Published date: Sep 30 2024

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 19 (2024), Issue No. 3

Pages: 306–316

DOI: 10.18502/sjms.v19i3.14644

Mahgoub H. A. FadlallaMahhfadd@gmail.comOrthopedic Consultant, King Fahad Hospital, Madinah, Saudi Arabia

Mohammed Mubarak Mohammed Ahmedhmo.1990@hotmail.comOrthopedic and Trauma Surgery, International University of Africa, Sudan

Amal Abdelgadir Ali Mohamedammohamed@tu.edu.saDepartment of Maternal and Child Nursing, College of Nursing,Taif university, Taif, Saudi Arabia

Elfatih A. A. Mohamedalfatih-a@hotmail.comOrthopeadic and Trauma Specialist, Kassala Teaching Hospital, Sudan

Ahmed Abdalla Jarelnabeahmedjaranbi@bu.edu.saFaculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia

Aida AF Ahmedaafahmed@bu.edu.saFaculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia

Amna Mohammed Ali Mustafaamna.m.ali@hotmail.comPediatric Nursing Department, Faculty of Nursing Sciences, Jazan University, Jazan, Saudi Arabia

Neimat Mahmoud Abd-Alrhman Ali Dinarndinar@bu.edu.saFaculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia

Ahmed AbdElbagya.elryah@tu.edu.saOrthopedic Consultant, King Fahad Hospital, Madinah, Saudi Arabia

Ragaa Gasim Ahmedrmohmmed@bu.edu.saFaculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia

Amal Mohammed Hamidamhamed@psmchs.edu.saCollege of Nursing, Majmaah University, Majmaah, Riyadh, Saudi Arabia

Amira Elnour Eltayeb Elbashiraelbashir@bu.edu.saFaculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia

Salma Mohammed Gomaa Doalbetsmdoalbet@uhb.edu.saNursing Department, Faculty of Applied Medical Sciences, Hafr Albaten University, Hafr Abaten, Saudi Arabia

Amira Yahia Boshraa.yahia@mu.edu.saCollege of Nursing, Majmaah University, Majmaah, Riyadh, Saudi Arabia

Khalda Ahmed Mohammed Ahmedkhmohamed@kku.edu.saCollege of Nursing, King Khalid University, Muhail Aseer, Saudi Arabia

Duria Hassan Merghani Mohameddumohamed@kku.edu.saCollege of Nursing, King Khalid University, Muhail Aseer, Saudi Arabia

Nahid Elfakinkidrees@nu.edu.saCommunity and Psychiatric Nursing Department, Nursing College, Najran University, Najran, Saudi Arabia

Adel Abdallaadoly25@yahoo.comDepartment of Nursing, Prince Sultan Military College for Health Sciences, Al Dhahran, Saudi Arabia

Wael AlghamdiFaculty of Nursing, Al-Baha University, Al-Baha, Saudi Arabia

Abdalkhaliq ObadiCommunity Medicine Department, Faculty of Medicine, Post-graduate Studies, Al-Saeeda University, Sanaa, Yemen

Waled AM Ahmedweliameen1980@hotmail.comCommunity Medicine Department, Faculty of Medicine, Post-graduate Studies, Al-Saeeda University, Sanaa, Yemen

Background: Total hip arthroplasty (THA) by using ceramic-on-ceramic (CoC) implants has emerged as a promising solution to mitigate wear debris-related complications, such as osteolysis, specifically in younger patients. This study aims to investigate the functional outcomes after total hip replacement by CoC in patients less than 30 years old, conducted within the hospitals of Khartoum, Sudan.
Methods: A descriptive, cross-sectional, hospital-based study was carried out across the major healthcare institutions in Khartoum state from October 2021 to April 2022. A cohort of 32 patients, all aged 30 or below, who underwent total hip replacement were included. Thorough data analysis was conducted using advanced statistical techniques.
Results: The average age of included patients was 25.69 ± 2.7 years, among them, males had a slight predominance (56.3%) with a male-to-female ratio of 1.3:1. Most patients had a secondary school level of education (37.5%), while workers constituted the largest group (34.4%). The included patients were followed-up for more than six months. The mean visual analog scale (VAS) score was 7.91 ± 0.893. Additionally, the mean modified Harris hip score was 83.03 ± 4.9 (range: 72–91), highlighting the enhanced hip function achieved through the procedure. The majority of patients (65.6%) reported good functional outcomes, followed by 28.1% who attained fair outcomes and 25.8% who reported excellent outcomes.
Conclusion: The study demonstrates that CoC THA yields optimal functional outcomes among patients aged 30 years and below. The procedure exhibits remarkable potential to improve hip function and alleviate pain in this specific patient population. These findings highlight the efficacy and viability of CoC implants in younger patients, contributing to the advancement of hip arthroplasty techniques.

Keywords: ceramic-on-ceramic, functional outcome, Khartoum, Sudan, total hip replacement, young adult patients

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