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When Simple Orthopedic Cases Become Complex: Case Presentations From Gaza.
Ahmad Almigdad1, Ahmad Bani Salameh2, Hamza Abu Hilaleh1
1Department of Orthopedics, Jordanain Royal Medical Services, Amman, JOR.
Cureus
|January 13, 2025
Summary
Orthopedic injuries in Gaza are complicated by conflict and limited healthcare, leading to difficult-to-treat conditions. Prompt intervention and improved medical infrastructure are crucial for better patient outcomes.
Area of Science:
- Orthopedics
- Trauma Surgery
- Public Health
Background:
- Ongoing conflict in Gaza has severely limited healthcare resources and access to timely medical treatment.
- Many orthopedic injuries that would be manageable under normal circumstances are becoming complex due to delayed care.
Observation:
- Cases reviewed show standard orthopedic injuries evolving into difficult-to-treat conditions.
- Healthcare system is overwhelmed, leading to basic interventions like external fixators for prolonged periods.
- Limited access to advanced surgical implants and inadequate physiotherapy services are significant barriers.
Findings:
- Delayed treatment, resource scarcity, and restricted rehabilitation significantly increase complexity and complication rates.
- Prolonged reliance on external fixation without advanced surgical options impairs functional recovery.
- Inadequate post-injury care and rehabilitation services contribute to poor patient outcomes.
Implications:
- Urgent international support is needed to enhance Gaza's medical infrastructure for orthopedic trauma.
- Addressing the humanitarian crisis requires improving access to advanced surgical care and comprehensive rehabilitation.
- Effective management of orthopedic injuries in conflict zones necessitates robust healthcare systems and resources.

