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PEI supports Hip Arthroplasty Education In Kenya

Eldoret is a town in western Kenya and the administrative centre of Uasin Gishu District of the Rift Valley Province. The town lies south of the Cherangani Hills, at an elevation of 2,090 metres above sea level. Because of the altitude, Eldoret is the hometown of many of Kenya’s legendary distance runners, the most famous being the world renowned Kipchoge Keino.  The population of the Municipality of Eldoret is approximately 500,000, and it is currently the 5th largest and fastest growing town in Kenya.  It is home to the Moi University, established by the government in 1984, and named after the country’s second president Daniel Arap Moi, who was born in the neighbouring Baringo district.  The second medical school in Kenya, Moi Teaching and Referral Hospital (MTRH), is located on the edge of the town, and this hospital was the focus of a recent Hip Arthoplasty Education visit by a group of Irish Orthopaedic Surgeons and PEI.

Dr. Lelei, of Moi University Hospital, is keen to train local surgeons in orthopaedic techniques to treat the indigenous population who can not afford to travel to Nairobi for private orthopaedic care.

PEI recently was involved in the attempt to improve conditions and enhance skills in this hospital. Tony Keily and Wayne Young of PEI, Gerry McCoy, Consultant Orthopaedic Surgeon, Lourdes Orthopaedic Hospital, Keith Synnott, Consultant Orthopaedic Surgeon, Cappagh National Orthopaedic Hospital, and Fintan Doyle, Specialist Registrar, Cappagh National Orthopaedic Hospital, travelled to Kenya in mid-June. A clinic of twenty patients had been arranged, with a vast array of significant hip pathology on display.

The surgical techniques taught were identical to those used by leading international surgeons.

As well as the teaching cases, a number of ‘Chalk and Talk’ presentations were delivered during the week. Gerry McCoy and Keith Synnott shared their experience with a room full of surgeons eager to learn, so it was no surprise that these sessions were a great success.

By the end of the week thirteen hips had been implanted, all with Modular Charnley and 28mm heads, with cemented LPW cups.  A further two hips were completed the day after PEI’s delegation left.  Further communication from Dr Lelei informed us that all patients had been discharged home in good health, with no dislocations and no infections.

Once back in Nairobi, Tony and Wayne met with the MD of the implant supply company to see whether their pricing could be improved. 

The ultimate goal of the project is to cement our relationship with Eldoret, aiming to make it a centre of excellence for hip arthroplasty in Eastern Africa as well as a centre of training for local surgeons. This will require a concerted effort by surgeons and trainees in Ireland, supported by industry and RCSI.

 

Except from an article in the upcoming PEI Journal (Vol. 3, Iss. 1). For further information, please contact your local PEI representative or call +353 1 419 6900.


 

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