The dilemma of fracture treatment in developing countries.
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Delivery of Health Care↗
Biomedical subjects
C N Mcharo
Publications and source records attributed to C N Mcharo.
Chronic osteomyelitis: a continuing orthopaedic challenge in developing countries.
Nine patients with chronic osteomyelitis, three with problems due to diagnosis, three with dilemmas regarding treatment and three with other complications are presented. It is suggested that although the diagnosis of osteomyelitis in most cases is straightforward, presentation might sometimes be similar to other conditions, which can lead to a dilemma in the diagnosis. Because of the formidable complications, which may be difficult to manage and the difficulty in guaranteeing permanent cure, the best approach is prevention by judicious treatment of acute haematogenous osteomyelitis and of open fractures.
Adolescent↗
Isolated bilateral recurrent dislocation of the calcaneocuboid joint. A case report.
An 18-year-old girl with moderate joint laxity presented with recurrent dislocation of the calcaneocuboid joint in both feet. We achieved successful stabilisation on both sides by reconstruction of the ligaments and capsule using the plantaris tendons.
Adolescent↗
[Replacement of total hip prosthesis--what does the patient expect? Analysis of 248 aseptic hip revisions].
Aseptic loosening of prosthesis with consequential revision operations continues to be a major problem for both the patients concerned and the medical team. In the center of interest stands the magnitude of bone destruction caused by loosening effects. A concept designed to avoid uncontrolled progressive loss of bone stock is presented. Based on the experience of 248 cases of hip revision operations, advice to patients can be given. 2 septic (0.8%) and 6 aseptic (2.4%) cases with loosening and re-revision were documented. Statistical analysis of 5-year survivorship rate according to Kaplan-Meier shows 94.5%, and according to Armitage 92.5%. Clinical and radiologic 5-10-year findings in the first 72 consecutive cases are presented. Routine controls in patients with hip prostheses for early detection of bone destruction may help to perform simple and prognostically favourable revision operations.
Adult↗