MOTEC Life-UK

01/03/2026

ANINNOVATIVE BIOMECHANIC TECHNIQUE OF TOTAL HIP ARTHROPLASTY IN SICKLE CELL DISEASED HIP PATIENTS WITH FEMORAL CANAL STENOSIS

P. Ofori-Atta FRCS MOTECLIFE UK & WORLD ORTHOPAEDIC CONCERN UK
Abstract
Improved life expectancy in patients with sickle cell haemoglobinopathies and the improved outcomes of surgical intervention have led to increase in number of patients with osteonecrosis requiring total hip arthroplasties. Both medical and surgical complications of hip arthroplasties provide serious challenges which require optimization of patients to minimise the complications.
As a surgeon operating mainly in West Africa especially with a high number of young patients from (13 years to 56years – average 34 years), femoral canal ‘pencil size’ stenosis has proven to be the greatest challenge to a successful implantation of the smallest implants successfully. Excessive reaming of the femoral canals is associated with bone necrosis and severe femoral bone loss leading to failure of the arthroplasty.
A resolution of this problem requires either the manufacture of smaller implants which risk implant fracture or a novel bio-mechanic osteotomy approach for fixation of a standard smallest cementless implants successfully aimed at achieving satisfactory outcomes for the past 14years.The approach involve longitudinal osteotomy over pre-measured and multiple drilling of the anterior part of the femoral cortex supported by a 3 point stabilization of the femoral with or without cabling. Results to date match that of arthroplasty in non-sicklers which is indeed encouraging
11TH FEBRUARY 2026

See website for full presentation PDF http://www.moteclife.co.uk/

12/12/2025

12/12/2025

'Motec Provide Facilities for Children with Limb Deformities' - The Spectator 01/11/2025

24/09/2025

Motec paediatric team start a 6 day working visit to Koforidua St Joseph's Orthopaedic Hospital on 20th September 2025. Team is led by Dr Sanya Adedapo and involved a team of 4 surgeons 1 anaesthetist, 1 scrub nurse from UK. 3 local surgeons from Ghana and over 46 admitted patients will benefit from the exercise.

24/01/2025

Paediatric team from Royal London Hospital teaching visit to St Joseph's Orthopaedic Hospital, Koforidua November 2024

07/12/2024

The President of MOTEC LIFE-UK, Dr Paul Ofori-Atta, has presented varied items to selected school children and residents of the Nankese-Abesim community in the Suhum Constituency in the Eastern Region.

17/10/2024

Bad Bones gig at The Garibaldi, St Albans on Saturday 19 October 2024 at 9.00pm

15/10/2024

TV broadcast in Ghana today

17/08/2024

Sunday 4th August 2024, a charity fundraising event was held at Monks Spout Cottage, Glasshouse.

Barbeque – in Nigel’s expert hands, and garden games were the order of the day with the tea tent being set for an enjoyable afternoon.

It was a beautiful sunny day, and our guests arrived ready to enjoy the afternoon. We ate a wonderful lunch followed by a short talk on the work of MOTEC Life-UK – with specific emphasis on Nkawkaw and Child operations. A Powerpoint display showing photographs of Nkawkaw and work in Ghana continued throughout the afternoon.

Equipment requested by Nkawkaw included an ECG machine, Spirometer, Hand-held oximeter, Stethoscopes and Sphygmomanometers. Our objective was to fundraise as much as possible towards meeting the request. Many of our guests had first-hand experience on the use of ECG machines, oximeters and Spirometers, so personally knew the benefits.

One of our guest’s hand-made a quilt which was auctioned.
A raffle assisted our fundraising, and generous donations were made from local businesses – Leaf Creative donated a large Hosta plant, Glasshouse Inn donated and in addition two meal vouchers and a local beautician a voucher for a treatment.

On display to further interest in the event were WW2 reenactors Vicky and Philip Lambert, who dressed in Home Guard outfits displayed and spoke about their knowledge of UK guns and munitions through to 1940’s, and American medical equipment – not so different from instruments used today!

After enjoying our luncheon, followed by tea we walked around the garden and played garden games. Then…..

Our guests put their hands deep into their pockets. We raised an amazing £942. By careful selection of equipment suitable for working in 50degrees heat, and re-conditioned Spirometer, this wonderful sum has enabled the request from Nkawkaw to be met in full.

Thank you to everyone who supported this fundraising event.

God Bless you and your families.

Jane Jackson

28/06/2024

If anyone wishes to donate to Motec this QR code will take you to the right place. Feel free to copy and share the image.

28/01/2024

MSF- MOTEC collaboration delivers training to orthopaedic surgical residents and Physiotherapist at Koforidua St Joseph's Hospital in Dec 2023

Team led by consultant Paediatric Orthopaedic Surgeon Greg Firth and senior physiotherapist D Coggings and Emma Bewick all from Royal London Hospital. Mr Ofori-Atta Motec President was with team during the visit. Sincere gratitude to team.