Primary Total Hip Arthroplasty on Complex Hips Conditions in a Low-Resource Setting

• DOI: 10.4236/ojo.2024.147028
• Publication Date: 2024-07-30T07:56:48Z
• Authors: Souleymane Ouédraogo; Malick Diallo; Sékou Sidibé; Massadiami Soulama; Adama Sidibé; Ousmane Ouermi; Patrick W. H. Dak...
• Keywords: Hip Arthroplasty

Introduction: Total hip arthroplasty of complex morphology is a challenge for the orthopaedic surgeon. Careful analysis hip's anatomy helps to unravel difficulties and anticipate procedures be performed implants planned. The aim was identify types that make first-line THR difficult, specify technical used on these sites, assess functional results series. Material Methods: This retrospective study concerned patients operated total between January 2015 December 2022 at medical center "La Grâce" in Bobo-Dioulasso, Burkina Faso. Patients with coxarthrosis (on dysplasia, acetabular protrusio, malunion or neurological hip) those ankylosis hip, osteonecrosis secondary neglected dislocation hemoglobinopathy were included. Results: A 31 replacements 30 patients. mean age surgery time 36.2 years extremes 17 61 years. male-to-female sex ratio 1. main indications THA dysplasic osteoarthritis (11 cases) dislocations (7 cases). In situ femoral neck osteotomy before seven cases. acetabulum reconstruction techniques varied from structural iliac bone graft (n = 3) cancellous 4) Kerboull plate 1). After 45 months follow-up, all hips evaluated. PMA score increased 7.1 [4 - 8] 13.2 [13 17]. Conclusion: large spectrum challenges management requires effective preoperative planning. Preoperative planning minimizes complications ensures better outcome.