Decollements epiphysaires traumatiques chez les adolescents congolais : a propos de 15 cas

Les auteurs analysent 15 cas de decollements epiphysaires traumatiques chez des adolescents congolais (age moyen 16 ans et 9 mois). La population atteinte est essentiellement masculine; a la suite; dans 60 pour cent des cas d'un accident de football. Les lesions concernent l'extremite distale du femur dans 80 pour cent des cas. Le traitement realise; chirurgical dans 75 pour cent des cas; a conduit a 14 bons et tres bons resultats (93 pour cent). Ces lesions survenant en fin de croissance; sont d'un bon pronostic

[Open fractures caused by gunshot in civilian practice. Apropos of 31 cases]. / Fractures ouvertes par armes à feu en pratique civile. A propos de 31 cas.

The authors report their experience of the treatment of 31 gunshot open fractures in civilian practice. The fractures, comminuted in two thirds of cases, were produced by various fire-arms. Two vascular injuries were observed. Conservative treatment was performed in 80% of cases. 13 septic complications were observed (6 superficial and 7 deep infections). The were also 7 cases of delayed union, 3 mal unions and 7 cases of joint stiffness. To improve the prognosis of these lesions, the authors emphasize that surgeons must be familiar with ballistic wounds and carry out an early initial and appropriate treatment.