[Study of foot fractures at the orthopedics and traumatology of the Gabriel Toure Hospital over 10 years].
The objective of this work was to determine epidemio-clinical and therapeutic aspects of foot bones fractures in Orthopedic and Traumatology service of Gabriel TOURE hospital.


METHODS
The study was retrospective descriptive and carried on 454 patients of January 1996 to December 2005. Have been included the patients admitted and tidy in the service during the period of survey, that had fractures isolated of the foot or associated to other fractures. Have not been included the patients with fractures of the foot that interrupted their treatment in the hospital for no conventional treatment.


RESULTS
The masculine sex was predominant (321 men, 133 women, sex-ratio 2.41). The age groups of 21-30 years and 31-40 were the more attacks with respectively 32.38% and 20.48% (Table I). The workers were the more reached with 28.41% (Table II). On the ten years, 2001 recorded the biggest number of case of foot fracture with 12.56% (Table III). The accidents of the public way and the accidents of work were the most frequent etiology with respectively 70.48% and 20.71%. The right foot was the more frequently broken with 55.95%. The metatarsus was the more reached with 50%. Fractures closed of the foot represented 88.33%, the open fractures 11.67%. The treatment of the closed fractures was exclusively orthopedic. In the cases of open fractures the surgical dressing has been done follow-up of the orthopedic contention. The recovery has been gotten in 60.79% of the cases. The complications were of 39.21% among which the vicious calluses predominated with 34.83% (Table IV). The result of the treatment was good in 73.57% of the cases, means in 17.62% of the cases and bad in 8.81% of the cases.


CONCLUSIONS
The fractures of the foot concerned more the men and the working profession. So the most active layer of the society was the more exposed to the accidents of the public way and the work. The osteosynthesis in the complex or complicated shapes could have improved our results.
Service d'Orthopédie et de Traumatologie de l'Hôpital Gabriel Touré de Bamako.
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Sangaré
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Alwata
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Koné
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Sidibé
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Touré
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005529:Foot Bones / Q000293:injuries*; D050723:Fractures, Bone / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D055815:Young Adult