Soumaro Kanaté Daouda¹*, Aka Kouamé Evrard Vianney Medgar¹, Mobiot Aka Christelle Désirée-Thérèse², Coulibaly Amadou Marcellin¹, Kouadio Samah David¹, Coulibaly Nahoua Alassane¹, Boka Eva Rebecca¹, Zambi Doua Audric-Aimé¹, Sess Rodolph Arthur Delorh³, Sy Abdel Kader¹, Kacou Aka Désiiré¹, Traoré Alidou² and Sie Essoh Jean-Baptiste¹

¹Trauma, Orthopedics and Reconstructive Surgery Department of the Yopougon University Hospital Center, Côte d’Ivoire
²Orthopedics, Traumatology and Plastic Surgery Department of the Angré University Hospital Center, Côte d’Ivoire
³Orthopedic Trauma Department Saint Joseph Moscati Catholic Hospital Yamoussoukro, Côte d’Ivoire

*Corresponding Author: Habtewold Mulat, Assistant Professor, Orthopedic and trauma surgeon at St. Paul Millennium Medical Collage, Aabet Hospital, Addis Ababa, Ethiopia and Member of College of Surgeons in Central, East and South Africa.

Received: September 04, 2024; Published: September 20, 2024

Abstract

Introduction: Fractures of the femoral neck are common in the osteoporotic elderly following minor trauma. They are usually treated surgically. Arthroplasty treatment of femoral neck fractures is currently poorly codified. In sub-Saharan Africa, the use of intermediate hip arthroplasty is recent. The aim of this study was to analyse the epidemiological profile and indications for intermediate hip arthroplasty, and to assess the short and medium-term functional results.

Patients and Method: We conducted a retrospective study of 77 patients treated with intermediate hip Arthroplasty. The study was conducted over a period of seven (07) years. All patients hospitalized for a femoral neck fracture treated with an intermediate hip arthroplasty and with a minimum follow-up of 5 years were included. Pathological fractures were excluded. Epidemiological, diagnostic, therapeutic and evolutionary data were collected for each patient. Functional results were assessed using the Postel and Merle d'Aubigné method. Epi info7 was used to analyse the data.

Results: The average age was 57. The patients were 48 men and 29 women. Aetiologies were dominated by domestic and road traffic accidents. The average time between trauma and surgery was 73.48 days. The majority of patients had a pre-injury walking ability of 9 according to the Parker score. Pseudarthrosis of the neck was found in 41 patients (53.25%). The Moore posterolateral approach was used in all cases. The mean follow-up was 7.6 months. We noted 1 early dislocation, 4 loosening and 18 osteoarthritis of the acetabulum. The average functional results were very good in the short and medium term.

Conclusion: The average age was 57. Road traffic accidents accounted for 40.26% of aetiologies. The fractures were old lesions. Despite a high rate of osteoarthritis of the acetabulum, functional results were very good in the medium term.

Keywords: Epidemiology; Hemiarthroplasty; Intermediate Arthroplasty; Functional Result; Tropical Setting

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Citation

Citation: Soumaro Kanaté Daouda., et al. “Epidemiology, Indications and Results of Intermediate Hip Arthroplasty in Tropical Setting".Acta Scientific Orthopaedics 7.10 (2024): 27-32.

Copyright

Copyright: © 2024 Soumaro Kanaté Daouda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.