Improving Management of Adult Ankle Fractures in Malawi: An Assessment of Providers' Knowledge and Treatment Strategies.
Kiran J Agarwal-HardingAmi KapadiaLeonard Banza NgoieMabvuto ChawingaNyengo MkandawireJohn Y KwonPublished in: The Journal of bone and joint surgery. American volume (2021)
Adult ankle fractures in Malawi were predominantly treated nonoperatively despite often meeting evidence-based criteria for surgery. This was due to resource limitations, knowledge deficits, and lack of treatment standardization. We demonstrated a comprehensive approach to examining the challenges of providing adequate orthopaedic care in a resource-limited setting and the successful implementation of an educational intervention to improve care delivery. This approach can be adapted for other conditions to improve orthopaedic care in low-resource settings.
Keyphrases
- healthcare
- quality improvement
- palliative care
- randomized controlled trial
- minimally invasive
- pain management
- traumatic brain injury
- primary care
- affordable care act
- coronary artery bypass
- atrial fibrillation
- acute coronary syndrome
- coronary artery disease
- newly diagnosed
- combination therapy
- health insurance
- smoking cessation