Research Article
Volume 12 Issue 6 - 2021
Surgical Management of Coxarthrosis at Gabriel Toure Chu
Abdoul Kadri Moussa*, Traoré Louis, Mahamadou Diallo, Layes Touré, Mamadou Bassirou Traoré, Fatoumata Diakité and Tiéman Coulibaly
Department of Orthopedics-Traumatology, Hospital and University Center (CHU) Gabriel Toure, Bamako, Mali
*Corresponding Author: Abdoul Kadri Moussa, Department of Orthopedics-Traumatology, Hospital and University Center (CHU) Gabriel Toure, Bamako, Mali.
Received: April 26, 2021; Published: May 28, 2021


Introduction: A therapeutic solution, PTH has completely revolutionized the management of osteoarthritis of the hip, returning patients with osteoarthritis to an approaching normal quality of life.

Objectives: To evaluate the functional result by total hip arthroplasty in the short and medium term at the orthopedics-traumatology department CHU Gabriel TOURE Bamako.

Material and Methods: This were a retrospective study of patients with unilateral or bilateral coxarthrosis treated with THA and followed from January 2014 to December 2018.

Results: We collected 47 patients with hip osteoarthritis, 9 of which were bilateral. The male sex represented 55.3%. The average age of our patients was 42.51 years, with extremes of 20 years and 70 years. Secondary hip osteoarthritis accounted for 91%. The mean algofunctional index was 10.61, associated with a vicious scoliosis attitude in 51.1%. The body mass index was normal in 76.6%. The associated defects were hypertension (5 cases), sickle cell disease (3 cases) and diabetes (1 case). Kellgren and Lawrence stage 4 was the radiological stage observed in 66% of patients. The Hardinge approach was used in all operated (100%) on ALR (100%). Antibiotic prophylaxis was performed in 85.1% and thromboembolic prophylaxis in all patients for at least 3 weeks. Hybrid PTH was achieved in 85.1%. We recorded one case of death before any surgery, 2 cases of hemorrhage linked to operational difficulties, 2 cases of early loosening (acetabular), 3 cases of limb lengthening, and superficial infection of the surgical site. The functional results after a mean follow-up of 20.23 months were excellent and good in 95.7% according to the score of Postel Merle d´Aubigné.

Conclusion: Source of disabling pain, coxarthrosis affects more and more young and active subjects. Multidisciplinary care is often necessary. The surgical treatment of hip osteoarthritis by PTH restores in the short and medium term a quality of life which is sometimes excellent. However, our modest work deserves to be evaluated in the long term.

Keywords: Hip; Osteoarthritis; Coxarthrosis


  1. Liying Jiang., et al. “Relationship between body mass index and osteoarthritis: systematic review and meta-analysis of the literature”. Rheumatism Journal 77 (2010): 568-574.
  2. Pascal Richette. “Rapid destructive coxarthrosis”. Rheumatism Journal 76 (2009): 341-345.
  3. Manon Belhassen., et al. “Hip Muscle Weakness in Osteoarthritis Patients: Gender-Specific Differences and Associations with Hip Morphology and Symptoms”. Rheumatism Journal 87 (2020): 406-418.
  4. Bernard Mazières. “Treatment of coxarthrosis in the light of international recommendations”. Rheumatism Journal 76 (2009): 346-355.
  5. Aude Quesnot., et al. “Unoperated coxarthrosis”. Musculoskeletal rehabilitation. Volume 1: Lower limb, 2nd edition (2010): 81.
  6. Courpied J P and L Vastel. “Surgical treatment of coxarthrosis”. Encycl. Med Chir 14-315-A-10 (1999): 8.
  7. Jeremy Maillet and Henri Lellouche. “Place of intra-articular procedures in hip osteoarthritis?” Rheumatism Review Monographs 86 (2019): 279-285.
  8. Magda Choueiri., et al. “Recommendations on taking coxarthrosis: critical reading”. Rheumatism Review Monographs 86 (2019): 271-277.
  9. Manga Alexandra., et al. “Surgical treatment of coxarthrosis by total hip arthroplasty in Yaoundé”. Health Sciences and Disease 4 (2018).
  10. Thierry Conrozier. “Recognize and manage hip osteoarthritis”. EMC, Traite de Médecine Akos, 7-0720 (2009): 1-5.
  11. Christian Compaoré., et al. “Risk factors for the onset of coxarthrosis”. Rheumatism Review 76 (2009): 325-330.
  12. Rohimpitiavana H., et al. “Total hip prostheses performed in a precarious environment; our results in 10 years of experience”. Tropical Surgery Review 10 (2016): 39-42.
  13. Lubega N., et al. “Joint arthroplasty in Malawy: establishment of a national Joint Registry”. Journal of Bone and Joint Surgery. British Volume 91-B.3 (2009): 341-343.
  14. Paul Ornetti., et al. “Analysis of gait as a follow-up criterion in coxarthrosis or knee osteoarthritis: systematic review of the literature”. Rheumatism Journal 77 (2010): 372-377.
  15. Arzakane Mohamed., et al. “Late complications of total hip replacement: a report of 42 cases”. Pan African Medical Journal 14 (2013): 17.
  16. Panayiotis Christofilopoulos., et al. “Update on total hip replacement”. La Revue Médicale Suisse 6 (2010): 2454-2458.
Citation: Abdoul Kadri Moussa., et al. “Surgical Management of Coxarthrosis at Gabriel Toure Chu”. EC Orthopaedics 12.6 (2021): 53-59.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 20, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.