Elastic stable intramedullary nailing of femoral shaft fractures in children: Particularities and results at Sylvanus Olympio teaching hospital of Lomé, Togo
| Autor: | Mihluedo-Agbolan Komlan Anani, Boume Missoki Azanledji, Sakiye Kodjo Abossisso, Akakpo-Numado Gamedzi Komlatsè, Tekou Hubert, Gnassingbe Komla |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion Adolescent femoral shaft Femoral shaft medicine.medical_treatment lcsh:Surgery Bone Nails law.invention Teaching hospital Intramedullary rod law Fracture fixation Humans Medicine Child Hospitals Teaching Children Retrospective Studies Fracture Healing elastic stable intramedullary nailing Osteosynthesis business.industry lcsh:RJ1-570 Retrospective cohort study Mean age lcsh:Pediatrics Equipment Design lcsh:RD1-811 fractures Elasticity Fracture Fixation Intramedullary Surgery Radiography Treatment Outcome Children elastic stable intramedullary nailing femoral shaft fractures Togo Pediatrics Perinatology and Child Health Female business Femoral Fractures Follow-Up Studies |
| Zdroj: | African Journal of Paediatric Surgery, Vol 11, Iss 1, Pp 8-11 (2014) African Journal of Paediatric Surgery; Vol 11, No 1 (2014); 8-11 |
| ISSN: | 0974-5998 0189-6725 |
| Popis: | 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.Key words: Children, elastic stable intramedullary nailing, femoral shaft, fractures |
| Databáze: | OpenAIRE |
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