Surgical treatment of femoral diaphyseal fractures in children using elastic stable intramedullary nailing by open reduction at Yopougon Teaching Hospital
| Autor: | T.H. Odéhouri-Koudou, M. Sounkere, K.R. Dick, Y.G.S. Kouamé, K.M. Koffi, S. Tembely, D.B. Kouamé, O. Ouattara, J.B. Yaokreh |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Bone healing law.invention Teaching hospital Intramedullary rod Postoperative Complications law Pediatric surgery medicine Humans Orthopedics and Sports Medicine Femoral shaft fractures Malunion Surgical treatment Child Hospitals Teaching Children Developing Countries Reduction (orthopedic surgery) Retrospective Studies business.industry Retrospective cohort study medicine.disease Surgery Fracture Fixation Intramedullary Cote d'Ivoire Female Elastic stable intramedullary nailing business Femoral Fractures |
| Zdroj: | Orthopaedicstraumatology, surgeryresearch : OTSR. 101(5) |
| ISSN: | 1877-0568 |
| Popis: | Introduction Elastic stable intramedullary nailing (ESIN) has transformed children's femoral shaft fracture treatment, but this technique requires an image intensifier. Without it, open reduction is used to check fracture reduction and pin passage. The aim of this study was to describe our techniques and to evaluate our results at the middle term. Hypothesis The open reduction and ESIN technique provides satisfactory results with few major complications. Patients and methods This was a retrospective study that focused on femoral diaphyseal fractures treated in the pediatric surgery unit at Yopougon Teaching Hospital (Abidjan, Cote d’Ivoire) between January 2007 and December 2013. Twenty children older than 6 years of age who underwent open reduction and ESIN without image intensifier assistance were included. Functional outcomes were assessed using Flynn's criteria. Postoperative complications and sequelae were recorded. Results At the 16-month follow-up, the results were excellent in 11 (55%) cases, good in eight (40%), and poor in one (5%) case. The mean duration of surgery was 71 min (range, 57–103 min). The mean time for bone healing was 11.6 weeks (range, 7–15 weeks) and the average time to nail removal was 6 months. Complications included wood infection ( n = 3), skin irritation ( n = 3), knee stiffness ( n = 2), malunion ( n = 3), scar ( n = 5), and leg length discrepancy ( n = 3). Discussion Open reduction and ESIN yielded satisfactory results with few major complications. This method could be an alternative in low-income countries where the image intensifier is often unavailable. Level of evidence Level IV retrospective study. |
| Databáze: | OpenAIRE |
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