| Autor: |
Gamedzi Komlatsè, Akakpo-Numado, Missoki Azanledji, Boume, Kodjo Abossisso, Sakiye, Komlan Anani, Mihluedo-Agbolan, Komla, Gnassingbe, Hubert, Tekou |
| Předmět: |
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| Zdroj: |
African Journal of Paediatric Surgery; Jan-Mar2014, Vol. 11 Issue 1, p8-11, 4p, 1 Color Photograph, 3 Black and White Photographs, 1 Chart |
| Abstrakt: |
Introduction: The elastic stable intramedullary nailing (ESIN) presently seems the best technique in the surgical treatment of femoral shaft fractures (FSF) in >6-year-old children. We hereby report technical difficulties and therapeutic results after our first 8 years of experience. Patients and Methods: It's a retrospective study over a period of 8 years from January 2005 to December 2012 in the Paediatric Surgery Department of Sylvanus Olympio Teaching Hospital of Lomé. Indications, technical particularities and results were studied. Results: There were 32 patients, 17 were boys and 15 were girls, with a mean age of 11 years old. The mean time to surgery was 21 days (range: 14 and 51 days). A callus was always removed before reduction. The osteosynthesis was stable in 22 cases, but in 10 others, it had been completed with a cast immobilisation. The operation needed a blood transfusion in 18 cases. With a mean followup of 3.5 years, the results were excellent in 29 patients (90.63%) and good in 3 patients (9.37%). Conclusion: Although undertaking an ESIN can be difficult, due to the lack of adequate equipment the procedure produces satisfactory outcome. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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