Selected conditions common in the developing world

Although many esoteric diseases occur in the developing world, the majority of the orthopaedic problems encountered are similar throughout the world. Most are secondary to trauma, infection, or congenital anomalies. The geographic differences in provision of care are related to timing of treatment and available facilities. The information presented in this chapter offers examples of successful treatment regimens from many locations, each with a unique set of resources. Producing successful outcomes in such varying environments requires an understanding of the fundamental pathophysiology of the disease, innovation in the application of basic treatment principles, and adjustment of outcome expectations to seek the best possible functional result using the resources available. These resources will change as socioeconomic conditions change and will drive changes in treatment protocols. An understanding of the pathophysiology and basic treatment principles should drive innovation in these changing times.