Table 2

Final list of essential and desirable equipment from trauma and orthopaedic care in LMICs

Essential equipment listDesirable equipment list
Non-operative provider
  • Electric plaster cast saw

  • Manual plaster cast saw

  • Traction pulleys

  • Braun frame for limb elevation and traction

  • Hand drill

  • T handle

Specialist provider
  • C-arm image intensifier

  • Power drill—fully sterilisable

  • Power drill—handyman type (hardware store) with sterile cover

  • Electric plaster cast saw

  • Manual plaster cast saw

  • Gigli saw

  • T handle

  • Small fragment plating set

  • Large fragment plating set

  • Dynamic hip screw (DHS) instrument set

  • SIGN nailing set

  • Large cannulated screws

  • Large external fixator set (lower limb)

  • Small external fixator set (upper limb)

  • Rush nail set

  • K-wire and cerclage wiring set

  • Large basic orthopaedic set (including large size nibblers, bone cutters, osteotomes, mallet, forceps, retractors, needle holders)

  • Small basic orthopaedic set (including small size nibblers, bone cutters, osteotomes, toffee hammer, forceps, retractors, needle holders)

  • Fine instrument soft tissue set (including small forceps, needle holders, etc, suitable for hand surgery and similar)

  • Amputation set

  • Large fracture reduction clamp set

  • Small fracture reduction clamp set

  • Humby knife for harvesting split skin graft

  • Mesher for split skin graft

  • Traction pulleys

  • Braun frame for limb elevation and traction

  • Vacuum-assisted wound closure—‘home made’ with portable suction

  • Traction operating table

  • Specialist radiolucent table

  • Power saw—fully sterilisable

  • Hand drill

  • Hip hemiarthroplasty set

  • Tibial nail set (not SIGN)—locking

  • Femoral nail set (not SIGN)—locking

  • Femoral reconstruction nail set (not SIGN)

  • Proximal femoral nail set (ie, Gamma nail)

  • Small cannulated screws

  • Mini fragment (hand) plating set

  • Locking plating set (upper limb)

  • Locking plating set (lower limb)

  • Cable set with tensioners

  • Flexible nail set (for children’s fractures)

  • Specific pelvic reduction clamps

  • Electric or air powered dermatome for harvesting split skin graft

  • Vacuum-assisted wound closure—company purpose-made version

  • Large femoral distractor

Tertiary provider
  • Traction operating table

  • Specialist radiolucent table

  • C-arm image intensifier

  • Power drill—fully sterilisable

  • Power saw—fully sterilisable

  • Electric plaster cast saw

  • Gigli saw

  • T handle

  • Small fragment plating set

  • Large fragment plating set

  • Dynamic hip screw (DHS) instrument set

  • Hip hemiarthroplasty set

  • SIGN nailing set

  • Tibial nail set (not SIGN)—locking

  • Femoral nail set (not SIGN)—locking

  • Femoral reconstruction nail set (not SIGN)

  • Proximal femoral nail set (ie, Gamma nail)

  • Large cannulated screws

  • Small cannulated screws

  • Mini fragment (hand) plating set

  • Locking plating set (upper limb)

  • Locking plating set (lower limb)

  • Large external fixator set (lower limb)

  • Small external fixator set (upper limb)

  • Rush nail set

  • K-wire and cerclage wiring set

  • Cable set with tensioners

  • Flexible nail set (for children’s fractures)

  • Total hip replacement set

  • Total knee replacement set

  • Knee arthroscopy equipment

  • Large basic orthopaedic set (including large size nibblers, bone cutters, osteotomes, mallet, forceps, retractors, needle holders)

  • Small basic orthopaedic set (including small size nibblers, bone cutters, osteotomes, toffee hammer, forceps, retractors, needle holders)

  • Fine instrument soft tissue set (including small forceps, needle holders, etc, suitable for hand surgery and similar)

  • Amputation set

  • Large fracture reduction clamp set

  • Small fracture reduction clamp set

  • Specific pelvic reduction clamps

  • Humby knife for harvesting split skin graft

  • Electric or air powered dermatome for harvesting split skin graft

  • Mesher for split skin graft

  • Traction pulleys

  • Braun frame for limb elevation and traction

  • Vacuum-assisted wound closure—‘home made’ with portable suction

  • Vacuum-assisted wound closure—company purpose-made version

  • Large femoral distractor

  • Power drill—handyman type (hardware store) with sterile cover

  • Hand drill

  • Manual plaster cast saw

  • ACL reconstruction equipment