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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Protocol for Developing a Femur Osteotomy Model in Wistar Albino Rats

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A Novel Hybrid Training Model for Open Fracture Management in Rwanda.

Samhita Kadiyala¹, Emily Powis¹, Alireza Mirahmadi^1,2

¹Harvard Global Orthopaedics Collaborative, Boston, Massachusetts.

The Journal of Bone and Joint Surgery. American Volume

|April 13, 2026

Summary

This summary is machine-generated.

A hybrid course improved surgical management of open fractures in Rwanda. The training significantly boosted surgeon confidence and knowledge, enhancing patient care in low-resource settings.

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Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation

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Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

Area of Science:

Global Surgery
Orthopaedic Trauma
Medical Education

Background:

Open fractures pose a significant global health burden, particularly in low- and middle-income countries (LMICs).
Effective management of open fractures is a critical surgical priority, identified by The Lancet Commission on Global Surgery.
Road traffic collisions are a primary cause of open fractures in LMICs.

Purpose of the Study:

To develop and evaluate a novel hybrid educational course for open fracture management.
To assess the impact of the course on surgical trainees and practicing surgeons in Rwanda.
To improve the management of open fractures in resource-constrained settings.

Main Methods:

A hybrid course combining self-directed virtual learning with a live, in-person workshop was implemented.
The course included prerecorded multilingual lectures, curated articles, didactic sessions, and hands-on skills training.
Participants engaged in case discussions and practiced techniques like external fixation and negative pressure wound therapy.

Main Results:

The course engaged 160 learners (37 in-person, 123 virtual) with high overall satisfaction (4.6/5).
Self-reported confidence in managing open fractures increased significantly (3.83 to 4.69 on a 5-point scale, p < 0.001).
96.4% reported improved knowledge and 96.5% indicated a change in clinical practice.

Conclusions:

The hybrid educational model is effective in enhancing knowledge and confidence in open fracture management.
Participant feedback suggests areas for improvement, including extended hands-on time and enhanced remote learner engagement.
Future directions involve integrating the course into broader medical education and adapting it for wider dissemination.