Primary unreamed and unlocked intramedullary nailing for open tibial fractures

Objective: The purpose of this study is to present our experience with the use of primary unreamed and unlocked nailing by the curved Kuntscher nail for open tibial fractures.Design: A retrospective study carried out between 1993 and 2003.Setting: Department of Orthopaedics Surgery; Yopougon Teaching Hospital; Abidjan; Coted'Ivoire.Patients and methods: A total of 154 open tibial shaft fractures in 149 patients were operated on by primary stabilisation with an unreamed and unlocked Kuntscher nail. Postoperatively; patients wore a leg plaster cast. Results: There were 124 men and 25 women with a mean age of 35 (16 to 72) years. Fractures werecaused in the majority of cases (130 cases; 87.2) by traffic accidents. Fractures were classified according to Cauchoix system into 96 grade I; 55 grade II; and 3 grade III. The duration of follow-up averaged nine (3 to 25) months. Infections (softtissue and bone) were encountered in 30 (19.5 ) fractures. 113 fractures (86.25 ) were primarily united with an average of 4.7 (two to six) months.Bone union was delayed for seven (5.3 ) fractures. Eleven (8.45 ) fractures developed nonunion. Malunion in valgus 10o was seen in three patients and in varus 10oin two. Rotational malalignment 10o was encountered in five patients

Prise en charge des fractures du col femoral : a propos d'une serie de 84 cas (CHU de Yopougon)

Dans notre memoire; nous rapportons la prise en charge de 84 fractures du col femoral au CHU de Yopougon.Ce travail a ete realise sur une periode de 6 ans (1993-1998). L'age moyen etait de 64 ans (extremes 16 et 88 ans). L'etiologie etait dominee par une chute de leur hauteur pour les patients ages; alors que l'accident de la voie publique etait la cause essentielle chez le sujet jeune.72 patients soit 85;71pour cent des cas ont ete operes; 10 patients soit 11;09pour cent ont eu un traitement orthopedique; 2 sont decedes au cours du bilan.62 patients ont ete revus avec un recul moyen de 3 ans; on notait 14 deces et 8 perdus de vue.Nos resultats fonctionnels apprecies par la cotation de Merle d'Aubigne etaient satisfaisants a 88pour cent pour le traitement chirurgical et 59pour cent pour le traitement orthopedique