AAOS 2018 International Scholars Program Atchi Walla, MD Orthopaedics and trauma, Lomé Togo (West Africa) Rosemont, IL 27-29 April 2018

About us General medical studies in Togo (1997-2004) Residency in general surgery in (2004-2008) Orthopaedics advanced course in Amiens University (Pr. De Lestang) Residency in orthopaedics at Abomey-Calavi, Benin (2011-2013) Assistant professor in ortho and trauma, Lomé Medical School (2014) Associate professor since 2016 ( University of Lomé)

Some numbers about Togo mortality rate : 7.43, 116th in the world medical density: 0.05 doctor/ 1000 inhabitants hospital beds: 0.7 /1000 inhabitants 37.117 road injuries over the 2013-2017 period health expenditure 8% of GDP, is ranked 61st out of 189 referenced countries 4.8% of the national budget

About us We train medical students, residents in orthopaedics …. Reasercher in orthopaedics and trauma Also active member of several civil society associations in Togo Fighting now for more social justice, more democracy, better gouvernance Strike now for equipment, new hospitals, more doctors, nurses…..

Our patients : trauma 80% motocycle taxi accidents : 95% young people : 31 years

Our patients trauma Low social security (4%) Inadequate care tray Patients modest financial conditions

Our patients : infections 13% Osteomyelitis sicle cell disease SS, SC (young people) : 38% HIV : 19% Open trauma

Our patients : tumours 7% late diagnosis inaccessible chemotherapy no radiotherapy no reconstruction prosthesis

Orthopaedics in Togo Before 2000 orthopaedic remained in the shadow of general surgery (only 2 orthopaedic surgeons) for all the country Between 2000 and 2010 4 orthopaedics for only Lomé (teaching hospital)

Orthopaedics in Togo 2012: creation of residency in orthopaedics We have now 10 orthopaedics, 7 in capital 32 residents from Togo, Chad, Niger, Burkina, Benin, Centrafrique, Cameroun 1 resident in each 6 departements

Our goal Help more people in our area to survive and to move because life is movement and movement is life That possible by two ways: better pratices share experience (education) Thank so much AAOS for this opportunity!

Thanks all those who allowed us to hope ! Like AAOS