News from Mali

Mr Greene, an Orthopedic Surgeon, became a Swinfen Referring doctor from Afghanistan, and then moved to a hospital in Ethiopia. With his great Knowledge and experience he also consulted on a few Swinfen cases and offered valuable advice.

 He is now serving others and teaching young doctors at the Koutiala Women’s & Children’s Hospital, Koutiala, MALI, where he has been for over 2 months. The hospital doesn’t have a reputation for orthopedics yet, but the word should get around soon. We do lots of bone infections but also a few fractures and deformities. These challenging cases require enormous amounts of time, nursing care, procedures and prolonged intravenous feedings.

A 14 year-old girl had dysplasia and dislocation of the hip. A good case for an old, but probably rarely performed, operation: Chiari osteotomy. The left pelvis was cut into 2 pieces, then shifted the lower piece inward so that the upper piece would give bony support to the hip bone. So far it seems to be working.

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