%0 Journal Article
%T Arthroplasty Practice in a Resource-Limited Setting: Indications, Nutritional Profile of Patients and Evolution in a Consecutive 2-Year Series
%A Aurelie Mandoko Ekomisa
%A Jean Nsunzel Kumasamba
%A Glennie Eba Ntsambi
%A Tacite Kpanya Mazoba
%A Luc Mokassa Bakumobatane
%J Open Access Library Journal
%V 10
%N 10
%P 1-8
%@ 2333-9721
%D 2023
%I Open Access Library
%R 10.4236/oalib.1110809
%X Background and objective: Total hip and knee arthroplasty is a common elective surgery that significantly improves patients¡¯ quality of life. The objective was to describe the clinical and evolutionary aspects of patients treated by arthroplasty in two hospitals in Kinshasa, DRC. Methods: Cross-sectional descriptive study (2018 to 2022). A total of 75 patients who underwent hip or knee arthroplasty were selected. Sociodemographic, clinical, therapeutic and evolutionary data were analyzed. Results: The mean age was 57.8 ¡À 13.7 years with a female predominance (sex-ratio F/M = 1.3). 42 patients were obese. Patients with coxarthrosis and gonarthrosis were more obese (p < 0.05). While aseptic necrosis of the femoral head was found more in the group of non-obese patients (p = 0.041). Anesthetic incidents (6) were noted in the obese including 3 cases of failure, 1 case of respiratory distress and 1 case of hypotension. Out of a total of 75 patients, we noted 32 cases of complications (42.7%) including one intraoperative complication (trochanteric fracture), two postoperative dislocations and two late postoperative deaths. Conclusion: The indications for arthroplasty in this study are dominated by non-traumatic pathologies of the knee and of the hip (osteoarthritis and aseptic necrosis). Most patients are overweight, including obesity. The evolution is favorable in the vast majority of cases.
%K Arthroplasty
%K Hip
%K Knee
%K Osteoarthritis
%K Obesity
%U http://www.oalib.com/paper/6807027