Key result
Primary total hip arthroplasty in young cohorts carries a ~7% postoperative complication rate.
Why the study?
Perioperative anesthetic management optimizes total hip arthroplasty outcomes, but patient characteristics, blood management, and perioperative practices may differ in resource-limited settings compared to high-income countries.
What are the perioperative anesthetic management practices and early outcomes following primary total hip arthroplasty in a Moroccan tertiary center?
Cohort (n=103)
No
What are the perioperative anesthetic management practices and early outcomes following primary total hip arthroplasty in a Moroccan tertiary center?
In a Moroccan tertiary center, patients undergoing total hip arthroplasty are relatively young and experience substantial perioperative blood loss, highlighting the need for standardized blood management strategies.
Describes THA anesthesia practices in a Moroccan cohort; leaves open generalizability and practice implications.
Background Total hip arthroplasty (THA) is a highly effective surgical procedure for advanced hip disease. Perioperative anesthetic management plays a key role in optimizing outcomes, particularly in resource-limited settings where patient characteristics, blood management strategies, and perioperative practices may differ from those reported in high-income countries. Methods We conducted a retrospective cohort study including 103 adult patients who underwent primary elective THA at a Moroccan tertiary university hospital between January 2024 and December 2025. Data collected included demographic characteristics, comorbidities, ASA physical status, anesthetic techniques, intraoperative blood loss, transfusion requirements, airway characteristics, and postoperative outcomes. Descriptive statistical analysis was performed. Results The cohort was relatively young (mean age 46.4 ± 14.1 years) with a male predominance (sex ratio, 1.5), reflecting a different epidemiological profile compared with Western series. Nearly half of the patients (48.5%) had at least one comorbidity. Spinal anesthesia was the predominant technique (70%). Mean intraoperative blood loss was substantial (800 mL, range 100-1900 mL), with a transfusion rate of 14%. Difficult airway features were mainly observed in patients with underlying rheumatologic conditions. Early postoperative complications were limited, with one surgical site infection. During follow-up, complications occurred in 6.8% of patients, including prosthetic dislocation and aseptic or septic loosening. No mortality was reported. Conclusion This study highlights a distinct THA population characterized by younger age and significant perioperative blood loss. Spinal anesthesia was widely used in this cohort and was associated with overall favorable short-term outcomes. Blood management remains a major challenge, particularly in settings where standardized strategies such as systematic tranexamic acid use may not be consistently implemented.
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Joutey et al. (2026) conducted a cohort in Advanced hip disease requiring primary total hip arthroplasty (n=103). Primary total hip arthroplasty and perioperative anesthetic management was evaluated on Perioperative outcomes including intraoperative blood loss, transfusion requirements, and postoperative complications. In a relatively young cohort undergoing primary total hip arthroplasty, mean intraoperative blood loss was 800 mL, 14% required transfusion, and overall postoperative complications occurred in 6.8% of patients.
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