Abstract
Background: Total hip arthroplasty is a prosthetic joint replacement procedure. Its indications remain dominated by hip osteoarthritis. Objective: to describe the epidemiological, clinical and etiological aspects of total hip arthroplasty and its indications in a developing country. Patients and Methods: The work was a descriptive study with retrospective data collection over a six year period from January 1st 2010 to December 31st 2015. It was carried out in the general surgery department of Tanguieta district hospital in Northern Benin. Were included all the patients who received a total hip prosthesis during the study period. Results: Two hundred and forty-five patients including 129 men (52.7%) and 116 women (47.3%) were registered. The average age of the patients was 41 ± 13.7 years with extremes of 17 and 80 years. Thirty patients (12.2%) had bilateral total hip prosthesis. The first three indications were osteoarthritis, osteonecrosis of the femoral head due to sickle-cell disease and pseudarthrose of the femoral neck. Conclusion: Total hip prosthesis at Tanguieta district hospital interests young people. Osteoarthritis and necrosis of the femoral head were the most frequent indications.
Highlights
Total hip arthroplasty (THA) is a reconstructive procedure that consists of surgical replacement of the hip joint with an artificial prosthesis
The most important indication of THA remains hip osteoarthritis, which is a chronic joint disease characterized by structural deterioration of the articular cartilage
THA poses at Tanguieta district hospital increased from 27 cases in 2010 to 64 in 2015
Summary
Total hip arthroplasty (THA) is a reconstructive procedure that consists of surgical replacement of the hip joint with an artificial prosthesis. THA is one of the most widely practiced orthopedic operations in the world and is continuously increasing in industrialized countries [1, 2]. The most important indication of THA remains hip osteoarthritis, which is a chronic joint disease characterized by structural deterioration of the articular cartilage. The other indications are mainly post-traumatic arthritis, more common in elderly people, especially in women under 80 years [2, 3]. This last indication limited the practice of this technique to the elderly. The excellent results of this technique have prompted orthopedic surgeons to practice it more and more in young people [4].
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