The enormous need of BSM is difficult to fulfill in developing countries like Indonesia and Vietnam. Take as example Indonesia, a country with more than 250 million people from which more than a third of its population drives a motor-vehicle (83 million registered motor-vehicles) and roads thick with SUVs and motorbikes, driven by the rising prevalence of traumatic injury through motor vehicle accidents in the emerging markets, and osteoarthritic low energy fractures in members of the aging population. In Indonesia Orthopaedic surgeons treat hundreds of cases of trauma that occur each week. The high number of facilities among motorcyclist reflects the dominance of two-wheelers on the SE Asian country streets.