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

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

4. 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
road injuries over the period
health expenditure
8% of GDP, is ranked 61st out of 189 referenced countries
4.8% of the national budget

5. 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…..

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

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

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

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

10. 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)

11. 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

12. 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!

13. Thanks all those who
allowed us to hope ! Like AAOS