ABSTRACT
But : Evaluer les résultats initiaux de nos des différents traitements des fractures ouvertes de l'humérus. Méthode: Il s'agissait d'une étude rétrospective réalisée à Abidjan (Côte d'Ivoire) sur une période de 10 ans, portant sur 16 fractures ouvertes de la diaphyse humérale. Elle incluait 10 hommes et six femmes d'âge moyen de 32,8 ans (Extrêmes : 21 et 61). L'ouverture cutanée était classée selon Cauchoix et Duparc. Les fractures étaient, soit traitées par parage suivi de plâtre brachio-anti-brachial, soit traitées par plaque vissée ou fixateur externe. Les patients étaient suivis selon un protocole strict. Les résultats globaux étaient évalués par la cotation fonctionnelle de Stewart et Hundley. Résultats : Au recul minimum de 24 mois, tous les patients avaient consolidé. On notait un cas d'infection locale, trois cas de raideur du coude et quatre cas réversibles de paralysie du nerf radial. Les résultats fonctionnels selon le score de Stewart et Hundley étaient très bons dans 11 cas, bons dans quatre cas et assez-bon dans un cas, et aucun mauvais résultat. Conclusion : En fonction des indications thérapeutiques, les résultats initiaux sont satisfaisants tant sur le plan clinique que fonctionnel.
Aim: To evaluate the initial results of our different treatments of open humeral shaft fractures. Method: This was a retrospective study conductecd in Abidjan (Ivory Coast) over a period of 10 years, involving 16 open humeral shaft fractures. It included 10 men and six women with a mean age of 32.8 years (Extremes: 21 and 61). The skin opening was classified according to Cauchoix and Duparc. Fractures were either treated by trimming followed by a brachial-ante-brachial cast, or treated with a screwed plate or external fixator. Patients were followed according to a strict protocol. Overall results were assessed by Stewart and hundley functional scoring. Results: At a minimum follow-up of 24 months, all patients had consolidated. There was one case of local infection, three cases of elbow stiffness and four reversible cases of radial nerve palsy. The functional results according to the Stewart and Hundley score were very good in 11 cases, good in four cases and fair in one case, with no poor result. Conclusion: Depending on the therapeutic indications, the initial results are satisfactory both clinically and functionally.
Subject(s)
Humans , Male , Female , Treatment Outcome , Adult , Fractures, OpenABSTRACT
Background: The Latarjet technique aims to stabilize the shoulder by reconstructing the glenoid rim using a bone fragment taken from the coracoid bone and generally fixed to the anteroinferior part of the glenoid. The aim of this study was to assess the functional outcome of this type of treatment. Methods: This retrospective study was conducted in several health institutions in Ivory Coast from January 2008 to December 2013. Folders of 15 patients whose shoulders were treated by the Latarjet coracoid bone block procedure for anterior shoulder instability and were followed-up for a minimum of 10 years were retrieved and data collected. Functional outcomes were assessed by the Rowe score. The data were evaluated and analysed using Epi Info and Excel statistical software. Results: The functional assessment according to the Rowe score revealed three excellent results, nine good results, two average results and one poor result. One case of recurrence was observed in the postoperative period and required a revision. Conclusion: This study suggests that the Latarjet preglenoid bone block procedure is an effective surgical procedure for treating anterior shoulder instability. It allows for a significant improvement in functional outcomes as well as a satisfactory return to sporting activity.