When Simple Orthopedic Cases Become Complex: Case Presentations From Gaza.

Orthopedic injuries in Gaza, many of which would be straightforward to manage under normal circumstances, have become increasingly complex and challenging due to ongoing conflict, severe healthcare limitations, and delayed treatment. This review highlights cases of injuries that, if treated promptly, could have been managed with standard protocols but have evolved into complicated and difficult-to-treat conditions. Delayed care, lack of resources, and restricted rehabilitation significantly increase the complexity of treatment and lead to higher rates of complications, and impaired outcomes. The cases presented illustrate the substantial barriers to effective care, including an overwhelmed healthcare system burdened by a constant influx of new injuries, leaving older cases to receive only basic interventions such as external fixators. Additional challenges include limited access to advanced surgical interventions and implants, prolonged reliance on external fixation, and inadequate physiotherapy services. These conditions emphasize the urgent need for international support to improve Gaza's medical infrastructure and address the escalating humanitarian crisis effectively.