Epidemiology of Open Limb Fractures in a Country with Low-Income

Kombate, Noufanangue Kanfitine; Walla, A; Akloa, Kolima; Amakoutou, Komi; Bakriga, Batarabadja; Ayouba, G; Dellanh, Yaovi Yannick; Abalo, Anani; Dossim, Assang

doi:10.4236/ojo.2017.711036

Cited by 4 publications

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“…Notre moyenne d'âge est de 33,41 ans pour une prédominance de la tranche d'âge de 21 à 40 ans (65,91%). Ribault [6] (24 ans), Onche [7] (32,4ans), Sima Zue et Hoekman et Magumou (26ans) [5,32,33] , Noufanange [34] (38,88 ans), MADOUGOU [30] (38,28 ans), Olukemi [31] (37,1±13,6 ans avec la tranche d'âge la plus touchée comprise entre 30-39 ans pour des extrêmes de 18 et73 ans, Lawson [3] (37,26 ans) avec comme tranche d'âge les plus touchées comprises entre 20-29 ans(38,25%) et 30-39 ans(39,53%). Pour notre série, ceci s'expliquerait par le fait que c'est la tranche la plus active pour subvenir aux multiples besoins dans un pays pauvre comme la république démocratique du Congo où la population vit avec environ 1 dollar par jour.…”

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“…Dans notre série, les hommes (N=31) représentent 73,80% et les femmes (N=11) 26, 20% (sexe ratio hommes/femmes : 2,8). La prédominance masculine est notée dans multiples études notamment celles de Onche [7] (76,6%), Hoekman [32] (82,9%), Madougou [30] (sexe-ratio H/F :2,7), Lawson [3] (70,46% avec un sexe ratio Homme/Femme de 2,38), Noufanangu [34] (73,6% avec un sexe ratio H/F :2,7), Olukemi [31] (ratio Homme/Femme :1,7), Magoumou [33] (92,2%). En fonction de la cause, nous avons trouvé que les accidents de circulation sont la cause dans 88,64% des cas, ceci confirme les données publiées par plusieurs auteurs : Lawson [3] (78,28%), Magoumou [33] (86,7%), Noufanangu [34] (73,6%), Onche [7] (97,9%).…”

Section: Discussionunclassified

“…La prédominance masculine est notée dans multiples études notamment celles de Onche [7] (76,6%), Hoekman [32] (82,9%), Madougou [30] (sexe-ratio H/F :2,7), Lawson [3] (70,46% avec un sexe ratio Homme/Femme de 2,38), Noufanangu [34] (73,6% avec un sexe ratio H/F :2,7), Olukemi [31] (ratio Homme/Femme :1,7), Magoumou [33] (92,2%). En fonction de la cause, nous avons trouvé que les accidents de circulation sont la cause dans 88,64% des cas, ceci confirme les données publiées par plusieurs auteurs : Lawson [3] (78,28%), Magoumou [33] (86,7%), Noufanangu [34] (73,6%), Onche [7] (97,9%). Dans notre cas, nous avons constaté que parmi les raisons de ces accidents de la voie publique, sont d'une part le non-respect du code de la route par des chauffeurs souvent impatients de réunir le versement journalier et voulant échapper aux tracasseries incessantes des agents de la police de circulation routière dans notre ville de Lubumbashi et d'autres part l'apparition des taxi moto localement appelés « MANSEBAS » qui, il ya 10 ans n'existait quasiment pas à Lubumbashi qui roulent sur les principales rues et sans jamais porter des casques.…”

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2022

Int. J. Appl. Res.

