Publications by authors named "Innocent Nyaruhirira"
Background: The history of conflicts in the Middle East has resulted in a high burden of complications from conflict-related wounds like posttraumatic osteomyelitis (PTO). This is particularly challenging to manage in settings like Mosul, Iraq and Gaza, Palestine, where healthcare systems are weakened. In nonconflict settings, PTO caused by (PAPTO) can lead to >20% of treatment failures.
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- Limb salvage by ortho-plastic teams is the standard for treating gunshot-related open tibial fractures in high-income countries, but there's a lack of research in conflict areas like the Gaza Strip, prompting a study to evaluate the clinical impact and management differences.
- The study, which reviewed medical records of 244 patients with such fractures, found high rates of non-union (53%) and infections (92.5%), with the ortho-plastic team managing more severe cases and performing numerous surgeries but showing no significant outcome differences compared to other groups.
- Key risk factors for non-union included bone loss greater than 1 cm, vascular injury, and the use of definitive fixators at initial treatment, highlighting the complex nature of