ABSTRACT
In this retrospective study, we present our experience using open Küntscher nailing (K-nailing) which is still performed in developing countries for femoral fractures. Of 157 acute fractures treated between January 2003 and December 2009, 100 were stable (63.7%) and 135 were located within the middle third of the shaft (86%). Comminution was absent or minimal in 135 (86%) cases. Fracture union was achieved at an average of 14 weeks (range, 10 - 25). The duration of follow-up was 17 months (range, 6 - 36). Final evaluation showed that 129 (82.2%) patients had a good result according to modified Kempf’s criteria. The predominant complications were infection (n=5; 3.2%), nonunion (n=9;5.5%), implant failure (n=11; 7%), and malunion (n=27; 17.3%). Open reduction and fixation with a tight fitting Knail can give good results in selected acute femoral shaft fractures but knowledge of potential complications is needed.
ABSTRACT
A survey was undertaken among adolescents in rural area in Burkina Faso in order to obtain information about their knowledge, attitudes, beliefs and practice on contraception and STD/HIV/AIDS. A questionnaire was administered to 363 adolescents living in the Sanmatenga province. The mean age of the respondents was 17 years [range : 15 and 19 years], most of them were girls [52.9%], most of them were illiterate [85.4%] and unmarried [72%]. 58% of them had never heard about modern contraceptive methods, however they had a good knowledge of HIV/AIDS but not other STDs. Two main information sources were radio and friends. Only 28 used a contraceptive methods during their first sexual intercourse and 83 reported an episode of STD. These data should serve to improve IEC campaigns toward rural adolescents, including more information on other STDs and insisting on the use of condom
ABSTRACT
Objective: To study the epidemiological, clinical and therapeutic aspects of upper urinary tract lithiasis at our department
Material and Methods: This is a retrospective study based on the patients' records and covering the period from January 1, 1992 to December 31, 2002
Results: During a period of 10 years, 110 cases of upper urinary tract calculi out of a total number of 7128 hospitalized patients were seen at our institution, thus constituting 1, 54% of all hospital admissions. The patients' mean age was 35, 49 years [range: one to 75 years], the male to female ratio was 7:1. The main presenting symptom was renal colic followed by lower back pain. Treatment was mainly by open surgery [108 of 109 cases were managed by conventional surgery]. Follow-up was uneventful in all cases with a mean hospital stay of 13, 5 days
Conclusion: Upper urinary tract lithiasis is rarely encountered in our region, but it seems to be in constant progression. We are still obliged to resort to open surgery in most cases, although this method is not the treatment of choice in developed countries any more