Introduction: Mechanical complications after osteosynthesis are spontaneous and harmful modifications of the joint compromising the consolidation process. The aim of this study is to report on the frequency of these c...Introduction: Mechanical complications after osteosynthesis are spontaneous and harmful modifications of the joint compromising the consolidation process. The aim of this study is to report on the frequency of these complications and their management in the Orthopaedic-Traumatology Department of CHU Ignace Deen. Patients and Methods: we conducted a retrospective descriptive and analytical cross-sectional study from January 2017 to December 2022. It focused on the records of patients hospitalized and treated in the department for a mechanical complication after osteosynthesis. Results: The frequency of mechanical complications was 1.2%, with an average age of 44.2 years and a sex ratio of 3.2 in favor of men. Non-compliance with postoperative instructions, non-compliance with surgical technique, postoperative infection and early loading were the main contributing factors. Disassembly of the screw-plate was the most common cause in 6 cases (35.5%), with a mean delay of 4.1 months. Revision osteosynthesis was carried out using screw plates in 8 cases (47.1%). Conclusion: Mechanical complications of osteosynthesis are less frequent traumatic conditions in our department. Several factors contribute to their occurrence.展开更多
Introduction: Chronic ankle instability comprises two main entities, often associated with mechanical instability due to ligament and/or bone trauma, and functional instability due to a postural or proprioceptive defe...Introduction: Chronic ankle instability comprises two main entities, often associated with mechanical instability due to ligament and/or bone trauma, and functional instability due to a postural or proprioceptive defect. Periosteal ankle ligamentoplasty is a widely used technique in France. The aim of our study was to evaluate the functional result after a ligamentoplasty technique on the periosteum known as Roy-Camille/Saillant. Methods: A retrospective study of 264 months which involved 21 patients including 3 women and 18 men with a sex ratio of 6 with a mean age of 38.71 (25 - 58) years. Patients were included who benefited from a Roy-Camille/Saillant periosteal ligamentoplasty for chronic ankle instability and had accepted for the completion of an evaluation form. Fourteen were reviewed clinically and radiologically. We have an assessment sheet taking into account pain, function and alignment. The rearfoot AOFAS score indicates excellent (90 - 100), good (80 - 89), fair (70 - 79), and poor (Results: A minimum follow-up of 8 months and an average follow-up of 7 years (8 months to 18 years). 93% had a painless and stable ankle, and 86% returned to sport. The mean postoperative AOFAS score was 97 (87 - 100), (86%) patients believed their ankle was more stable after surgery, (14%) did not feel any difference. 11 patients were very satisfied, 3 satisfied. Among the 11 satisfied with the operation, two (2) people complained of a sensitivity disorder. One patient presented with hypoaesthesia in the superficial peroneal nerve territory. Nine of them felt no difference between their right and left ankle. Conclusion: The satisfaction rate was 93%, and the results obtained in our study are in agreement with other techniques and previous publications on similar procedures.展开更多
Introduction: Total hip prostheses are a reliable means of treating hip disorders. It is indicated when pain and reduced mobility of the hip become incompatible with the patient’s daily activities. In low-income coun...Introduction: Total hip prostheses are a reliable means of treating hip disorders. It is indicated when pain and reduced mobility of the hip become incompatible with the patient’s daily activities. In low-income countries, the risk factors for hip disease are numerous, but the means for its management, such as total hip prostheses, are not. The aim of this work was to determine the morbi-mortality of total hip prostheses in the short and medium term in our department and to review the literature. Patients and Method: This was a prospective and descriptive study over a period of 9 years. It involved 50 THPs performed on 45 patients. Patients who had received a THP and were followed up for at least two years were included. We excluded patients who were lost to follow-up. The Moore-type posterolateral minimally invasive approach was used. Complications were investigated from the immediate postoperative period and in the medium term. The final functional results were evaluated according to the Postel Merle d’Aubigné score. Results: We performed 50 THPs out of 750 procedures, i.e. , 6.6%. The indications were: primary coxarthrosis 60%, necrosis of the femoral head 26%, post-infectious balloon hip 4%, and pseudarthrosis of the femoral neck 10%. The average time to the consultation was 2.4 years with extremes of 1 and 5 years. According to the terrain, sickle cell disease represented 18%, tuberculosis 12%. Postoperative complications were lameness 12%, dislocation 6%, suppuration 6%, death 4%, peri-prosthetic fracture 8%, loosening 2%, peri-articular ossification 2%, and paralysis of the external popliteal nerve 2%. Conclusion: Whoever performs a THP is obliged to monitor the patient as long as he/she is alive. Complications are possible at any time and can negatively change the assigned goal and force the surgeon to be expensive and sometimes inconclusive secondary interventions.展开更多
文摘Introduction: Mechanical complications after osteosynthesis are spontaneous and harmful modifications of the joint compromising the consolidation process. The aim of this study is to report on the frequency of these complications and their management in the Orthopaedic-Traumatology Department of CHU Ignace Deen. Patients and Methods: we conducted a retrospective descriptive and analytical cross-sectional study from January 2017 to December 2022. It focused on the records of patients hospitalized and treated in the department for a mechanical complication after osteosynthesis. Results: The frequency of mechanical complications was 1.2%, with an average age of 44.2 years and a sex ratio of 3.2 in favor of men. Non-compliance with postoperative instructions, non-compliance with surgical technique, postoperative infection and early loading were the main contributing factors. Disassembly of the screw-plate was the most common cause in 6 cases (35.5%), with a mean delay of 4.1 months. Revision osteosynthesis was carried out using screw plates in 8 cases (47.1%). Conclusion: Mechanical complications of osteosynthesis are less frequent traumatic conditions in our department. Several factors contribute to their occurrence.
