SynthesisTropical doctor2019
Total joint replacement in sub-Saharan Africa: a systematic review.
Synthesis in Tropical doctor, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- A call for inclusion of arthroplasty as essential surgery.Bulletin of the World Health Organization · 2026Article
- Total Hip Arthroplasty in Lubumbashi (DR Congo), Outcomes in a Resource-Limited Setting.Journal of orthopaedic case reports · 2026Article
- Serum and Clinical Factors Associated with Total Knee Arthroplasty in Patients with Knee Osteoarthritis.Life (Basel, Switzerland) · 2026Article
- 2050: An Arthroplasty Odyssey.Healthcare (Basel, Switzerland) · 2025Article
- Failure of Metal-on-Metal Total Hip Arthroplasty: The First Reported Case from the Caribbean and the Need for a National Joint Registry.Journal of orthopaedic case reports · 2025Article
- Article
- Review
- Article
- Global Health Inequities in Orthopaedic Care: Perspectives Beyond the US.Current reviews in musculoskeletal medicine · 2024Review
- Article
- IPACK Block Efficacy for Acute Pain Management after Total Knee Replacement: A Review.Current pain and headache reports · 2024Review
- Relative frequency of avascular necrosis of the hip as indication for primary Total Hip Arthroplasty in the USA vs. India.Journal of orthopaedics · 2023Article
- In-hospital complications following total knee and hip arthroplasty in patients with human immunodeficiency virus.Joint diseases and related surgery · 2022Article
- Use of dual mobility cups for total hip arthroplasty in sub-Saharan Africa: interest and perspectives.International orthopaedics · 2022Review
- Quality of recovery after total hip and knee arthroplasty in South Africa: a national prospective observational cohort study.BMC musculoskeletal disorders · 2020Observational
- The seroprevalence of HIV in patients undergoing lower limb Total Joint Arthroplasty (TJA) in South Africa.SICOT-J · 2020Article
- Length of stay in patients undergoing total knee arthroplasty.Journal of orthopaedicsArticle
- Relative frequency of primary total hip arthroplasty for avascular necrosis in the United States as compared to a regional center: A data review.Journal of orthopaedicsArticle
- Total Hip Arthroplasty in a Low-Income Country: Ten-Year Outcomes from the National Joint Registry of the Malawi Orthopaedic Association.JB & JS open accessArticle
- Early Outcomes of a Hip Arthroplasty Program in Rural Ethiopia.JB & JS open accessArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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