A5083782459- Bone fractures and treatments
- Trauma and Emergency Care Studies
- Global Health and Surgery
- Orthopedic Surgery and Rehabilitation
- Hip and Femur Fractures
- Musculoskeletal Disorders and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Global Health Workforce Issues
- Child and Adolescent Health
- Orthopedic Infections and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Total Knee Arthroplasty Outcomes
- COVID-19 and healthcare impacts
- Orthopaedic implants and arthroplasty
- Hip disorders and treatments
- Bone health and osteoporosis research
- Surgical site infection prevention
- Cerebral Palsy and Movement Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare Policy and Management
- Medical Malpractice and Liability Issues
- Global Maternal and Child Health
- Dermatological and COVID-19 studies
Beth Israel Deaconess Medical Center
2023-2025
Harvard University
2011-2025
Harding University Main Campus
2024
Harrison Medical Center
2024
Martin University
2024
Boston University
2024
Columbia University Irving Medical Center
2022
Texas Health Dallas
2022
Massachusetts General Hospital
2015-2021
Harvard Affiliated Emergency Medicine Residency
2019-2021
Objectives Injury is a significant source of morbidity and mortality worldwide, often disproportionately affects younger, more productive members society. While many have made the case for improved injury prevention trauma care, health system development in low- middle-income countries limited by resources. This study aims to determine economic benefit care countries. Methods uses existing data on worldwide from 2010 Global Burden Disease Study estimate number lives that could be saved if...
Background: In Ethiopia, orthopaedic services are limited, and many injured children undergo traditional bonesetting (TBS) despite its association with limb- life-threatening complications. We sought to identify the risk factors for amputation a prolonged hospitalization of >7 days in who presented hospitals after undergoing TBS. Methods: Over 15-month period, we prospectively enrolled 8 Ethiopian Separately each outcome (amputation hospitalization), used multivariable logistic regression...
➢ Musculoskeletal injuries constitute a substantial proportion of worldwide disease, with access limited to many due the availability and cost devices. A multifaceted approach is needed improve system-level care. Although number procurement policies are utilized, providers in low middle-income countries often struggle inconsistent supply chains, leading delays care or less desirable management strategies. Partnerships between governments, academic institutions, nongovernmental agencies...
Background: Little is known about the burden or management of distal radius fractures (DRFs) in low- and middle-income countries. The purpose this study was to describe care DRFs Malawi. Methods: We retrospectively reviewed a registry all patients with who presented orthopaedic departments at four public hospitals Results: Totally, 1,440 (14.5%) were DRF. Average age 40, 888 (62.0%) male. Surgery done for 122 (9.5%). Patients presenting Queen Elizabeth Hospital, after fall, initially...
Background: Supracondylar humerus fractures (SHFs) are common paediatric injuries, with high risk of vascular compromise. Some patients present a ‘pink, pulseless hand’, caused by occlusion brachial artery flow but collateral circulation preserving distal perfusion. Management these remains controversial, especially when resources may be limited for prolonged hospitalisation and serial monitoring skilled staff. The aim this study is to the intraoperative findings, surgical procedures done...
Background: The burden of injuries is high in low-income and middle-income countries such as Malawi, where access to musculoskeletal trauma care limited. Delayed treatment can worsen trauma-related disability. Understanding risk factors for delayed hospital presentation will assist guiding system development. Methods: We examined the records 1,380 pediatric adult patients with fractures who presented orthopaedic clinics 2 urban referral hospitals rural district Malawi. used multivariate...
Background The burden of musculoskeletal trauma is growing worldwide, disproportionately affecting low-income countries like Malawi. However, resources required to manage remain inadequate. A detailed understanding the current capacity Malawian public hospitals unknown and necessary for effective system development planning. Methods We developed a list infrastructure, manpower, material used during treatment adult femoral shaft fractures–a representative injury managed non-operatively...
Globally, the burden of musculoskeletal conditions continues to rise, disproportionately affecting low and middle-income countries (LMICs). The ability meet these orthopaedic surgical care demands remains a challenge. To help address issues, many surgeons seek opportunities provide humanitarian assistance populations in need. While global initiatives are well-intentioned can offer short-term benefits local communities, it is essential emphasize training integration surgeon-leaders....
Abstract: Historic and present-day marginalization has resulted in a high burden of disease worse health outcomes for American Indian Alaska Native (AI/AN) communities the United States. Musculoskeletal is leading cause disability general population U.S. today. However, few have examined musculoskeletal access to orthopaedic surgical care AI/AN communities. A prevalence hip dysplasia, arthritis, back pain, diabetes, incidence trauma road traffic-related mortality, suggest disproportionately...
Background and purpose — In Malawi, both skeletal traction (ST) intramedullary nailing (IMN) are used in the treatment of femoral shaft fractures, ST being mainstay treatment. Previous studies have found that IMN has improved outcomes is less expensive than ST. However, no cost-effectiveness analyses yet compared Malawi. We report results a cost-utility analysis (CUA) comparing using either or Patients methods This was an economic evaluation study, where CUA done decision-tree model from...
The purpose of our study is to prospectively evaluate the cost effectiveness intramedullary nailing compared with skeletal traction in a resource-limited setting where remains most common definitive treatment.This multicenter, prospective multicenter investigation was conducted Malawi at 2 central hospitals and 3 district hospitals. project divided into phases. In phase 1, EuroQol-5D SMFA were translated validated Chichewa. 2, adult patents OTA/AO 32 femur shaft fractures enrolled,...
The burden of musculoskeletal trauma is increasing worldwide, especially in low-income countries such as Malawi. Ankle fractures are common Malawi and may receive suboptimal treatment due to inadequate surgical capacity limited provider knowledge evidence-based guidelines.This study was conducted 3 phases. First, we assessed Malawian orthopaedic providers' understanding anatomy, injury identification, methods. Second, observed strategies for adults with ankle presenting a central hospital....
Background: Pediatric fractures are common in Malawi, and surgical care, when needed, remains inaccessible to many. Understanding which children Malawi receive surgery or nonsurgical treatment would help set priorities for trauma system development. Methods: We used multivariate logistic regression evaluate associations between age, sex, school enrollment, injury mechanism, fracture type, open fracture, referral status, hospital of presentation, delayed presentation (≥2 days), healthcare...