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Challenges of minimally- invasive orthopaedic surgery practice in Nigeria - a national survey of residents’ perceptive


Kelechi Imediegwu
Favour N Emmanuel
Olikagu Felix
Kenechukwu J Okonkwo
Chinonso J Dimson
Ugwu Oge
Bobby D Edeani
Winifred A Acho

Abstract

Background: Minimally invasive orthopaedic surgery (MIOS) practice globally has been on a gradual increase, however the current state in Nigeria is not same.


Objectives: To determine the challenges of minimally invasive orthopaedic surgery (MIOS) practice in Nigeria and proffer realistic suggestions to improve the current state in Nigeria.


Methodology: A descriptive cross-sectional online survey conducted among senior orthopaedic surgery residents across all specialist hospitals in Nigeria. Data was analysed with the SPSS software version 20. Significance was set at p<0.05. Mean and S.D scores were calculated for responses with Likert scales of 1-5 (5- strongly agree).


Results: 48 residents completed and submitted the questionnaire, response rate of about 70.6%.
The results showed that the most significant factors affecting minimally invasive orthopaedic surgery practice in Nigeria were lack of funds (72.9% of respondents), unavailability of equipment and implants (60.4%), limited number of trainers and fellows skilled in minimal access surgery (54.2%). The narrowest Standard deviation reflecting closest precisions in perspectives of the challenges was a S.D of 0.794, Mean 4.02, which stated that there are very few courses on training of MIOS procedures.


Conclusion: Funds, training, equipment availability were the major challenges of minimally invasive orthopaedic surgery practice in Nigeria.


Keywords: Minimally- invasive orthopaedic surgery; residents’ perceptive; Nigeria.


Journal Identifiers


eISSN: 1729-0503
print ISSN: 1680-6905