527
Views
8
CrossRef citations to date
0
Altmetric
Research Papers

Longstanding pain and social strain: patients’ and health care providers’ experiences with fracture management by skeletal traction; a qualitative study from Malawi

, , &
Pages 1714-1721 | Received 26 Jan 2016, Accepted 25 Jun 2016, Published online: 20 Jul 2016

References

  • Zirkle LG. Injuries in developing countries-how can we help? the role of orthopaedic surgeons. Clin Orthop Relat Res. 2008;466:2443–2450.
  • Spiegel DA, Gosselin RA, Coughlin RR, et al. The burden of musculoskeletal injury in low and middle-income countries: challenges and opportunities. J Bone Joint Surg Am. 2008;90:915–923.
  • Peden M, McGee K, Krug E. Injury: a leading cause of the global burden of disease, 2000. Geneva: World Health Organization; Report no. 9241562323.
  • Ozgediz D, Galukande M, Mabweijano J, et al. The neglect of the global surgical workforce: experience and evidence from Uganda. World J Surg. 2008;32:1208–1215.
  • WCPT. Global data collection shows dramatic global variations in availability of physical therapy. 2014 [Internet]. Available from: http://www.wcpt.org/news/WCPT-profiles-profession-Apr14
  • Swai SP. Conservative management of closed femoral shaft fractures: is skeletal traction still justified or cost effective in a developing country like Tanzania? [dissertation]. Dar es Salaam, Tanzania: University of Dar Es Salaam; 2005.
  • Young S, Lie SA, Hallan G, et al. Risk Factors for infection after 46,113 intramedullary nail operations in low-and middle-income countries. World J Surg. 2012;37:349–355.
  • Young S. Orthopaedic trauma surgery in low-income countries; follow-up, infections and HIV [dissertation]. Bergen, Norway: University of Bergen; 2014. 126 p.
  • Phillips J, Zirkle LG, Gosselin RA. Achieving locked intramedullary fixation of long bone fractures: technology for the developing world. Int Orthop. 2012;36:2007–2013.
  • Awori N, Cairns J, Hankins G, et al. Fractures of the shaft of the femur. In: King M, Bewes P, editors. Primary Surgery. Vol 2. Kuala Lumpur: Oxford Medical Publication; 2009.
  • Young S, Beniyasi F, Munthali B, et al. Infection of the fracture hematoma from skeletal traction in an asymptomatic HIV-positive patient: additional support for early surgical treatment of femoral fractures in people living with HIV in low-income countries? Acta Orthopaedica. 2012;83:423–425.
  • Gosselin R, Lavaly D. Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone. Int Orthop. 2007;31:697–702.
  • Doorgakant A, Mkandawire N. The management of isolated closed femoral shaft fractures in a district hospital in Malawi. Tropical Doctor. 2012;42:8–12.
  • Gosselin R, Heitto M, Zirkle L. Cost-effectiveness of replacing skeletal traction by interlocked intramedullary nailing for femoral shaft fractures in a provincial trauma hospital in Cambodia. Int Orthop. 2009;33:1445–1448.
  • Opondo E, Wanzala P, Makokha A. Cost effectiveness of using surgery versus skeletal traction in management of femoral shaft fractures at Thika level 5 hospital, Kenya. Pan Afr Med J. 2014;15. doi: 10.11604/pamj.2013.15.42.2451.
  • Sekimpi P, Okike K, Zirkle L, et al. Femoral fracture fixation in developing countries: an evaluation of the Surgical Implant Generation Network (SIGN) intramedullary nail. J Bone Joint Surg Am. 2011;93:1811–1818.
  • Bates J, Mkandawire N, Harrison W. The incidence and consequences of early wound infection after internal fixation for trauma in HIV-positive patients. J Bone Joint Surg Br Vol. 2012;94:1265–1270.
  • Young S, Banza LN, Hallan G, et al. Complications after intramedullary nailing of femoral fractures in a low-income country: a prospective study of follow-up, HIV infection, and microbial infection rates after IM nailing of 141 femoral fractures at a central hospital in Malawi. Acta Orthopaedica. 2013;84:460–467.
  • TheWorldBank. Malawi: country at a glance. 2013 [Internet]. Available from: http://www.worldbank.org/en/country/malawi
  • UN. Human development reports: Malawi. 2015 [Internet]. Available from: http://hdr.undp.org/en/countries/profiles/MWI
