Total Hip Arthroplasty in a Low-Income Country
Background:. We describe our 10-year experience performing total hip arthroplasty (THA) in patients enrolled in the National Joint Registry of the Malawi Orthopaedic Association. Methods:. Eighty-three THAs were performed in 70 patients (40 male and 30 female) with a mean age of 52 years (range, 18...
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| 格式: | 文件 |
| 语言: | English |
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Wolters Kluwer
2019-12-01
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| 丛编: | JBJS Open Access |
| 在线阅读: | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.19.00027 |
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| author | Simon Matthew Graham, MBChB, MRCS, MSc(Res), FRCS Nicholas Howard, MBChB, MRCS, MSc, FRCS Chipiliro Moffat Nicholas Lubega, MBChB, MMed(Ortho), FCS(ECSA), MBA Nyengo Mkandawire, BMBS, FRCS, MCh(Orth), FCS(ECSA) William J. Harrison, MA(Oxon), FRCS(Tr&Orth) |
| author_facet | Simon Matthew Graham, MBChB, MRCS, MSc(Res), FRCS Nicholas Howard, MBChB, MRCS, MSc, FRCS Chipiliro Moffat Nicholas Lubega, MBChB, MMed(Ortho), FCS(ECSA), MBA Nyengo Mkandawire, BMBS, FRCS, MCh(Orth), FCS(ECSA) William J. Harrison, MA(Oxon), FRCS(Tr&Orth) |
| author_sort | Simon Matthew Graham, MBChB, MRCS, MSc(Res), FRCS |
| collection | DOAJ |
| description | Background:. We describe our 10-year experience performing total hip arthroplasty (THA) in patients enrolled in the National Joint Registry of the Malawi Orthopaedic Association.
Methods:. Eighty-three THAs were performed in 70 patients (40 male and 30 female) with a mean age of 52 years (range, 18 to 77 years). The cohort included 24 patients (14 male and 10 female; mean age, 52 years [range, 35 to 78 years]) who were human immunodeficiency virus (HIV)-positive.
Results:. The main indications for surgery were osteonecrosis (n = 41 hips) and osteoarthritis (n = 26 hips). There were no deaths perioperatively and no early complications at 6 weeks. Forty-six patients (59 THAs) were seen at 10 years postoperatively, with a mean Harris hip score (HHS) of 88 (range, 41 to 91) and a mean Oxford Hip Score (OHS) of 46 (range, 25 to 48). Five hips (8% of 59) were revised due to loosening (n = 4) and fracture (n = 1). There were no infections or dislocations. Fourteen patients died, including 4 HIV-positive patients, of unknown causes in the follow-up period, and 10 patients were lost to follow-up. In the group of 24 HIV-positive patients, there were no early complications, and the mean HHS was 88 (range, 76 to 91) at >10 years.
Conclusions:. Our 10-year experience and long-term outcomes after primary THA in a low-income setting show that good results can be achieved within a controlled hospital environment, thereby establishing a benchmark against which other hospitals and registries in similar low-income countries can compare their results.
Level of Evidence:. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| first_indexed | 2024-03-08T19:16:48Z |
| format | Article |
| id | doaj.art-b4c8ad493d1c4a6e8d89e2fb4e043a62 |
| institution | Directory Open Access Journal |
| issn | 2472-7245 |
| language | English |
| last_indexed | 2024-03-08T19:16:48Z |
| publishDate | 2019-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | JBJS Open Access |
| spelling | doaj.art-b4c8ad493d1c4a6e8d89e2fb4e043a622023-12-27T06:50:38ZengWolters KluwerJBJS Open Access2472-72452019-12-0144e002710.2106/JBJS.OA.19.00027JBJSOA1900027Total Hip Arthroplasty in a Low-Income CountrySimon Matthew Graham, MBChB, MRCS, MSc(Res), FRCS0Nicholas Howard, MBChB, MRCS, MSc, FRCS1Chipiliro Moffat2Nicholas Lubega, MBChB, MMed(Ortho), FCS(ECSA), MBA3Nyengo Mkandawire, BMBS, FRCS, MCh(Orth), FCS(ECSA)4William J. Harrison, MA(Oxon), FRCS(Tr&Orth)51 Liverpool School of Tropical Medicine, Liverpool, United Kingdom3 Aintree University Hospital NHS Trust, Liverpool, United Kingdom4 Beit CURE International Hospital, Blantyre, Malawi4 Beit CURE International Hospital, Blantyre, Malawi4 Beit CURE International Hospital, Blantyre, Malawi5 Countess of Chester Hospital, Chester, United KingdomBackground:. We describe our 10-year experience performing total hip arthroplasty (THA) in patients enrolled in the National Joint Registry of the Malawi Orthopaedic Association. Methods:. Eighty-three THAs were performed in 70 patients (40 male and 30 female) with a mean age of 52 years (range, 18 to 77 years). The cohort included 24 patients (14 male and 10 female; mean age, 52 years [range, 35 to 78 years]) who were human immunodeficiency virus (HIV)-positive. Results:. The main indications for surgery were osteonecrosis (n = 41 hips) and osteoarthritis (n = 26 hips). There were no deaths perioperatively and no early complications at 6 weeks. Forty-six patients (59 THAs) were seen at 10 years postoperatively, with a mean Harris hip score (HHS) of 88 (range, 41 to 91) and a mean Oxford Hip Score (OHS) of 46 (range, 25 to 48). Five hips (8% of 59) were revised due to loosening (n = 4) and fracture (n = 1). There were no infections or dislocations. Fourteen patients died, including 4 HIV-positive patients, of unknown causes in the follow-up period, and 10 patients were lost to follow-up. In the group of 24 HIV-positive patients, there were no early complications, and the mean HHS was 88 (range, 76 to 91) at >10 years. Conclusions:. Our 10-year experience and long-term outcomes after primary THA in a low-income setting show that good results can be achieved within a controlled hospital environment, thereby establishing a benchmark against which other hospitals and registries in similar low-income countries can compare their results. Level of Evidence:. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.19.00027 |
| spellingShingle | Simon Matthew Graham, MBChB, MRCS, MSc(Res), FRCS Nicholas Howard, MBChB, MRCS, MSc, FRCS Chipiliro Moffat Nicholas Lubega, MBChB, MMed(Ortho), FCS(ECSA), MBA Nyengo Mkandawire, BMBS, FRCS, MCh(Orth), FCS(ECSA) William J. Harrison, MA(Oxon), FRCS(Tr&Orth) Total Hip Arthroplasty in a Low-Income Country JBJS Open Access |
| title | Total Hip Arthroplasty in a Low-Income Country |
| title_full | Total Hip Arthroplasty in a Low-Income Country |
| title_fullStr | Total Hip Arthroplasty in a Low-Income Country |
| title_full_unstemmed | Total Hip Arthroplasty in a Low-Income Country |
| title_short | Total Hip Arthroplasty in a Low-Income Country |
| title_sort | total hip arthroplasty in a low income country |
| url | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.19.00027 |
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