Total Hip Arthroplasty Rehabilitation in Cambodia

Kevin Niall Peek , Saqib Noor , Hjorleifur Skorri Thormodsson , Sem Sambath , Pang Sarun , James Gollogly
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DOI: https://doi.org/10.5463/dcid.v24i4.272
Submitted: 2020-09-14 08:08:47
Published: 2014-02-13

Cambodia has recently seen the dawn of a new era in medical practice. Total hip replacement (THR) operations are now available for those who require these services. Post-operative rehabilitation is the crux of a successful hip replacement programme. In this article, the authors discuss their experiences in rehabilitating THR clients in Cambodia, and introduce what they think is the country’s first specific protocol for rehabilitation of post- THR clients.

In 2007, the Children’s Surgical Centre became one of the first providers to offer THRs in Cambodia. From the start, physiotherapists have provided post-operative rehabilitation but, to date, there has been no official protocol to address the specific challenges for THR rehabilitation in this part of the world. Multiple social and cultural factors mean that established protocols from the developed world are not wholly suited to the needs of Cambodian clients. Bearing in mind the lower literacy levels, poverty, language barriers, specific cultural and economic needs of the clients and the unique forms of transportation in Asia, the authors have developed a programme, including a guide with simple Khmer instructions, customised pictures, and a separate client education sheet.

The results seen among the THR clients seem promising -there is scope in the future to assess longer term outcomes of THR clients in Cambodia.

Keywords

Total hip replacement rehabilitation physiotherapy barriers Cambodia post-operative education

Authors

Kevin Niall Peek

Kevin Peek is a doctor working as a House Officer in Christchurch, New Zealand. He completed his medical training at University of Otago in 2013. As part of his training he spent 6 weeks as an elective student at the Children's Surgical Centre in Phnom Penh, Cambodia.

 
Saqib Noor

Saqib Noor is a Trauma and Orthopaedic Registrar training in Birmingham, UK.  He spent six months on fellowship at the Children's Surgical Centre, Cambodia in 2013.

 

 

Hjorleifur Skorri Thormodsson

Hjörleifur is medical faculty at The National University Hospital of Iceland in Reykjavík. He completed his medical training at the University of Iceland in 2013. He did his elective training for 6 weeks at the Children's Surgical Centre in Phnom Penh, Cambodia.

 

 

Sem Sambath

Sambath was born in the Takeo province in Cambodia. He was initially employed at the Children’s Surgical Centre as a patient registration assistant, but has since become an x-ray technician trainee and attends Chenla University.

 

 

Pang Sarun

Sarun is from the Takeo province in Cambodia. He graduated from Cambodian University for Specialities in 2007 and received additional training from the Post Graduate Allied Health Institute in Singapore. He works as a physiotherapist for the Children’s Surgical Centre in Phnom Penh

 

 

James Gollogly

Dr. Jim Gollogly is a British-American surgeon who is the founder and CEO of the Children’s Surgical Centre and the Cambodian Acid Survivors Charity. Dr. Jim earned his undergraduate degree at the University of St. Andrews in Scotland and completed medical training at Trinity College in Dublin.

 

 

How to Cite

Kevin Niall Peek, Saqib Noor, Hjorleifur Skorri Thormodsson, Sem Sambath, Pang Sarun, James Gollogly (2014-02-13). Total Hip Arthroplasty Rehabilitation in Cambodia. Disability, CBR & Inclusive Development, Vol. 24 No. 4 (2013): Winter 2013, 116-121. https://doi.org/10.5463/dcid.v24i4.272

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