Orthopaedic trauma surgery in low-income countries

AbbreviAtions, 2 list of PublicAtions, 2 bAckground, 3 A brief history of intra-medullary nailing of the femur, 3 the growing burden of trauma in lmics , 5 the global distribution of health services, 5 realities of trauma care in low-income countries, 5 malawi and kamuzu central Hospital, 6 Postoperative infection after surgery in lmics, 7 the Hiv pandemic and trauma surgery, 7 sign fracture care international, 8 the sign online surgical database, 9 follow-up and research in lics, 9 study Aims, 10 metHods, 11 Paper i: validation of the sosd for research on trauma surgery in lmic. lack of follow-up, 11 Paper ii: risk factors for infection in the sosd, 11 Paper iii: complications after im nailing in malawi, 11 ethical considerations, 12 summAry of PAPers i-iii, 13 discussion, 15 follow-up, 15 infections, 16 Hiv, 18 study design and limitations, 18 conclusions, 20 future reseArcH, 21 summAry, 22 references, 23 APPendix, 26 sosd postoperative registration form, 26 sosd follow-up visit registration form, 29 data collection form, kcH study, 30 follow-up registration form, kcH study, 32 Acta Orthopaedica (Suppl 356) 2014; 85 this thesis is based on the following three papers. they are referred to in the text by their roman numeral. Paper I: young s, lie sA, Hallan g, Zirkle lg, engesaeter lb, Havelin li. low infection rates after 34,361 intramedullary nail operations in 55 low-and middle-income countries. validation of the surgical implant generation network (sign) online surgical database.