January 1982 - Volume 2

The first issue of Bangladesh Orthopaedic journal is well received. We have unexpected encouragement from home and abroad. It is a great pride and honour for those who have baen associated with the establishment, survival and expansion of the orthopaedic service in this country It is heartening that the 'Bangladesh Orthopaedic Society is now more organised and publishing the second issue.-From this issue the name of the journal is changed to "The Journal of Bangladesh Orthopaedic Society' instead of "Bangladesh Orthopaedic Journal" From now onward we are publishing contributions from esteemed well wishers from abroad. We hope this will help us to be established firmly in our course.

The ostablishment of organised orthopaedic service is new in this country. Recently it has been started in few district hospitals, otherwise it is limited only to urban areas. Even in these centres, service facilities available are not satisfactory because of the nonavailability of the essential materials and equipments. This is dishearten ng when well trained orthopaedic surgeons are comming back home and very good orthopaedic surgeons are being trained in the country. It is essential that at least basic materials should be provided so that these highly trained tech­nical men can be used to help the poor people of this country. It has been found that x-rays, plasters and dressing materials and few orthopaedic tools can render very valuable service.

The orthopaedic service should be expanded to the periphery to prevent compl­ications following injuries and fractures. Still the majority of the people are being treated by village doctors. Many disasterous iatrogenic complications have been reported. This will happen if the bone setters are not prevented to do so and proper service facilities are not provided to the people. The members of the society have great role to play in orthopaedic problems including trauma. Preventive meas­ures are being stressed by which many orthopaedic conditions can be prevented, disease like bone tuberculosis and poliomyelities can also be eradicated.

The year of the disabled has been observed. Many seminers and workshops have been organised with a lot of promise to our millions of disabled people. But unfortunately nothing has been done substantively. Yet there is no national programme for the disabled and no legislative for the disabled, and the right of the disabled is being ignored. We should have done better. Invalid aids are being supplied from one centre only with inadequate supply and old fashioned prosth-etics and orthotics with unsatisfactoly result. Most of this aids again are not suitable for our rural conditions. We have noticed many improvised aids prepared by the patient themselves to suit their need are better, cheaper and readily available. The example should encourage us to venture for our own aids from local resources.

Research facilities should be encouraged to find out own system of treatment with our own resources. Many conditions like bone tuberculosis and poliomyelitis are our own problem. Yet their is no survey to find out how many people are suffering from these diseases. It is hoped that the journal will be able to awaken the couci-ousness of Medical Profession and the policy makers to formulate Policies Suitable for our people. Time has come to extend the basic Orthopaedic Services at the Periphery to minimize the disabling conditions.

In Conclusion it is our earnest hope that the members of the medical profession in general, and the Orthopaedic Surgeons in Particular will come forward to expand the Orthopaedic Service in this country.