Inpatient mortality after elective primary total hip and knee joint arthroplasty in Botswana

Lisenda, Laughter; Mokete, Lipalo; Mkubwa, Joseph; Lukhele, M

doi:10.1007/s00264-016-3280-6

Cited by 12 publications

(17 citation statements)

References 32 publications

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“…It is possible that the statistically significant increased risk of 90day mortality associated with <4 weeks of prophylactic treatment may be due to arterial thrombosis or cardiac-related mortality [16], or premature cessation of therapy not documented in the examined studies. The most common cause of death after TJA is not VTE, but cardiovascular complications for both hip arthroplasty [84e86] and knee arthroplasty [86]. Blom et al [87] also found ischemic heart disease and cerebrovascular events contributing more to mortality after hip fracture than PE.…”

Section: Discussionmentioning

confidence: 99%

Low-Dose Aspirin Is Adequate for Venous Thromboembolism Prevention Following Total Joint Arthroplasty: A Systematic Review

Azboy

Groff

Goswami

et al. 2020

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 99%

Low-Dose Aspirin Is Adequate for Venous Thromboembolism Prevention Following Total Joint Arthroplasty: A Systematic Review

Azboy

Groff

Goswami

et al. 2020

The Journal of Arthroplasty

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“…Where papers were identified to duplicate reporting of earlier work, they were included with explanations provided. 5,10–12 The final search was undertaken on 4 November 2018. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) process was followed (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

Total joint replacement in sub-Saharan Africa: a systematic review

et al. 2019

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Outcomes of arthroplasty in sub-Saharan Africa are not widely reported. To our knowledge, this systematic review is the first to explore this topic. Scopus, EMBASE, Medline and PubMed databases were searched, utilising MeSH headings and Boolean search strategies. All papers from South Africa were excluded. Twelve papers reporting 606 total hip replacements (THRs) and 763 total knee replacements (TKRs) were included. Avascular necrosis was the most common indication for THR, whereas osteoarthritis was the main indication for TKR. HIV prevalence of up to 33% was seen. Improvements were seen in patient-reported outcome measures in both THR and TKR. The dislocation rate in THR was 1.6%. The deep infection rate was 1.6% for TKRs and 0.5% for THRs. Positive results were reported, with comparable complications to high-income countries. However, there is likely to be significant reporting bias and the introduction of mandatory registries would enable more accurate monitoring across the region.

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“…Total hip and knee joint replacement ranks among the most successful surgical interventions and several developing countries in Africa have started to perform these procedures that are routine in developed countries [ 1 ]. Both total hip replacement (THR) and total knee replacement (TKR) have been demonstrated to provide long-lasting pain relief and substantial and sustained improvement in joint functioning and health-related quality of life [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Joint replacement surgery in Ghana (West Africa)—an observational study

George

Ofori-Atta²

2019

International Orthopaedics (SICOT)

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Introduction With the continued and effective transfer of orthopaedic knowledge and skills across continents, the incidence of hip and knee replacement surgery has increased in the developing world. More patients are having these procedures done locally rather than having to travel over to the more developed western countries at great financial costs for those who cannot really afford it. We report the data collected by an orthopaedic charity MOTEC LIFE UK which has been offering hip and knee arthroplasty procedures to patients who require them. The time period of the procedures was February 2013–October 2017. Methods The data was collated prospectively and this included age, sex, indication for procedure, and side of procedure (including if bilateral). The information on hip implants used were also collected—implant type (cemented or uncemented), type of bearing surface, size of acetabular cup, liner, femoral head size, and stem size and including if screws were used to augment the fixation of the femoral cup. For the knee implants used, information on the type of implant (semi-constrained, cruciate retaining, or Stanmore hinge knee prosthesis), femoral and tibia stem size, insert type (fixed bearing or mobile bearing), and size; patella button size (whether patella replacement or circumcision) were collected. The surgical approach used in both knee and hip arthroplasty cases was noted. Results It is seen from the data collected that a total of 113 hip arthroplasty procedures from 109 patients were carried out and for total knee replacements, 82 knee arthroplasty procedures from 76 patients were carried out. The above procedures were carried out in two separate hospitals. Degenerative osteoarthritis still remains the main indication for hip and knee arthroplasty surgery in our study and this is similar to other joint registries around the world. It was noted that the incidence of avascular necrosis as an indication hip surgery was higher than that seen in registries for developed countries. The mean age for the hip and knee replacement patient in our data was much lower than that what is obtained in the developed world. Furthermore, it was observed that there was increased use of semi-constrained knee prosthesis due to the severe osteoarthritic deformities noted in the patients seen when compared to rate of use of similar implants in the developed world. Conclusion This observational study could serve as a springboard for establishment of arthroplasty registries for countries in the sub-region as a whole.

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Inpatient mortality after elective primary total hip and knee joint arthroplasty in Botswana

Cited by 12 publications

References 32 publications

Low-Dose Aspirin Is Adequate for Venous Thromboembolism Prevention Following Total Joint Arthroplasty: A Systematic Review

Low-Dose Aspirin Is Adequate for Venous Thromboembolism Prevention Following Total Joint Arthroplasty: A Systematic Review

Total joint replacement in sub-Saharan Africa: a systematic review

Joint replacement surgery in Ghana (West Africa)—an observational study

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