Thomas, Helen Audrey;
Bationo, Elysée Yves;
Mieret, Jean Claude;
Yaokreh, Jean Baptiste;
Koffi, N’goran Eric;
Odéhouri-Koudou, Thierry Hervé;
Kouamé, Bertin Dibi;
Ouattara, Ossénou
Outcomes of Surgical Treatment of Diaphyseal Fractures of Long Bones in Children and Adolescents through Open Reduction and Intramedullary K-Wire Fixation at Yopougon Teaching Hospital, Abidjan (Côte d’Ivoire)
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Medientyp:
E-Artikel
Titel:
Outcomes of Surgical Treatment of Diaphyseal Fractures of Long Bones in Children and Adolescents through Open Reduction and Intramedullary K-Wire Fixation at Yopougon Teaching Hospital, Abidjan (Côte d’Ivoire)
Beteiligte:
Thomas, Helen Audrey;
Bationo, Elysée Yves;
Mieret, Jean Claude;
Yaokreh, Jean Baptiste;
Koffi, N’goran Eric;
Odéhouri-Koudou, Thierry Hervé;
Kouamé, Bertin Dibi;
Ouattara, Ossénou
Erschienen:
Medknow, 2023
Erschienen in:
African Journal of Paediatric Surgery (2023)
Sprache:
Englisch
DOI:
10.4103/ajps.ajps_124_22
ISSN:
0189-6725
Entstehung:
Anmerkungen:
Beschreibung:
Background: Nowadays, elastic stable intramedullary nailing is a well-accepted method for treating paediatric diaphyseal fractures, but it requires fluoroscopy that is lacking in our practice. For this reason, we have systematically performed open reduction and intramedullary Kirschner-wire fixation (ORIKF). The objective of this study was to assess ORIKF-related functional and radiological outcomes for the treatment of paediatric long bone fractures in the context of limited resources. Patients and Methods: From January 2010 to October 2019, 70 children (71 fractures) with an average age of 10.6 years sustaining closed displaced long bone diaphyseal fractures have been treated by ORIKF without fluoroscopy at Yopougon Teaching Hospital. They had their medical records reviewed retrospectively. Fractures were located in femur (n = 42), tibia (n = 11), humerus (n = 6) and forearm (n = 12). Pre-operative time, length of hospital stays, bone union time, nail removal time and complications were recorded. Functional and radiological outcomes were assessed according to Flynn’s criteria for lower limb and the Price’s criteria for upper limb. Results: The average follow-up time was 21 months. The results were excellent for 58 cases (81.7%), good for 8 (11.3%) and poor for 5 (7%). The average time to surgery was 10.8 days. The average in-patient stay was 11.1 days. Bone union duration was 12.3 weeks on average. The average time for nail removal was 8.1 months. According to Moroz’s system, minor complications occurred in 33 cases (46.5%); major complications were observed in four cases (5.6%) and they consisted of two cases of osteomyelitis (2.8%), 1 case (1.4%) of compartment syndrome and delayed union, respectively. Complications associated with bone recovery were reported in 10 patients (14.3%). Conclusion: Despite the open reduction of the fractures, the results were satisfactory in 9 out of 10 patients with few major complications in a context of limited resources.