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Introduction: Prevention of infection remains the critical goals in open fracture treatment. This study reports the epidemiological, clinical and therapeutics features at Lubumbashi teaching hospital.Methods: the study covers a three-year period, including retrospective study from January 2018 to December 2020. Data collection was performed through a standardized survey form included many parameters. Results: 44 cases of open leg fractures were registered in 42 patients, this represented 2.46% in orthopedics and traumatology department and 5.92% in surgery. The most common age brackets were 20-29 years (65.91%). The mean age (33.41years) ranging from 8 to 80 years. Males accounted for 73.80% with a ratio sex M/F of 2.81. The most common etiology was traffic accidents (88.64%). Mostly the mechanism was direct (81.82%); 73.80% of patients arrived within 6 hours. Clinical sign mostly represented were deformation of the leg (95.46%). Most of fracture was classified in Cauchoix 2 (45.45%) with head injury like most associated injury (34.10%). Radiologically, the fracture line through the bone was oblique in 38.64% of cases and transverse in 29.55%. 38.64 % of open leg fractures occur in the middle third of the bone in our study. Definitive treatment consisting in putting a plaster window (18.18%) and external fixation (40.90% of cases). Conclusion: open leg fracture is an almost daily practice which the management must be delicate. Mots clés: fracture ouvertejambeépidémiologie -prise en charge.

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2022

Int. J. Appl. Res.

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“…The study participants presented a clinical and demographic profile similar to those described in the literature. Diaphyseal tibial fractures of more common in the young male population, with a prevalence of open fractures (Vieira‐Júnior et al, 2017; Decruz et al., 2019; Kombate et al., 2017), and are mainly caused by motorcycle crashes (Decruz et al., 2019; Kombate et al., 2017; Odatuwa‐Omagbemi, 2019).…”

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Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial

Ferraz

Santana–Santos

Pinto

et al. 2020

European Journal of Pain

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Background Evidence is scarce regarding the analgesic effect of music for the relief of acute pain during the care of surgical tibial fracture wounds. Objective To evaluate the analgesic effect of music on acute procedural pain during the care of surgical tibial fracture wounds. Method This was a randomized, controlled, blinded clinical trial with 70 patients in the immediate postoperative period for diaphyseal tibial fracture surgery. Participants were randomly allocated to two groups: a control group (CG), in which patients received only the institution's standard analgesia, and an intervention group (IG) composed of patients receiving a 30‐min session of music of their own choice, as a complementary method to the institution's standard analgesia. Pain was evaluated during the first postoperative dressing change, using the Numerical Rating Scale (NRS). Results The sample was homogeneously composed of men (91.4%), young adults (61.4%), without previous diseases (88.6%) and whose traumas were related to a motorcycle crash (84.3%). The main musical genres chosen by participants were the most popular in their region (61.4%). Those who listened to music presented lower pain scores when compared with those in the CG (IG:2.4 ± 2.4 versus CG:5.8 ± 2.7; p < 0.001; η2 = 0.171; p < 0.001). Conclusion Listening to music is effective for relieving acute procedural pain during the first post‐operative tibial fracture dressing change. Music should be incorporated into the multimodal analgesia protocols for management of orthopedic postoperative wound care‐related pain. Significance Patients with diaphyseal tibial fractures that listened to music before and during the wound dressing change showed less pain when compared to those who received the standardized pharmacologic analgesia alone.

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Unique closure of Gustilo IIIA fracture with a hard-to-heal lower extremity wound

Clarke¹,

Tettelbach

2021

J Wound Care

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Consistently achieving wound closure requires a broad understanding of wound physiology, anatomy and wound healing phases. The multifaceted principles of wound closure are comprised of: perfusion evaluation; diabetes control; nutritional optimisation; infection control; mechanical stress avoidance; oedema management; wound bed preparation; and community care. Optimisation of each element is crucial to timely and durable resolution of acute and hard-to-heal wounds. This objective is realisable only through an interdisciplinary approach to wound healing. The reconstructive ladder represents the graduation of complex wound management as applied by the specialty of plastic surgery. The approach to reconstruction typically begins with the least invasive option, which is considered reliable. However, there are instances when the most reliable option on the reconstructive ladder is not a viable option and creative solutions for wound closure are required. The following case report demonstrates a unique approach to lower extremity salvage in a subacute compound fracture surgical site infection using a limited reconstructive ladder.

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Epidemiology of Open Limb Fractures in a Country with Low-Income

Abstract: Introduction: Open limb fractures are frequent and severe. Very often they result from high velocity traffic accidents.

Cited by 4 publications

References 9 publications

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Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial

Unique closure of Gustilo IIIA fracture with a hard-to-heal lower extremity wound

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