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BackgroundOne of the challenge to manage long bone fracture is the risk of infection. Intramedullary nailing is the standard treatment of long bone shaft fractures. Infection from the surgical site during orthopedic management is posing postoperative burdens in different perspectives like patient perspectives and healthcare facilities. However, there is limited information on the magnitude of infection in Ethiopia after surgical implant generation network (SIGN) nailing in the treatment of long bone shaft fractures. Therefore, the current study aimed to assess the prevalence of infection in patients with long bone shaft fractures treated with surgical implant generation network (SIGN) nailing.ObjectiveTo assess prevalence of infection in patients with long bone shaft fractures treated with SIGN nailing at Felege Hiwot Referral Hospital from January 1, 2015, to December 31, 2018, Bahir Dar, Northwest, Ethiopia.MethodsThis was a retrospective study over a period of 4 years. SIGN surgical-related data, presence or absence of infection from the documented information were collected from the chart/the source. The types of infection were also collected with the standard classification as superficial, deep and deep with osteomyelitis. Age, sex, fracture pattern, nature of fracture, mechanism of injury, prophylaxis antibiotics, nail type, follow-up in weeks and other factors were also extracted from the patients’ charts with structured checklist. Data were analyzed with statistical package for social sciences (SPSS) version 23. The analyzed data were presented with texts, tables and a graph.ResultsThree hundred and eighty-two long bone fractures were treated by locked SIGN intramedullary nailing during the study period. After screening the inclusion criteria, a total of 311 cases were included in this study. A total of 13 (4.2%) patients who treated with SIGN intramedullary nailing developed infection.ConclusionsWe conclude that the overall prevalence of infection with SIGN intramedullary nailing is almost similar with the surgeries done in the developed countries.

BackgroundClubfoot is a common congenital deformity affecting mobility of children. It leads to pain and disability. The Ponseti treatment method is non-surgical method for the correction of clubfoot. There is variation from country to country in how the result of clubfoot management is measured and reported. This study aimed to assess the 5-years results of the Ponseti method in the treatment of congenital clubfoot which was performed for children aged under 2 years in western Amhara, Ethiopia.ObjectivesThe objective of this study was to assess a 5-years results of the Ponseti method in the treatment of congenital clubfoot among under 2-years old children in Felege Hiwot Referral Hospital, Bahir-Dar, Ethiopia, from 2015 to 2019 G.C.MethodsA facility-based retrospective cross-sectional study was conducted. After receiving letter of ethical clearance from the University, IRB board, the data were collected from medical record/charts of patients’ who received Ponseti treatment, and the collected data were entered and analyzed with Statistical Package for Social Sciences version 21. The results were presented with texts and tables.ResultsA total of 200 children with 256 congenital clubfeet involved in the study. Among the total study subjects, 143 (71.5%) had unilateral clubfeet. The 5-years results of the Ponseti method in the treatment of congenital clubfoot conducted in 200 children with clubfeet were 187 (93.5%) with 95% (CI 90–99.5). Among the study participants, males were 66.5% (almost two times from females).Conclusions and recommendationsAccording to the results from a 5-years data showed that the Ponseti method in the treatment of congenital clubfoot was successful with a success rate of 93.5%. We recommend that children with congenital clubfeet should be managed with Ponseti treatment method timely.

Background: Trauma casualties from armed conflict pose immense strain on health systems, particularly in resource-limited settings. Delivering effective care for critically injured patients is challenging in these situations. This study explored intensive care unit (ICU) admission patterns, care needs, and outcomes of wartrauma patients at the University of Gondar Comprehensive Specialized Hospital, Ethiopia, during the Northern Ethiopian conflict in 2021/22. Methods: We conducted a retrospective review of 142 war-trauma surgical ICU patients. Results: Most were young males (83.1%, mean age 34.2 years), and the majority (81%) were rural residents. Bullet injuries predominated (88%), with head trauma (31%) and polytrauma (28.2%) as the most common presentations, and more than half arrived more than 24 hours postinjury. Multiorgan failure (30.3%), Glasgow Coma Scale score < 9 (26.8%), and respiratory failure (23.2%) were frequent reasons for ICU admission. Critical care needs included antibiotics (100%), mechanical ventilation (73.2%), blood transfusion (29.6%), and vasopressor support (11.3%). Key complications included acute kidney injury (23.2%) and ICU-acquired infection (12.7%). The mean ICU stay was 7.2 days. The overall mortality rate was 47.2%, driven by multiorgan failure (41.8%) and severe brain injury (25.4%). Patients receiving pre-referral care and early intervention had higher survival rates, while factors such as hemodynamic instability and the need for vasopressors were linked to worse outcomes. Conclusion: High mortality in this study underscored the critical need for rapid response systems, enhanced pre-referral care, and targeted interventions for common injuries such as traumatic brain injuries and abdominal trauma. A multidisciplinary approach is essential to bridge gaps in care delivery, improve outcomes, and foster equity in resource-limited, conflict-affected settings.