Les fractures hautes du fémur traitées par clou gamma long : A propos de 20 cas

Margad, Omar

doi:10.13070/rs.fr.3.1547

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“…En fonction du mécanisme de survenue de la fracture, le mécanisme direct était le plus retrouvé avec 81,82% des cas. En fonction du côté atteint, nous avons une légère supériorité de l'atteinte du côté droit avec 23 cas (52,27%) contre 19cas (43,18%) à gauche et 2 cas d'atteinte bilatérale ; Magdad [35] trouve également une prédominance du côté droit (57%) tandis que Madougou [30] trouve une légère prédominance du côté gauche avec 54,3%. Nous pensons que le fait que notre code de la route oblige de conduire du côté droit, les passants marchants sur le bord de la route sont percutés de derrière et c'est le côté droit qui est donc le plus exposé au choc direct.…”

Section: Discussionunclassified

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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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Les fractures hautes du fémur traitées par clou gamma long : A propos de 20 cas

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