Evaluation des resultats fonctionnels a court terme apres prothese totale de hanche a l’Hopital d’Afagnan (Togo)

Objectifs: • Evaluer les resultats fonctionnels a court terme apres reeducation fonctionnelle des patients operes d’une prothese totale de hanche, • Decrire les aspects epidemiologiques et etiologiques. Patients et methodes: Il s’est agi d’une etude retrospective transversale a visee descriptive et analytique. Elle a porte sur 10 patients operes pour prothese totale de hanche et suivi dans le service de physiotherapie de la periode du 1er janvier 2013 au 31 decembre 2015. Ces patients ont ete revus lors d’une phase prospective du 14 Avril au 25 Mai 2017. Resultats: L’etude a porte sur 10 patients dont 7 hommes et 3 femmes. L’âge moyen de nos patients etait de 49,9 ans. Six patients ont ete operes pour coxarthrose, 3 pour osteonecrose et le dernier pour lesion  traumatique de hanche. Le nombre moyen de seance de reeducations etait de 47,8. Tous les patients ont eu un gain satisfaisant dans toutes les amplitudes articulaires. Nous avons note une nette amelioration de la douleur avec une EVA qui est passee de 5,3 a 2,3 a la fin des seances de reeducation. Le score moyen de PMA etait de 15,1 et celui de WOMAC etait de 6,4. Conclusion: La prothese totale de hanche donne de tres bons resultats avec une amelioration nette sur la douleur, la mobilite articulaire, la marche et la qualite de vie. Mots cles: Coxarthrose ; Prothese Totale de hanche ; Resultats Fonctionnels English Title:  Assessment of functional results after total hip arthroplasty in Afagnan’s Hospital (Togo) English Abstract Objectives: The aim of this work was to evaluate short-term functional results after functional rehabilitation of patients who had received total hip arthroplasty. Describe epidemiological and identify the etiology. Patient and Method: This was a retrospective cross-sectional study aimed at descriptive and analytical. It involved 10 patients operated on for total hip replacement and followed up in the physiotherapy department from January 1, 2013 to December 31, 2015. These patients were reviewed during a prospective phase from April 14 to May 25, 2017. Results: The study included 10 patients including 7 men and 3 women. The average age of our patients was 49.9 years. Six patients were operated on for hip osteoarthritis, three for osteonecrosis and one for traumatic hip injury. The average number of rehab sessions was 47.8. All the patients had a satisfactory gain in all the articular amplitudes. We noted a marked improvement in pain with an EVA that went from 5.3 to 2.3 at the  end of the rehab sessions. The average PMA score was 15.1 and the WOMAC score was 6.4. Conclusion: Total hip arthroplasty gives very good results with a clear improvement in pain, joint mobility, walking and quality of life. Keywords: Functional Outcomes; Hip Osteoarthritis; Total Hip Replacement