Faiton Ndesanjo Mandari | Kilimanjaro Christian Medical University College (original) (raw)

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Papers by Faiton Ndesanjo Mandari

Advances in orthopedics, May 24, 2024

International journal of surgery case reports, Apr 1, 2024

$Research paper thumbnail of Pattern, treatment modalities and radiological outcome of pediatric femoral shaft fractures treated in Northern,Tanzania$

medRxiv (Cold Spring Harbor Laboratory), Mar 9, 2024

International journal of surgery case reports, Mar 1, 2024

Social Science Research Network, 2018

World Journal of Surgery, 2018

Annals of Medicine and Surgery, 2019

Background: Patients with musculoskeletal injuries in Sub-Saharan Africa often receive prolonged ... more Background: Patients with musculoskeletal injuries in Sub-Saharan Africa often receive prolonged inpatient treatment due to limited access to surgical care. Little is known regarding the psychosocial impact of prolonged conservative treatment for orthopaedic injuries, which may add to disability and preclude rehabilitation. Methods: A cross-sectional, questionnaire study was conducted to characterize the psychosocial health of orthopaedic inpatients at a tertiary hospital in Moshi, Tanzania. Three validated surveys assessing coping strategies, functional social support, and symptoms of depression were orally administered to all orthopaedic patients with a length of stay (LOS) ≥ 6 days by a Tanzanian orthopaedic specialist. Results: Fifty-nine patient surveys were completed, and revealed 92% (54) of patients were more likely to utilize more adaptive than maladaptive coping strategies. Patients with chest or spinal column injuries were more likely to use maladaptive coping strategies (p = 0•027). Patients with head injuries had more social support compared to others (p = 0•009). Lack of insurance, limited education, and rural origins were associated with less functional social support, although this finding did not reach statistical significance. 23•7% (14) of patients had symptoms consistent with mild depression, 33•9% (20) with moderate depression, and 3•4% (2) with moderately-severe depression. LOS was the only significant predictor for depression severity. Conclusions: 61% (36) of orthopaedic inpatients exhibited depressive symptoms, indicating that the psychosocial health in this population is sub-optimal. Mental health is a crucial element of successful orthopaedic care. Access to timely surgical care would greatly decrease LOS, the most prominent predictor of depressive symptom severity.

Journal of Orthopaedics and Sports Medicine, 2021

We describe a case of a traumatic obturator hip dislocation in a 50-year old adult male presentin... more We describe a case of a traumatic obturator hip dislocation in a 50-year old adult male presenting three weeks after injury. All attempts at closed reduction under general anaesthesia had failed upon which open reduction was successfully accomplished using the minimally invasive anterior approach. The patient was then discharged 5 days post-op and advised to progressively weight bear with crutches as tolerated for a month with limited extension. Followup of the patient after 3 months showed satisfactory recovery without signs of avascular necrosis (AVN).

Spinal Cord Series and Cases, 2017

STUDY DESIGN: Retrospective study. OBJECTIVES: To describe the epidemiology of traumatic spinal c... more STUDY DESIGN: Retrospective study. OBJECTIVES: To describe the epidemiology of traumatic spinal cord injury (TSCI) in Northern Tanzania. SETTING: Main referral hospital for Northern Tanzania. METHODS: A retrospective review of 125 TSCI cases admitted to Kilimanjaro Christian Medical Centre (KCMC) over a period of 5 years. RESULTS: We included 125 patients in the sample size, with a male majority of 107 (85.6%), giving a male-to-female ratio of 5.9:1. The mean age at injury was 39.9 (±16.0) years. Overall, 66 (52.8%) were farmers and an overwhelming majority (109 (87.2%)) were referrals from peripheral medical centres. Fall injuries accounted for 65 (52.0%) of the admissions and 49 (39.2%) were injured due to a Road Traffic Accident (RTA). Severity of injury was classified according to the American Spinal Injury Association Impairment Scale (AIS) and 57 (45.6%) injuries were categorised as AIS A and 68 (54.4%) as AIS BCD. Cervical level injuries (59 (47.2%)) were the most frequent among the cohort. The in-hospital mortality rate was 24.1%. CONCLUSION: The majority of patients affected by TSCIs were young males and the most common cause was fall injuries. Cervical level injuries were the most common and in-hospital mortality was high.

$Research paper thumbnail of The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania$

Pan African Medical Journal, 2016

Introduction: Tibia/fibula fractures are one of the commonest admissions to the orthopaedic depar... more Introduction: Tibia/fibula fractures are one of the commonest admissions to the orthopaedic department at a resource-limited Northern Tanzanian hospital. These fractures are associated with poor prognosis and pose a huge socioeconomic burden on developing countries. However, to date there is a paucity of epidemiological data on lower-limb fractures in Tanzania. Methods: A retrospective review of admissions to the orthopaedic department at Kilimanjaro Christian Medical Centre (KCMC) was completed between February 2015 and 2016. Inpatient record books were used to source epidemiological data which was subsequently analysed. Results: 199 of the 1016 patients admitted sustained tibia/fibula fractures. 78% (n=156) of admissions were male and the most frequently affected age group was 21-30 years. Motor traffic accidents (MTAs) were the most common cause and accounted for 78% of fractures, with nearly half of these involving motorbikes (42%). Falls were identified as the second most common cause (13%). It was determined that 72% (n=143) of fractures were open, 19% (n=38) were comminuted and the most common site of injury was the distal-third of tibia/fibula. The most frequently recorded treatments were surgical toilet/debridement (66% of patients) and the application of a backslab (34% of patients). Conclusion: Males in the 21-30 age group, who were involved in MTAs, were most commonly affected by tibia/fibula fractures. Given that MTA incidence is increasing in Tanzania, there is a growing public health concern that this will be reflected by a step-increase in the number of people who sustain lower-limb fractures.

$Research paper thumbnail of The epidemiology and treatment of femur fractures at a northern tanzanian referral centre$

Pan African Medical Journal, 2015

Introduction: Femoral fractures are the most common presenting injury at the orthopaedic departme... more Introduction: Femoral fractures are the most common presenting injury at the orthopaedic department in a large Tanzanian hospital. To date, there has been no current examination of the epidemiology of femoral fractures and the disease burden has not been quantified. Methods: A retrospective descriptive study of patient records in the orthopaedic department at Kilimanjaro Christian Medical Centre (KCMC) was performed. Patient demographics, aetiology of fractures, diagnosis and treatment were all recorded. Results: A total of 540 consecutive patient admission records were reviewed over a 9 month period. Of these 540 cases, 213 (39%) were diagnosed with a femoral fracture. The 21-30 age group were the most commonly affected by femur fractures (20% n=42). Within this group, motor traffic accidents (MTA) were the cause of 71% of injuries (n=30). For males, MTA's caused 59% of all femur fractures (n=80), while falls were the most common cause of femur fractures in females (70%; n=49). 80% of the fractures in the 51-100 age group were caused by falls (n=52). In both the male and female groups the most common fracture seen was mid shaft femoral fracture (males 33% (n=48), females 25% (n=18)). The most common treatment was skeletal traction used in 40% (n=85) of patients. Conclusion: Femur fracture most commonly presented in males under age 30. Femur fracture was most frequently caused by MTAs in males and by falls in females. The most common diagnosis was mid shaft of femur fracture. Skeletal traction was the most frequent treatment.

JAAOS: Global Research and Reviews