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Wedges and Stems as well as the possibility of the different degrees of the constrain a kneefamily permits us to treat complicated primary as well as mild to moderate revision cases.Saturday, October 9, 2010, 13:30-14:20Session B20: Hip ArthroplastyA Hip Replacement Program in Burkina Faso: Review of 104 Cases*Lieven Dossche - Antwerp University Hospital - Edegem, BelgiumJan Noyez - Heilig Hart Ziekenhuis - Roeselare, BelgiumWim Bruyneel - CH Mouscron - Mouscron, BelgiumWindemi Ouedraogo - CMA Paul VI - Ouagadougou, Burkina Faso*Email: lieven.Dossche@uza.beWe report on our experience of a THR program set up in Ouagadougou, Burkina Faso (BF). AsTHR is not performed on a regular basis in this country, we had to start it up completely. Wework in BF during a 2 weeks period in December each year. We do this in coöperation with alocal surgeon who makes a preselection of THR candidates in advance. This surgeon is trainedby us to do the necessary follow up and can contact us all year round in case of specificproblems. From 2004 until 2009 we performed 104 operations; these consisted of 98 THR, 2bipolar hip replacements and 4 revisions. 3 of these revisions were of hip replacementsperformed by us; 1 revision was of a THR performed in France. Mean age at operation was 48,4years. All operations were performed by an anterolateral approach with use of cementedimplants. Reason for operation was degenerative arthritis in 31 (29,8%), AVN in 39 (37,5%),fracture in 30 (28,9%). Fractures were more than several months old in most cases. Reason forthe revision operations was aseptic loosening in 3 cases and periprosthetic fracture in 1.For every operation, technical problems were recorded, if applicable. These problems were notnecessarily complicatons. We recorded 50 technical problems in 31 patients. 73 operations(70,2%) were performed without any note of technical problem. Most frequently recordedproblems were important shortening of the leg (6), very narrow femoral canal (6), difficultreduction (5), peroperative femoral fracture (4-excluding trochanter maior fracture), extensivefibrosis (4), blocked femoral canal (3).Flexible reamers were used in 5 cases.There were 2 peri-operative deaths: one patient died after a postoperatieve sickle cell crisis withhemolysis. One patient developed a pulmonary embolism. Both patients were Hb SC.We recorded 21 complications in 16 patients. The majority were osseous complications. Thesewere 4 femoral fractures of which 3 had clinical repercussion, 4 trochanteric fractures withoutany clinical repercussion and 4 peroperative perforations of the femoral canal, all withoutpostoperative clinical repercussion. Other complications were infection (2), paralysis of femoralnerve (1), burn injury by diathermia plate (1), postoperative hemolysis (1), pulmonaryembolism (1) and dislocation (2). One infection and dislocation was found in the same patient.file:///E|/ISTA2010-Abstracts.htm[12/7/2011 3:15:47 PM]