Acetabulum fractures caused by civilian firearms represent a unique challenge for orthopaedic sur... more Acetabulum fractures caused by civilian firearms represent a unique challenge for orthopaedic surgeons. Treatment strategies should include the assessment of infection risk due to frequently associated abdominal injuries and maintenance of joint function. Still, internationally accepted treatment algorithms are not available. The aim of the study was to increase knowledge about civilian gunshot fractures of the acetabulum by describing their characteristics and management at a high-volume tertiary hospital.All adult patients admitted to our hospital between January 2009 and December 2022 with civilian gunshot fractures of the acetabulum were included in this descriptive retrospective study.In total our institution treated 301 patients with civilian gunshot fractures of the hip joint and pelvis during the observation period, of which 54 involved the acetabulum. Most patients were young males (88,9%) with a mean age of 29 years. Thirty patients (55,6%) had associated intraabdominal or...
Background: Arthroplasty procedures in low-income countries are mostly performed at tertiary cent... more Background: Arthroplasty procedures in low-income countries are mostly performed at tertiary centers, with waiting lists exceeding 12 to 24 months. Recently, this is further exacerbated by the impact of the Covid Pandemic on elective surgeries. Providing arthroplasty services at other levels of healthcare aims to offset this burden, however there is a marked paucity of literature regarding surgical outcomes. This study aims to provide evidence on the safety of arthroplasty at district level and its potential to decrease waiting list burden in a low-income setting.Methods: Retrospective review of consecutive hip and knee primary arthroplasty cases performed at Mitchell’s Plain Hospital (MPH), a district hospital and Groote Schuur Hospital (GSH), a tertiary academic hospital in Cape Town, South Africa between 1st January 2015 and 31st December 2018. Patient demographics, hospital stay, surgery related readmissions, reoperations, post-operative complications, and mortality were compare...
Acetabulum fractures caused by civilian firearms represent a unique challenge for orthopaedic sur... more Acetabulum fractures caused by civilian firearms represent a unique challenge for orthopaedic surgeons. Treatment strategies should include the assessment of infection risk due to frequently associated abdominal injuries and maintenance of joint function. Still, internationally accepted treatment algorithms are not available. The aim of the study was to increase knowledge about civilian gunshot fractures of the acetabulum by describing their characteristics and management at a high-volume tertiary hospital.All adult patients admitted to our hospital between January 2009 and December 2022 with civilian gunshot fractures of the acetabulum were included in this descriptive retrospective study.In total our institution treated 301 patients with civilian gunshot fractures of the hip joint and pelvis during the observation period, of which 54 involved the acetabulum. Most patients were young males (88,9%) with a mean age of 29 years. Thirty patients (55,6%) had associated intraabdominal or...
Background: Arthroplasty procedures in low-income countries are mostly performed at tertiary cent... more Background: Arthroplasty procedures in low-income countries are mostly performed at tertiary centers, with waiting lists exceeding 12 to 24 months. Recently, this is further exacerbated by the impact of the Covid Pandemic on elective surgeries. Providing arthroplasty services at other levels of healthcare aims to offset this burden, however there is a marked paucity of literature regarding surgical outcomes. This study aims to provide evidence on the safety of arthroplasty at district level and its potential to decrease waiting list burden in a low-income setting.Methods: Retrospective review of consecutive hip and knee primary arthroplasty cases performed at Mitchell’s Plain Hospital (MPH), a district hospital and Groote Schuur Hospital (GSH), a tertiary academic hospital in Cape Town, South Africa between 1st January 2015 and 31st December 2018. Patient demographics, hospital stay, surgery related readmissions, reoperations, post-operative complications, and mortality were compare...
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