PAEDIATRIC FRACTURE SOLUTIONS

ACTIVITIES

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Faculty Education Programme

Each year, the Paediatric Fracture Solutions for Ghana Project holds a Faculty Education Programme (FEP) for all its faculty members to prepare them for upcoming courses in the year. This year’s FEP took place on 23rd February, 2017 at Anita Hotel, Kumasi. Faculty members included Physicians, Surgeons and Operating Room Personnel from Komfo Anokye Teaching Hospital, Korle-Bu Teaching Hospital, Cape Coast Teaching Hospital, Tamale Teaching Hospital, Effia Nkwanta Regional Hospital, Trauma and Specialist Hospital and St. Joseph Orthopaedic Hospital.

 

Basic Principles of Paediatric Fracture Management for Operating Room Course

Operating Room Personnel (ORP) are valuable members of the trauma team treating fractures in the operating theatres. It is essential therefore, to address the inadequacy of education for ORP in the country. This course provides fundamental knowledge in the operative treatment of fractures according to the AO Principles of fracture management. The course is in the form of didactic presentations, group discussions between participants and faculty and practical sessions. Two (2) ORP courses have been organized in Cape Coast and Tamale. The National Course Chair is Ms. Stella Minta of Komfo Anokye Teaching Hospital. Enquiries about the course can be directed to her through sminta@rocketmail.com or 0244765412.

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Non-Operative Paediatric Fracture Treatment Course

This is an instructional course with the objective of providing doctors and other health care workers with guidelines for basic non-operative treatment of common paediatric fractures to enable them recognize those fractures that need operative treatment in specialist units. The course is in the form of presentations, practical exercises and group discussions. Some of the practical sessions include how to apply skin traction, lower circular cast, upper leg circular cast and hip spica. So far two (2) non-operative courses have been organized in Cape Coast and Sunyani respectively. For more information about the course, please get in touch with Dr. Peter Konadu (Komfo Anokye Teaching Hospital), the National Course Chair via peterkonadu60@yahoo.de

 

 

 

Basic Principles of Paediatric Fracture Management

This is an operative course tailor-made for Surgeons. It provides fundamental knowledge in the operative treatment of paediatric fractures according to the AO principles. This course provides knowledge on techniques for managing common paediatric fractures. The content includes paediatric anatomy and physiology, fracture classification, understanding paediatric injuries and paediatric fracture healing. Practical sessions include nailing of forearm fractures, pinning of distal radius fractures and elastic nailing of femoral shaft fracture and retrograde and antegrade techniques. The first course took place in Cape Coast with 36 Residents and Surgeons in attendance. The National Course Chair, Dr. Michael Segbefia, was the main facilitator for this course.

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Trauma Registries

In Ghana and most African countries, there is no registry of childhood trauma. Having such a registry to record and store all relevant information on trauma cases provides a basis for developing suitable preventive measures, implementing an effective trauma system, adapting appropriate interventions and targeting the population that needs it the most. With this in mind, one component of the Paediatric Fracture Solutions for Ghana Project is to establish Trauma Registries in Korle-Bu Teaching Hospital, Komfo Anokye Teaching Hospital, Cape Coast Teaching Hospital and Tamale Teaching Hospital. The registries serve as repositories for specific data that can be evaluated, trended and linked to outcomes. In the medium and long term, the registries will generate data for the evaluation of outcomes for various traumatic injuries and will provide information that can be used to evaluate timelines, appropriateness and quality of patient care.

Social Science Study

Although first aid practices are carried out on children with injuries by primary caregivers, many parents often delay in getting medical attention for their wards. Others carry out harmful practices on their injured children. In light of this, a social science study dubbed ‘An investigation into the Health Seeking Behaviour and Management of Paediatric Fractures in Ghana: An Exploratory Study of Community and Health System Factors’ is being carried out to understand the perceptions and practices of primary caregivers and bonesetters. The findings will be used to design appropriate campaigns with the support of the media and community change agents to improve healthcare seeking behaviour for household child bone injuries among major stakeholders. The study will be conducted in the Kumasi and Cape Coast Metropolitan Areas respectively, using a mixed methods approach.

 

Treatment Subsidy

Injuries involving children are commonly encountered in Ghana. However, owing to delay in seeking treatment and the initial use of herbal treatment, complications often result. These complications sometimes occur because the treatments at some health facilities are not tailored to the needs of children. The goal of this project component is to create a reference center for paediatric injuries to improve accessibility and minimize delays in seeking care for paediatric injuries, particularly fractures. It will also afford the opportunity to health care staff to receive training in the care of paediatric injuries.

As part of the project, patients who fall into the categories stated below will receive prompt treatment at designated health facilities.

  • Children with acute fractures that require treatment with cast immobilization
  • Children with acute fractures that need operative treatment eg. open fractures, physeal injuries, compartment syndrome, etc
  • Children with complications that arise from late presentation or prior herbal treatment following an acute injury eg. post traumatic osteomyelitis, fracture malunions, infected open wounds etc.

 

UPCOMING EVENTS

    • Basic Principles of Paediatric Fracture Management: Tamale, 23rd – 25th November, 2017

For more information about the courses, please contact the project coordinator via aopfracturesolutions@gmail.com or call Ghana College of Physicians and Surgeons on 0243690073 extension 117.