ArticleInternational orthopaedics2015
Orthopaedic surgery in natural disaster and conflict settings: how can quality care be ensured?
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Candidate Quality Measures for Orthopaedic Surgery Outreach Trips: A Systematic Review.The Journal of the American Academy of Orthopaedic Surgeons · 2021Pooled it
- Clinical outcomes of internal fixation orthopaedic surgery in humanitarian settings: a retrospective cohort study at the Médecins Sans Frontières (MSF) trauma centre in Aden, Yemen.International orthopaedics · 2025Article
- Effect analysis of applying high-quality service model to surgical nursing.World journal of clinical cases · 2024Article
- Anesthetic approach to trauma patients in the city hospital after the 2023 Maraş earthquake.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Scaling Surgical Resources: A Capacity Analysis of C-arm Machines in Haiti Following the 2021 Earthquake.World journal of surgery · 2023Article
- The Outcome of Orthopedics Treatment of Lombok Earthquake Victim 2018: A Cohort of One-Year Follow-Up Study-Lesson Learned After Lombok Earthquake.Orthopedic research and reviews · 2023Article
- The Anesthetic Techniques for Earthquake Victims in Indonesia.Open access emergency medicine : OAEM · 2022Article
- Quality in crisis: a systematic review of the quality of health systems in humanitarian settings.Conflict and health · 2021Review
- Does the presence of conflict affect maternal and neonatal mortality during Caesarean sections?Public health action · 2019Article
- High-volume surgeons and high-volume journals in a multivariate orthopedic environment.International orthopaedics · 2018Article
- Surgery with Limited Resources in Natural Disasters: What Is the Minimum Standard of Care?Current trauma reports · 2018Review
- Successful implementation of thirty five major orthopaedic procedures under poor conditions after the two thousand and fifteen Nepal earthquake.International orthopaedics · 2016Article
- Financial contributions to global surgery: an analysis of 160 international charitable organizations.SpringerPlus · 2016Article
- SICOT contribution to natural disaster assistance: the pre-requisite.International orthopaedics · 2015Article
- Providing surgery in a war-torn context: the Médecins Sans Frontières experience in Syria.Conflict and health · 2015Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMédecins sans Frontières (MSF) is one of the main providers of orthopaedic surgery in natural disaster and conflict settings and strictly imposes a minimum set of context-specific standards before any surgery can be performed. Based on MSF's experience of performing orthopaedic surgery in a number of such settings, we describe: (a) whether it was possible to implement the minimum standards for one of the more rigorous orthopaedic procedures--internal fixation--and when possible, the time frame, (b) the volume and type of interventions performed and (c) the intra-operative mortality rates and postoperative infection rates.
methodsWe conducted a retrospective review of routine programme data collected between 2007 and 2014 from three MSF emergency surgical interventions in Haiti (following the 2010 earthquake) and three ongoing MSF projects in Kunduz (Afghanistan), Masisi (Democratic Republic of the Congo) and Tabarre (Haiti).
resultsThe minimum standards for internal fixation were achieved in one emergency intervention site in Haiti, and in Kunduz and Tabarre, taking up to 18 months to implement in Kunduz. All sites achieved the minimum standards to perform amputations, reductions and external fixations, with a total of 9,409 orthopaedic procedures performed during the study period. Intraoperative mortality rates ranged from 0.6 to 1.9 % and postoperative infection rates from 2.4 to 3.5 %.
conclusionsIn settings affected by natural disaster or conflict, a high volume and wide repertoire of orthopaedic surgical procedures can be performed with good outcomes when minimum standards are in place. More demanding procedures like internal fixation may not always be feasible.
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