Use of external fixators in developing countries: a short socioeconomic analysis.

Area of Science:

• Orthopedic surgery
• Traumatology
• Biomedical engineering

Background:

• External fixators (EFs) have a long history in orthopedics, offering advantages over internal fixation for certain complex fractures.
• Their application is widespread globally for musculoskeletal injuries, but cost remains a significant barrier, particularly in developing nations.

Purpose of the Study:

• To review the importance of EFs in fracture management within developing countries.
• To identify current challenges faced by developing countries in utilizing EFs.
• To explore potential solutions, expand EF applications, and assess the pandemic's impact on fracture care.

Main Methods:

• Literature review of existing research on external fixation in developing countries.
• Analysis of challenges and proposed solutions for cost-effective EF implementation.
• Examination of the impact of the COVID-19 pandemic on fracture management strategies.

Main Results:

• External fixators are vital for complex trauma but are often prohibitively expensive in low-resource settings.
• Ongoing research seeks to develop more affordable and clinically viable EF options.
• Implementation faces limitations despite identified solutions.

Conclusions:

• Affordable and clinically acceptable external fixators are essential for improving fracture care in developing countries.
• Overcoming cost barriers is critical for equitable access to advanced orthopedic treatments.
• Further research and development are needed to address implementation challenges.