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Experiences with Implantable Devices — Problems Faced by Developing Countries

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Materials Sciences and Implant Orthopedic Surgery

Part of the book series: NATO ASI Series ((NSSE,volume 116))

Abstract

The orthopaedic surgeon practising in developing countries faces multi-various problems. A large number of them are locally trained, but by experts with a strong bias towards modern methods of management of orthopaedic problems — for example, rigid internal fixation because of their earlier background training. Many of them seek and obtain from some of the best schools in Europe and the North American continent. They are all trained in the use of excellent internal fixation devices of high quality steel, vitallium or titanium. Implants of a similar composition (such as semi and total hip replacements); compatible screws and other ancillary devices; power tools (either electrically or pneumatically operated); and a clean, virtually bacteriologically sterile atmosphere with pin-point operating lights and television-monitored radiological equipment, with which he could accurately direct his guide pins so that fixation after reduction in a majority of cases is practically anatomical, form the basis of his training programme. After about five years of such training he returns to his home country, full of enthusiasm, quite frequently with equipment and implants which he is sure he can use with missionary zeal. He finds that the only place he can practice such a calibre of operative orthopaedics is a teaching hospital, either in the federal or provincial capital where there is already an entrenched, highly skilled, politically well-connected surgeon, with an established practice. He quite frequently joins the public service system and is posted as orthopaedic surgeon to a district headquarters hospital — probably the first orthopaedic surgeon ever to be posted at such an institution.

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Author information

Authors and Affiliations

  1. World Health Organization, 1211, Geneva 27, Switzerland

    Dr B. Sankaran (Director, Division of Diagnostic, Therapeutic and Rehabilitative Technology)

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  1. Dr B. Sankaran
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Editor information

Editors and Affiliations

  1. Applied Research Laboratory, Pennsylvania State University, State College, Pennsylvania, 16804, USA

    Ram Kossowsky

  2. Department of Pathology, The New York Hospital Cornell University, Medical Center, New York, NY, 10021, USA

    Nir Kossovsky

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© 1986 Martinus Nijhoff Publishers, Dordrecht

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Sankaran, B. (1986). Experiences with Implantable Devices — Problems Faced by Developing Countries. In: Kossowsky, R., Kossovsky, N. (eds) Materials Sciences and Implant Orthopedic Surgery. NATO ASI Series, vol 116. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4474-9_1

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  • DOI: https://doi.org/10.1007/978-94-009-4474-9_1

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8492-5

  • Online ISBN: 978-94-009-4474-9

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