{"id":249551,"date":"2010-01-29T18:26:39","date_gmt":"2010-01-29T23:26:39","guid":{"rendered":"http:\/\/blogs.wsj.com\/health\/2010\/01\/29\/haiti-when-post-op-infections-lead-to-amputation\/"},"modified":"2010-01-29T18:26:39","modified_gmt":"2010-01-29T23:26:39","slug":"haiti-when-post-op-infections-lead-to-amputation","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/249551","title":{"rendered":"Haiti: When Post-Op Infections Lead to Amputation"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/s.wsj.net\/media\/fixator_D_20100129181908.jpg\" alt=\"Fixator\" align=\"right\"\/>External fixators &#8212; like the rig pictured at right &#8212; can <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2504087\/\" >work wonders<\/a> for fractures. <\/p>\n<p>But in post-earthquake Haiti, a fixator can also be a liability. A few days ago, a patient showed up at a field hospital near the Port-au-Prince airport with an advanced infection around the pin sites in a fixator in his leg. The leg had to be amputated at the knee.<\/p>\n<p>The patient had received the fixator at another facility. Cases like that one are why the field hospital hasn&#8217;t been discharging its post-op patients with fixators, said David Pitcher, a University of Miami orthopedic surgeon who is working at the hospital.  <\/p>\n<p>&#8220;We&#8217;re not going to drop these people with external fixators and have them walking aroud Port-au-Prince with metal sticking out of them for three months &#8212; that metal gets infected,&#8221; Pitcher told us in a phone interview this afternoon. &#8220;We don&#8217;t see the possibility of saying, &#8216;Go home.&#8217; To what home?&#8221;<\/p>\n<p>There&#8217;s a trade-off, though: Keeping the post-op patients at the hospital means the doctors there can&#8217;t treat as many new patients. Ultimately, Pitcher said, they hope to set up a rehab facility that can be run by local staff. <\/p>\n<p><strong>More on health in Haiti<\/strong>: The <a href=\"http:\/\/online.wsj.com\/article\/SB10001424052748703906204575027673161872534.html\" >WSJ describes<\/a> the effort to rebuild an AIDS clinic that has been a central pillar in Haiti&#8217;s health-care system.<\/p>\n<p><em>Photo: iStockphoto<\/em><\/p>\n<p><a href=\"http:\/\/feedads.g.doubleclick.net\/~at\/XvQdsLoEeLGkL4PyzJs5aI2oUe0\/0\/da\"><img decoding=\"async\" src=\"http:\/\/feedads.g.doubleclick.net\/~at\/XvQdsLoEeLGkL4PyzJs5aI2oUe0\/0\/di\" border=\"0\" ismap=\"true\"><\/img><\/a><br \/>\n<a href=\"http:\/\/feedads.g.doubleclick.net\/~at\/XvQdsLoEeLGkL4PyzJs5aI2oUe0\/1\/da\"><img decoding=\"async\" src=\"http:\/\/feedads.g.doubleclick.net\/~at\/XvQdsLoEeLGkL4PyzJs5aI2oUe0\/1\/di\" border=\"0\" ismap=\"true\"><\/img><\/a><\/p>\n<div class=\"feedflare\">\n<a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=u2-7GE7UZxQ:iUAY6hEg76o:yIl2AUoC8zA\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?d=yIl2AUoC8zA\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=u2-7GE7UZxQ:iUAY6hEg76o:D7DqB2pKExk\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=u2-7GE7UZxQ:iUAY6hEg76o:D7DqB2pKExk\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=u2-7GE7UZxQ:iUAY6hEg76o:F7zBnMyn0Lo\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=u2-7GE7UZxQ:iUAY6hEg76o:F7zBnMyn0Lo\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=u2-7GE7UZxQ:iUAY6hEg76o:V_sGLiPBpWU\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=u2-7GE7UZxQ:iUAY6hEg76o:V_sGLiPBpWU\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=u2-7GE7UZxQ:iUAY6hEg76o:qj6IDK7rITs\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?d=qj6IDK7rITs\" border=\"0\"><\/img><\/a>\n<\/div>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~r\/wsj\/health\/feed\/~4\/u2-7GE7UZxQ\" height=\"1\" width=\"1\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>External fixators &#8212; like the rig pictured at right &#8212; can work wonders for fractures. But in post-earthquake Haiti, a fixator can also be a liability. A few days ago, a patient showed up at a field hospital near the Port-au-Prince airport with an advanced infection around the pin sites in a fixator in his [&hellip;]<\/p>\n","protected":false},"author":650,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-249551","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/249551","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/650"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=249551"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/249551\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=249551"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=249551"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=249551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}