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  • Talk
  • 21/09/2023
  • UK

Sustainable (Hip) Arthroplasty in LIMICs

Description

The presentation led by Alberto Gregori emphasizes the critical importance of collaboration and cooperation in the field of sustainable hip arthroplasty, particularly in lower-income countries. The session covers various challenges and opportunities associated with providing hip replacement surgeries in regions facing significant resource constraints.



Gregori discusses the pressing need for hip arthroplasties in these areas, highlighting that the demand far exceeds the available data and resources. He points out that many patients in these regions present with more severe conditions at a younger age, often due to socioeconomic and healthcare access issues.



The talk details the multifaceted difficulties in implementing sustainable hip replacement programs in countries like Zambia and Malawi, where health expenditure is alarmingly low compared to developed nations. It mentions the lack of essential resources, training for medical staff, and sufficient infrastructure, contributing to a dire situation where patients suffer due to inadequate surgical care.



Also addressed are specific concerns regarding surgical environments, including poor instrumentation, maintenance issues, and the absence of sterile conditions, all of which severely hamper surgical outcomes. The need for proper education and resources for local medical teams is underscored, calling for training that encompasses not only surgeons but also physiotherapists and anesthetists to ensure a holistic approach to patient care.



Moreover, Gregori presents possible solutions, such as the use of cost-effective cemented implants, which could significantly improve accessibility to surgeries while minimizing environmental impact. The need for collaboration with industry stakeholders is emphasized to procure the necessary equipment and foster training opportunities.



Ultimately, the presentation concludes on a hopeful note, showcasing successful case studies where well-planned and supported surgical initiatives have led to sustainable improvements in patient outcomes, enabling individuals to return to their communities and contribute positively.

DOI: 10.1302/3114-240851

Specialties