Publications by authors named "W T Hardaker"

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.
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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.

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Background: Sub-Saharan Africa faces the highest relative need for health care workers in the world and the emigration of physicians significantly contributes to this deficit. Few studies have explored development of these patterns during medical education. This study investigates career aspirations of medical students in two African nations with similar Human Development Indices, but distinct differences in training structure to better inform retention strategies.

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As upper extremity transplantation is becoming more accepted worldwide, the demand for a fresh tissue cadaveric training model for this procedure is increasing and necessary to assure surgical success. Surgical rehearsals can decrease operative time, improve technique, and reduce errors made on the actual day of surgery. The purpose of this article is to describe a method for surgical rehearsal of upper extremity transplantation using cadaveric specimens based on the clinical experience of an academic institution with an active transplantation program.

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There is a devastating lack of access to surgical care, including orthopaedic surgery, in low- and middle-income countries. Similar to other low- and middle-income countries, Tanzania has a severe shortage of trained orthopaedic surgeons. The surgeons available are inundated with acute trauma care and musculoskeletal infections; elective procedures are infrequently performed and the burden of neglected care continues to rise annually.

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