Research Article
Volume 11 Issue 10 - 2020
Open Fractures of Femur at Chu Gabriel Toure
Abdoul Kadri Moussa*, Layes Touré, Mahamadou Diallo, Louis Traoré, Mamadou B Traoré, Tiéman Coulibaly and Abdou A Touré
Department of Orthopedics-Traumatology, Hospital and University Center (CHU) Gabriel Toure, Bamako, Mali
*Corresponding Author: Abdoul Kadri Moussa, Department of Orthopedics-Traumatology, Hospital and University Center (CHU) Gabriel Toure, Bamako, Mali.
Received: August 17, 2020; Published: September 29, 2020




Abstract

Introduction: The type of open fracture and the frequent association of associated lesions often complicate treatment.

Goals: Were to determine the anatomopathological aspects and to evaluate the results of the treatment of open fractures of the femur at the CHU Gabriel TOURE.

Materials and Methods: This was a retrospective study of patients with an open fracture of the femur managed from January 2015 to December 2017 (3 years).

Results: We collected 28 patients with an open fracture of the femur. The male sex represented 82.1%. The average age of our patients was 30.07 years. Road accidents were the main aetiologies (85.7%). The mechanism was direct in 100%. The most common pathological type was type A3 (42.9%). Gustilo and Anderson type I predominated (53.6%). The fracture was located in the middle third and the distal third in 39.3% each. The associated lesions were noted 53.57%. The initial trimming was performed before 6 hours in 75% of cases. The mean time to internal fixation was 23.53 days. Internal fixation was provided by a 65.38% screw plate. The mean time to union was 4.84 months. The main complications observed were stiffness of the knee (32.14%), and sepsis (25%). After a mean follow-up of 41.07 months, the functional results were good in 35.71%.

Conclusion: The frequent association of lesions associated with an open fracture of the femur, leads to difficulty in early internal stabilization leading to the frequency of late complications.

Keywords: Fractures; Openings; Femur; Anatomopathology; Treatment; Evolution; Mali

References

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Citation: Abdoul Kadri Moussa., et al. “Open Fractures of Femur at Chu Gabriel Toure”.EC Orthopaedics 11.10 (2020): 39-44.

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