Amechi Uchenna Katchy, MD.FACS - University of Nigeria Teaching Hospital - Chief Consultant Orthopaedic Surgeon

Amechi Uchenna Katchy

MD.FACS

University of Nigeria Teaching Hospital

Chief Consultant Orthopaedic Surgeon

Enugu, Enugu | Nigeria

Main Specialties: Adult Reconstructive Orthopaedics, Foot & Ankle Orthopaedics, Orthopaedic Surgery of the Spine, Orthopaedic Trauma, Surgical Critical Care

Amechi Uchenna Katchy, MD.FACS - University of Nigeria Teaching Hospital - Chief Consultant Orthopaedic Surgeon

Amechi Uchenna Katchy

MD.FACS

Introduction

Primary Affiliation: University of Nigeria Teaching Hospital - Enugu, Enugu , Nigeria

Specialties:

Publications

3Publications

59Reads

48Profile Views

Non-ossifying fibroma of the right clavicle.

Niger Postgrad Med J 2018 Apr-Jun;25(2):126-129

Department of Pathology, Bowen University Teaching Hospital, Ogbomoso, Nigeria.

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http://www.npmj.org/text.asp?2018/25/2/126/237089
Publisher Site
http://dx.doi.org/10.4103/npmj.npmj_60_18DOI Listing
April 2019
28 Reads

of the femoral bone.

J Res Med Sci 2019 25;24:19. Epub 2019 Mar 25.

Department of Pathology, Lautech Teaching Hospital, Ogbomosho, Nigeria.

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http://dx.doi.org/10.4103/jrms.JRMS_97_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450135PMC
March 2019
27 Reads
0.608 Impact Factor

Complex primary hips for total hip replacement surgery at a tertiary institution in Nigeria.

SICOT J 2018 12;4:22. Epub 2018 Jun 12.

University of Nigeria Teaching Hospital, Enugu, Nigeria.

Introduction: Total hip replacement (THR) surgery is still evolving in Nigeria with increasing awareness as more cases are being done. This has attraction for individuals who hitherto had no solutions for their hip pathologies. These are mostly complex primary hips which present challenging technical difficulties with increased risk of complications, thus requiring detailed planning to ensure successful operation. This work aims to present the pattern of complex primary hips presenting for THR, the challenges and complications.

Methodology: Data collected over a seven year period, of patients who presented for THR, were analyzed for age, sex, diagnosis, type of hip, complications, duration of surgery, blood loss and transfusions, challenges and outcome.

Results: Fifty-nine (43.4%) of the 136 cases of THR done were complex primary hip replacement surgeries. Avascular necrosis of femoral head amongst sickle cell disease patients (23.7%) was the commonest cause of complex primary hips in our series. Most of them had absent/tight medullary canals. This is followed by old unreduced hip dislocation and non-united hip fractures with an incidence of 10.1% each. The major peri operative complication noted was calcar split in 10 patients (16.9%) Discussion: Sickle cell disease patients presented more with complex primary hips and the commonest difficulty was recreating medullary canals. Increased operation time and blood loss alongside technical difficulties should be anticipated and measures put in place to avert complications.

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http://dx.doi.org/10.1051/sicotj/2018026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999360PMC
June 2018
4 Reads