Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2025; 16(7): 105111
Published online Jul 18, 2025. doi: 10.5312/wjo.v16.i7.105111
Published online Jul 18, 2025. doi: 10.5312/wjo.v16.i7.105111
Surgical techniques and outcomes of difficult total hip replacements: A challenge in a low-income country
Herijaona Manasse, Amboara S Rohimpitiavana, Henri Jean-Claude Razafimahandry, Service de Chirurgie Orthopédique et Traumatologique, CHU Joseph Ravoahangy Andrianavalona, Antananarivo 101, Madagascar
Thomas Daoulas, Frederic Dubrana, Service de Chirurgie Orthopédique et Traumatologique, CHU Brest Boulevard Tanguy Prigent, Brest 29200, France
Gaëtan Duval Solofomalala, Service de Chirurgie Orthopédique et Traumatologique, CHU Anosiala, Alakamisy 105, Madagascar
Co-corresponding authors: Herijaona Manasse and Thomas Daoulas.
Author contributions: Manasse H and Daoulas T designed and conducted the study and wrote the paper; Rohimpitiavana AS, Solofomalala GD, and Razafimahandry HJC supervised the study; Dubrana F was responsible for the analysis; all of the authors read and approved the final version of the manuscript to be published.
Institutional review board statement: The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board.
Informed consent statement: Informed consent was obtained from all subjects involved in the study.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Herijaona Manasse, MD, Service de Chirurgie Orthopédique et Traumatologique, CHU Joseph Ravoahangy Andrianavalona, Route Nationale 1, Antananarivo 101, Madagascar. herijaona.mrakotoherisoa@gmail.com
Received: January 13, 2025
Revised: April 13, 2025
Accepted: June 7, 2025
Published online: July 18, 2025
Processing time: 187 Days and 0.1 Hours
Revised: April 13, 2025
Accepted: June 7, 2025
Published online: July 18, 2025
Processing time: 187 Days and 0.1 Hours
Core Tip
Core Tip: Difficult total hip replacement is all the more of a challenge in a developing country, due to the difficulty of surgery, the lack of equipment and the limited availability of implants. However, adapting techniques could greatly improve functional results for patients long handicapped by underlying pathologies, in most cases evolving since childhood.