title: [Reoperations for mechanical complications of femoral osteosynthesis. Analysis of 20 cases].
abstract: Based on a study of 220 femoral osteosynthesis, the results of 20 second surgical operations because of mechanical complications sat in 19 patients. These complications occurred on 15 screwed plates (6 breakings, 6 angulations, 3 dismounting) and 5 nailings (4 proximal migrations, 1 angulation). The critical analysis about the first osteosynthesis showed some technical error in several cases. Pseudarthrosis (9.2 p.c.) was observed in all mechanical complications at the plates A second surgical operations, thanks to a new osteosynthesis associated, in 8 cases, with a cortico-spungoïd osseous graft led to 85 p.c. of good and very good results and 15 p.c. of satisfactory results. No post surgery complication was observed.
authors.affiliation: Service d'Orthopédie-Traumatologie, Centre Hospitalier Universitaire de Brazzaville, Congo.
authors.forename: A
authors.initials: A
authors.lastname: Moyikoua
authors.forename: J C
authors.initials: JC
authors.lastname: Bouity-Buang
authors.forename: B
authors.initials: B
authors.lastname: Pena-Pitra
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation
vernacular_title: Les réinterventions pour complications mécaniques des ostéosyntheses fémorales. Analyse de 20 cas.