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Indications and Results of Hip Arthroplasty and Hemiarthroplasty at Treichville University Teaching Hospital

Indications and Results of Hip Arthroplasty and Hemiarthroplasty at Treichville University Teaching Hospital
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摘要 Objective: Hip arthroplasty has variable and codified indications. The interest of this study results from the need to adapt our practices to the socio-economic status of our patients. The aim of this study was to describe the epidemiological profile of patients, the indications and results of hip arthroplasties performed in our hospital. Methodology: A descriptive monocentric study was conducted from January 2010 to December 2019 at Treichville University Teaching Hospital. All patients, who underwent total hip arthroplasty or hemiarthroplasty with intermediate or cervico-cephalic prosthesis, were included in the study. Epidemiological, clinical, therapeutic and follow-up data were analysed. Results: We collected 95 patients with 97 hips operated. The mean age was 67 years. 56% of patients were male. Arthroplasty was performed after femoral neck fractures in 78% of cases, followed by osteonecrosis of the femoral head (15%). The left side was affected in 51% of cases. The Moore’s posterior approach was used in 79% of cases, followed by the Hardinge’s lateral approach (21%). Hemiarthroplasties were implanted in 78% of patients. We observed 4 dislocations and 3 post-operative infections at 48 months of follow-up. The mean Harris score was 75.2. Conclusion: Arthroplasty has improved the function of our patients. Most of young males undergo the arthroplasty. Intermediate prostheses are commonly used implants. Objective: Hip arthroplasty has variable and codified indications. The interest of this study results from the need to adapt our practices to the socio-economic status of our patients. The aim of this study was to describe the epidemiological profile of patients, the indications and results of hip arthroplasties performed in our hospital. Methodology: A descriptive monocentric study was conducted from January 2010 to December 2019 at Treichville University Teaching Hospital. All patients, who underwent total hip arthroplasty or hemiarthroplasty with intermediate or cervico-cephalic prosthesis, were included in the study. Epidemiological, clinical, therapeutic and follow-up data were analysed. Results: We collected 95 patients with 97 hips operated. The mean age was 67 years. 56% of patients were male. Arthroplasty was performed after femoral neck fractures in 78% of cases, followed by osteonecrosis of the femoral head (15%). The left side was affected in 51% of cases. The Moore’s posterior approach was used in 79% of cases, followed by the Hardinge’s lateral approach (21%). Hemiarthroplasties were implanted in 78% of patients. We observed 4 dislocations and 3 post-operative infections at 48 months of follow-up. The mean Harris score was 75.2. Conclusion: Arthroplasty has improved the function of our patients. Most of young males undergo the arthroplasty. Intermediate prostheses are commonly used implants.
作者 Armand Yepie Moctar Traore Marius Gnamkey Kouakou Sainy Yves Bationo Michel Anoumou Armand Yepie;Moctar Traore;Marius Gnamkey;Kouakou Sainy;Yves Bationo;Michel Anoumou(Department of Orthopedic Surgery, Treichville University Teaching Hospital, Abidjan, C&ocirc,te d'Ivoire)
出处 《Open Journal of Orthopedics》 2023年第12期495-500,共6页 矫形学期刊(英文)
关键词 ARTHROPLASTY HEMIARTHROPLASTY HIP Arthroplasty Hemiarthroplasty Hip
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