Abstract

Artificial joint replacements, including hip and knee arthroplasties, are critical surgical interventions that 
significantly enhance mobility and quality of life for individuals suffering from degenerative or traumatic joint 
diseases. However, in West Africa, access to these life-changing procedures remains severely limited due to 
economic, infrastructural, and human resource challenges. This review examines the current state of artificial joint 
replacement surgeries in the region, identifying key barriers such as high treatment costs, limited health insurance 
coverage, inadequate hospital infrastructure, and a shortage of skilled orthopedic surgeons. Economic constraints 
make joint replacement procedures unaffordable for most patients, with high out-of-pocket expenses exacerbating 
inequality in healthcare access. Furthermore, healthcare resources are unevenly distributed, with advanced 
orthopedic services concentrated in urban centers while rural areas remain underserved. Despite these challenges, 
notable progress has been achieved through international collaborations, particularly with organizations like 
MOTEC LIFE UK and the West African College of Surgeons, which have enhanced local capacity through training, 
technology transfer, and resource support. The growth of medical tourism—especially in Nigeria—illustrates a 
rising regional potential for self-sustained orthopedic care. Achieving equitable access, however, demands increased 
investment in infrastructure, workforce development, and policy reforms that prioritize affordability, sustainability, 
and inclusion in orthopedic healthcare across West Africa.