guideline