文摘Introduction: Chronic ankle instability comprises two main entities, often associated with mechanical instability due to ligament and/or bone trauma, and functional instability due to a postural or proprioceptive defect. Periosteal ankle ligamentoplasty is a widely used technique in France. The aim of our study was to evaluate the functional result after a ligamentoplasty technique on the periosteum known as Roy-Camille/Saillant. Methods: A retrospective study of 264 months which involved 21 patients including 3 women and 18 men with a sex ratio of 6 with a mean age of 38.71 (25 - 58) years. Patients were included who benefited from a Roy-Camille/Saillant periosteal ligamentoplasty for chronic ankle instability and had accepted for the completion of an evaluation form. Fourteen were reviewed clinically and radiologically. We have an assessment sheet taking into account pain, function and alignment. The rearfoot AOFAS score indicates excellent (90 - 100), good (80 - 89), fair (70 - 79), and poor (Results: A minimum follow-up of 8 months and an average follow-up of 7 years (8 months to 18 years). 93% had a painless and stable ankle, and 86% returned to sport. The mean postoperative AOFAS score was 97 (87 - 100), (86%) patients believed their ankle was more stable after surgery, (14%) did not feel any difference. 11 patients were very satisfied, 3 satisfied. Among the 11 satisfied with the operation, two (2) people complained of a sensitivity disorder. One patient presented with hypoaesthesia in the superficial peroneal nerve territory. Nine of them felt no difference between their right and left ankle. Conclusion: The satisfaction rate was 93%, and the results obtained in our study are in agreement with other techniques and previous publications on similar procedures.
文摘Introduction: Total hip prostheses are a reliable means of treating hip disorders. It is indicated when pain and reduced mobility of the hip become incompatible with the patient’s daily activities. In low-income countries, the risk factors for hip disease are numerous, but the means for its management, such as total hip prostheses, are not. The aim of this work was to determine the morbi-mortality of total hip prostheses in the short and medium term in our department and to review the literature. Patients and Method: This was a prospective and descriptive study over a period of 9 years. It involved 50 THPs performed on 45 patients. Patients who had received a THP and were followed up for at least two years were included. We excluded patients who were lost to follow-up. The Moore-type posterolateral minimally invasive approach was used. Complications were investigated from the immediate postoperative period and in the medium term. The final functional results were evaluated according to the Postel Merle d’Aubigné score. Results: We performed 50 THPs out of 750 procedures, i.e. , 6.6%. The indications were: primary coxarthrosis 60%, necrosis of the femoral head 26%, post-infectious balloon hip 4%, and pseudarthrosis of the femoral neck 10%. The average time to the consultation was 2.4 years with extremes of 1 and 5 years. According to the terrain, sickle cell disease represented 18%, tuberculosis 12%. Postoperative complications were lameness 12%, dislocation 6%, suppuration 6%, death 4%, peri-prosthetic fracture 8%, loosening 2%, peri-articular ossification 2%, and paralysis of the external popliteal nerve 2%. Conclusion: Whoever performs a THP is obliged to monitor the patient as long as he/she is alive. Complications are possible at any time and can negatively change the assigned goal and force the surgeon to be expensive and sometimes inconclusive secondary interventions.
