Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California.
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
J Bone Joint Surg Am. 2022 May 18;104(10):e44. doi: 10.2106/JBJS.21.00948. Epub 2021 Dec 21.
Globally, the burden of musculoskeletal conditions continues to rise, disproportionately affecting low and middle-income countries (LMICs). The ability to meet these orthopaedic surgical care demands remains a challenge. To help address these issues, many orthopaedic surgeons seek opportunities to provide humanitarian assistance to the populations in need. While many global orthopaedic initiatives are well-intentioned and can offer short-term benefits to the local communities, it is essential to emphasize training and the integration of local surgeon-leaders. The commitment to developing educational and investigative capacity, as well as fostering sustainable, mutually beneficial partnerships in low-resource settings, is critical. To this end, global health organizations, such as the Consortium of Orthopaedic Academic Traumatologists (COACT), work to promote and ensure the lasting sustainability of musculoskeletal trauma care worldwide. This article describes global orthopaedic efforts that can effectively address musculoskeletal care through an examination of 5 domains: clinical care, clinical research, surgical education, disaster response, and advocacy.
全球范围内,肌肉骨骼疾病的负担持续增加,中低收入国家(LMICs)受到的影响不成比例。满足这些骨科手术护理需求的能力仍然是一个挑战。为了帮助解决这些问题,许多骨科医生寻求机会为有需要的人群提供人道主义援助。虽然许多全球骨科倡议都是出于善意的,并且可以为当地社区带来短期利益,但必须强调培训和融入当地的外科医生领袖。致力于发展教育和调查能力,以及在资源匮乏的环境中建立可持续的、互利的伙伴关系至关重要。为此,全球卫生组织(如骨科学术创伤学家联盟(COACT))致力于促进和确保全球肌肉骨骼创伤护理的持久可持续性。本文通过考察 5 个领域,描述了可以通过全球骨科努力有效解决肌肉骨骼护理问题的方法:临床护理、临床研究、手术教育、灾难应对和宣传。