A Review of Orthopaedic Theatre Radiography Services in Zambia

O. Bwanga, Ncheebe Sindaza, Malunga Chipulu, Patrick Mwenga Kinda, Joseph Mulenga
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Abstract

Orthopaedic theatre radiography plays a critical role in the treatment of bone injuries and joint diseases. Fluoroscopic imaging using a mobile image intensifier (C-arm) is required to aid in trauma orthopaedic surgery. Plain X-rays using a mobile X-ray machine are also required for non-trauma corrective orthopaedic surgery. In Zambia, there are an increase in the use of motor vehicles and associated road traffic accident (RTA) injuries. Assaults and falls are other common mechanisms of trauma injuries reported in Zambia. The growing number of trauma patients puts a strain on trauma and orthopaedic services, particularly theatre radiography. Most trauma patients require surgical treatment of their bone injuries. However, in terms of establishing a well-organised trauma and orthopaedic healthcare system in the country, less emphasis has been paid to this problem. As a result, theatre radiography is similarly underdeveloped. This review aimed to assess orthopaedic theatre radiography services and raise awareness among stakeholders on this important topic in Zambia. As the country's planned improved orthopaedic services evolve, the radiography profession must begin bolstering training and advocating for more theatre radiography equipment.
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赞比亚骨科手术室放射摄影服务回顾
骨科手术室放射成像在治疗骨伤和关节疾病方面发挥着至关重要的作用。创伤骨科手术需要使用移动式图像增强器(C 型臂)进行透视成像。非创伤矫形外科手术也需要使用移动 X 光机进行普通 X 光检查。在赞比亚,机动车的使用和相关的道路交通事故(RTA)伤害有所增加。袭击和跌倒是赞比亚报告的其他常见创伤机制。越来越多的外伤病人给外伤和矫形服务带来了压力,尤其是放射科。大多数外伤病人的骨伤需要手术治疗。然而,在该国建立组织完善的创伤和骨科医疗保健系统方面,对这一问题的重视程度较低。因此,手术室放射摄影也同样发展不足。本次审查旨在评估骨科手术室放射成像服务,并提高赞比亚利益相关者对这一重要问题的认识。随着赞比亚计划改善骨科服务的发展,放射摄影专业必须开始加强培训,并倡导增加手术室放射摄影设备。
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