Surgical treatment of femoral diaphyseal fractures in children using elastic stable intramedullary nailing by open reduction at Yopougon Teaching Hospital.

Yaokreh, J B; Odéhouri-Koudou, T H; Koffi, K M; Sounkere, M; Kouamé, Y G S; Tembely, S; Kouamé, D B; Ouattara, O; Dick, K R

Yaokreh, J B; Odéhouri-Koudou, T H; Koffi, K M; Sounkere, M; Kouamé, Y G S; Tembely, S; Kouamé, D B; Ouattara, O; Dick, K R.

Afiliación

Yaokreh JB; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire. Electronic address: enanblaodette@yahoo.fr.
Odéhouri-Koudou TH; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Koffi KM; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Sounkere M; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Kouamé YG; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Tembely S; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Kouamé DB; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Ouattara O; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.
Dick KR; Service de chirurgie pédiatrique, CHU de Yopougon, 21 BP 632 Abidjan 21, Cote d'Ivoire.

Orthop Traumatol Surg Res ; 101(5): 589-92, 2015 Sep.

Article en En | MEDLINE | ID: mdl-26215090

RESUMEN

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, Côte 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 71min (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.

Asunto(s)

Fracturas del Fémur/cirugía; Fijación Intramedular de Fracturas/métodos; Niño; Côte d'Ivoire; Países en Desarrollo; Femenino; Hospitales de Enseñanza; Humanos; Masculino; Complicaciones Posoperatorias; Estudios Retrospectivos

Palabras clave

Children; Elastic stable intramedullary nailing; Femoral shaft fractures

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas del Fémur / Fijación Intramedular de Fracturas Tipo de estudio: Observational_studies Límite: Child / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: Orthop Traumatol Surg Res Año: 2015 Tipo del documento: Article Pais de publicación: Francia

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