Publications by authors named "Neil Perry Sheth"

Article Synopsis
  • Sub-Saharan Africa faces a substantial burden of musculoskeletal trauma, with a lack of reports on the adequacy of surgical care and factors that contribute to inadequacies.
  • Data was collected from patients treated at an orthopaedic trauma center over 6 weeks to assess whether surgical treatments restored necessary alignment and rotation; exclusions were made for specific cases that didn't fit the study criteria.
  • Out of 112 analyzed cases, surgery was deemed inadequate in 42.9% due to factors like the unavailability of proper implants and intraoperative imaging, highlighting significant systemic shortcomings in providing effective fracture care.
View Article and Find Full Text PDF

Introduction: as road traffic crashes (RTCs) continue to rise in the developing world, the current growth rate and true burden of orthopaedic injuries are unknown. In 2015, we characterized the orthopaedic burden at Kilimanjaro Christian Medical Center (KCMC) in Tanzania. In this study, we re-evaluated the burden and growth-rate over three years in the absence of any system level changes.

View Article and Find Full Text PDF

Introduction: Kilimanjaro Christian Medical Centre (KCMC) covers major orthopaedic trauma for a catchment population of 12.5 million people in northern Tanzania. Femur fractures, the most common traumatic orthopaedic injury at KCMC (39%), require open reduction and internal fixation (ORIF) for definitive treatment.

View Article and Find Full Text PDF

Background: Access to surgical care in Low- and Middle-Income Countries (LMICs) such as Tanzania is extremely limited. Northern Tanzania is served by a single tertiary referral hospital, Kilimanjaro Christian Medical Centre (KCMC). The surgical volumes, workflow, and payment mechanisms in this region have not been characterized.

View Article and Find Full Text PDF