  • Ministry of Health GoM. Malawi health sector strategic plan 2011-2016: moving towards equity and quality. 2011 [Internet]. Available from: http://www.medcol.mw/commhealth/publications/3 Malawi HSSP Final Document (3).pdf
  • Mkandawire N, Ngulube C, Lavy C. Orthopaedic clinical officer program in Malawi: a model for providing orthopaedic care. Clin Orthop Relat Res. 2008;466:2385–2391.
  • MAP. Malawi against physical disabilities: About School. 2014 [Internet]. Available: http://www.mapmw.org/?q=content/about-school
  • Fielder S, Mpezeni S, Benjamin L, et al. Physiotherapy in Malawi: a step in the right direction. Malawi Med J. 2013;25:83–85.
  • Hoffman M, Mofolo I, Salima C, et al. Utilization of family members to provide hospital care in Malawi: the role of hospital guardians. Malawi Med J. 2013;24:74–78.
  • Mock C, Cherian M. The global burden of musculoskeletal injuries: challenges and solutions. Clin Orthop Relat Res. 2008;466:2306–2316.
  • Okonta H, Malemo K, Ogunbanjo G. The experience and psychosocial needs of patients with traumatic fractures treated for more than six months at doctors on call for service hospital, Goma, Democratic Republic of Congo. South Afr Family Prac. 2011;53:189–192.
  • Green J, Thorogood N. Qualitative Methods for Health Research. Silverman D, editor. London, UK: SAGE Publications Ltd; 2009.
  • Murthy S, Antwi-Kusi A, Ofori-Amanfo G. Patient and practitioner perspectives on postoperative pain control in Kumasi, Ghana. South Afr J Anaesth Analg. 2013;19:102–109.
  • Kituyi W, Imbaya K, Wambani J, et al. Postoperative Pain Management: clinicians’ knowledge and practices on assessment and measurement at Moi teaching and referral hospital. East Central Afr J Surg. 2011;16:20–24.
  • Rampanjato RM, Mukarugwiza F, Ndimubanzi CP, et al. Factors influencing pain management by nurses in emergency departments in Central Africa. Emerg Med J. 2007;24:475–476.
  • Muula AS, Misiri H, Chimalizeni Y, et al. Access to continued professional education among health workers in Blantyre, Malawi. Afr Health Sci. 2005;4:182–184.
  • Mathauer I, Imhoff I. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Hum Resourc Health. 2006;4:24.
  • Damme WV, Leemput LV, Hardeman W, et al. Out-of-pocket health expenditure and debt in poor households: evidence from Cambodia. Trop Med Int Health. 2004;9:273–280.
  • McIntyre D, Thiede M, Dahlgren G, et al. What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts? Soc Sci Med. 2006;62:858–865.
  • Mock C, Gloyd S, Adjei S, et al. Economic consequences of injury and resulting family coping strategies in Ghana. Accid Anal Prev. 2003;35:81–90.
  • Bach O. Musculo skeletal trauma in an East African public hospital. Injury. 2004;35:401–406.
  • Young S, Lie SA, Hallan G, et al. 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. Acta Orthopaedica. 2011;82:737–743.
  • Bezabeh B, Wamisho B. Treatment of femur shaft fractures using Perkins’ traction at Addis Ababa university: an Ethiopian experience. East Afr Orthop J. 2010;4:12–18.
  • Kimokoti RW, Hamer DH. Nutrition, health, and aging in sub-Saharan Africa. Nutrit Rev. 2008;66:611–623.
  • Manafa O, McAuliffe E, Maseko F, et al. Retention of health workers in Malawi: perspectives of health workers and district management. Hum Resour Health. 2009;7:65.
  • Hofman K, Primack A, Keusch G, et al. Addressing the growing burden of trauma and injury in low- and middle-income countries. Am J Public Health. 2005;95:13.
  • Bickler SW, Spiegel D. Improving surgical care in low- and middle-income countries: a pivotal role for the World Health Organization . World J Surg. 2010;34:386–390.
  • Loeb ME, Eide AH. Living conditions among people with activity limitations in Malawi: a national representative study. 2004.
  • McCoy D. Economic and health systems research on health workers in sub-Saharan Africa: drawing out themes from a case study of Malawi. Paper presented at UNAIDS/World Bank Economic Reference Group (ERG). 2007.
  • CoM. College of Medicine; About us university of Malawi. 2012 [Internet]. Available: http://www.medcol.mw/?page_id =299
  • Museru L, Mcharo C. The dilemma of fracture treatment in developing countries. Int Orthop. 2002;26:324–327.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.