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Postoperative Management of Hand Surgery in the Low- and Middle-Income Countries
1Michigan Medicine Plastic Surgery Clinic, Domino's Farms, Lobby A, rm 1108, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105, USA; Department of Physical Medicine and Rehabilitation, Michigan Medicine, 325 East Eisenhower Parkway, Ann Arbor, MI 48108, USA.
Abstract:
The prevention and treatment of hand injuries in low- to middle-income countries needs to be a priority. Surgical outreach trips are a primary avenue for patients to receive interventions. Challenges include language and cultural barriers, poor infrastructure, and limitations in a patient's ability to follow-up. Strategies to maximize patient functional outcomes include cultural competence, patient education resources, overcoming communication barriers, and using task-shifting strategies. Local therapists' knowledge and clinical skills can be enhanced. With improvements in data collection, therapists may contribute to gaining knowledge of outcomes in low- to middle-income countries.
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