title: [Results of an open fixation treatment of 131 fractures of the femoral diaphyses in a Congolese hospital setting].
abstract: From 1987 to 1991, 196 fractures of the femoral diaphysis were treated at the University Hospital Center of Brazzaville. A retrospective perusal of the files of these patients produced 131 analyzable cases, all treated by open osteosynthesis using either screw-attached plates (n = 84) or nails (n = 47). The overall infection rate was 5.4% (7/131). This rate was 5.9% (5/84) using screw-attached plates and 4.2% (2/47) using nails, i.e. only slightly higher than in the literature. Bone fixation was successful in 90% of cases. Mechanical complications (11.4%) were due mainly to technical errors during the initial fixation. With a follow-up of 3 years, analysis according to the criteria of GENESTE showed that open osteosynthesis of fractures of the femoral diaphysis in an African orthopedic department led to 90% of good (32%) and excellent (58%) results. In this African series, the main problem was the initial fixation.
authors.affiliation: Service d'Orthopédie-Traumatologie, Centre Hospitalier Universitaire de Brazzaville, Congo.
authors.forename: A
authors.initials: A
authors.lastname: Moyikoua
authors.forename: B
authors.initials: B
authors.lastname: Pena-Pitra
authors.forename: J M
authors.initials: JM
authors.lastname: Onzoto
authors.forename: J M
authors.initials: JM
authors.lastname: Kaya
authors.forename: J C
authors.initials: JC
authors.lastname: Bouity-Buang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000009:adverse effects; D001860:Bone Plates / Q000009:adverse effects; D001863:Bone Screws / Q000009:adverse effects; D003223:Congo / Q000453:epidemiology; D018483:Diaphyses / Q000293:injuries / Q000601:surgery; D005260:Female; D005264:Femoral Fractures / Q000145:classification / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000706:statistics & numerical data*; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology
vernacular_title: Résultats du traitement à foyer ouvert de 131 fractures de la diaphyse fémorale en milieu hospitalier Congolais.