TITLE:
Indications and Results of Hip Arthroplasty and Hemiarthroplasty at Treichville University Teaching Hospital
AUTHORS:
Armand Yepie, Moctar Traore, Marius Gnamkey, Kouakou Sainy, Yves Bationo, Michel Anoumou
KEYWORDS:
Arthroplasty, Hemiarthroplasty, Hip
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.13 No.12,
December
8,
2023
ABSTRACT: 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.