Economic solutions for primary and total hip arthroplasty revision from the egyptian experience
Keywords:
arthroplasty, developing countries, total hip arthroplasty, economic solutions, Egypt.Abstract
Background: The current review aims to shed light on some economic solutions that Egyptian arthroplasty surgeons employ to facilitate and mitigate the cost issues during primary and revision of total hip arthroplasties (THAs).
Methods: A PubMed search was carried out till December 2022 using the following search terms ((arthroplasty) AND (Egypt[Affiliation])) to detect the arthroplasty-related articles published since 1996. The articles which included economic solutions and technical aspects were included; furthermore, the included articles' authors' profiles were searched for other possible published articles.
Results: The search revealed 262 articles published during the search period, of which eight were eligible to be included, and a further search of the authors' profiles revealed two other articles, giving a final ten articles offering economical solutions related to primary and revision THA. Three articles reported the results of impaction bone grafting to reconstruct acetabular bone defects both in primary and revision THA; two discussed smartphone applications for assisting acetabular cup placement during primary THA; two discussed the effectiveness of using homemade cement spacers for infected THAs, two described using cheap tools during revision THA, and the final article reported using usual plates and screws in managing periprosthetic femoral fractures.
Conclusion: Egyptian arthroplasty surgeons used some economic solutions which could play a role in facilitating and decreasing the cost of primary and revision THAs without the need for costly tools and technologies. Further aspects of arthroplasty practice should be improved, including establishing registries and improving the research output.
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References
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