Management of childhood fractures in Anjouan Island, Comoros.
Limb fractures were reviewed in 489 children, 390 boys and 99 girls whose ages ranged between 2 days and 14 years (mean 8 yrs). Only 54 (11%) were caused by road traffic accidents; 435 (89%) were due to other causes. Fractures of the arm were seen in 332 (68%) children and there were leg fractures in 157 (32%), of which 155 (32%) were undisplaced and were treated by first aid. Closed reduction was performed on 138 (28%) children and 196 (40%) were treated by internal fixation. Infection and non-union occurred in 28 (14%) and 13 (7%), respectively. Re-operation was performed because of complications in 21 (11%).
Ahmed
A
A
Department of Surgery, Centre Hôpitalier Régional de Hombo, Mutsamudu, Anjouan Island, Comoros. abuth@anpa.net.ng
D000293:Adolescent; D000367:Age Factors; D001134:Arm Injuries / Q000453:epidemiology* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D017507:Comoros / Q000453:epidemiology; D005260:Female; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007869:Leg Injuries / Q000453:epidemiology* / Q000601:surgery; D008297:Male; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012737:Sex Factors; D016896:Treatment Outcome