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




Abstract

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

References

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Citation: Abdoul Kadri Moussa., et al. “Surgical Management of Coxarthrosis at Gabriel Toure Chu”. EC Orthopaedics 12.6 (2021): 53-59.

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