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Total knee replacement in a resource constrained environment: A preliminary report
U E Anyaehie1, G O Eyichukwu1, C U Nwadinigwe1
1National Orthopaedic Hospital Enugu, Enugu State, Nigeria.
Nigerian Journal of Clinical Practice
|March 4, 2017
Summary
Total knee replacement in Nigeria shows promising short-term outcomes despite resource constraints. Proper planning and teamwork are key to successful arthroplasty in developing countries.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
Background:
- Total knee replacement (TKR) is emerging in Nigeria, facing challenges like limited facilities, expertise, and patient awareness.
- Socioeconomic factors such as poverty and patient ignorance also impede TKR adoption and advancement.
Purpose of the Study:
- To review TKR cases performed in a resource-limited Nigerian institution.
- To report the short-term outcomes of these arthroplasty procedures.
Main Methods:
- A prospective study of 38 patients (45 knees) undergoing TKR over 40 months using a standardized prosthesis.
- Data collected included patient demographics, clinical presentation, surgical management, and post-operative outcomes.
- All patients received at least one year of follow-up.
Main Results:
- The study included 38 patients (45 knees) aged 41-85 years (mean 62.6), with a female predominance (1:4.4 ratio).
- Indications were pain and deformity; 8 knees required bone grafting and 5 had tibia extension rods.
- The most frequent complication was drop foot (8.9%), and Knee Society pain scores improved significantly from 21.35 to 83.
Conclusions:
- Despite healthcare challenges in developing nations, TKR can achieve good short-term outcomes.
- Effective institutional planning and collaborative teamwork are crucial for successful arthroplasty in resource-constrained settings.
