[The recovery process after orthopedic surgeries in CHU of Treichville, Abidjan].
OBJECTIVE
Determine the frequency of early chirurgical recaptures, their causes and therapeutic indications in order to prevent them.


BACKGROUND
The early chirurgical recaptures have been proposed to prevent early post operative infections. This repeat intervention must stop post operative sepsis and the evolutive process. The therapeutic indications have been opened to different complications as mechanic and technical complications. This study permitted to determine the causes of this treatment and its interest in our daily hospital practice.


METHODS
This retrospective study covered a period of 5 years between January 2000 and December 2005. During this period, 2562 operations have been realised in our service, and 68 cases (2.65%) concerned early chirurgical recaptures. Only 46 patients were concerned by the study according to our criteria which was that the early intervention would be realised before 4 weeks after the first operation.


RESULTS
The average age of patients was 37.6 does not equal 13.3 years with a frequency of ages from 20 to 39 years about 47.8%. The initial injuries were varied and dominated by open fractures (12 cases) and foot diabetic gangrenes (08 cases). The deadline of the help and technical short comings has equally formed etiologic factors.


CONCLUSIONS
The indications of early recaptures in orthopaedic traumatology are various. The knowledge of these indications is necessary for the prevention of certain post-operation difficulties.
Service d'orthopédie et traumatologie, CHU Treichville, Abidjan 18 BP 160 Abidjan 18, Côte d'Ivoire. gogouad@yahoo.fr
R D
RD
Gogoua
M
M
Anoumou
M
M
Kouame
Y
Y
Bakayoko
G
G
Varango
D000328:Adult; D007560:Cote d'Ivoire / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects*; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology*; D055815:Young Adult