Author(s)

Souleymane Diallo^1*, Sory Ibrahim Tambassi¹, Kaly Tounkara¹, Terna Traore², Kalifa Coulibaly¹, Aboubacar Diallo¹, Soumana Traore¹, Aboubacar Sidiki Sangaré¹, Salif Kone¹, Drissa Kaloga Bagayoko³, Cheick Oumar Sanogo¹

¹Department of Orthopedics and Traumatology, CHU Pr Bocar Sidy Sall of Kati, Kati, Mali.
²Department of Orthopedics and Traumatology, Etablissement Public Hospitalier Sikasso, Sikasso, Mali.
³Department of Anesthesia and Intensive Care, University Hospital of Luxembourg, Bamako, Mali.

Introduction: To our knowledge, no scientific study has been conducted at the university hospital of Kati on recent traumatic epiphyseal detachment fractures of the distal femur. However, every day, children present in consultation for knee trauma. Conjugal plate fractures are by definition single to children. Any break in any solution of continuity of this plate is called an epiphyseal fracture or detachment. Objectives: To evaluate the results of surgical treatment of traumatic epiphyseal in detachments of the distal femur recent in children and adolescents. Patients and Method: This was a 13-month prospectively collected longitudinal descriptive study from September 1, 2016 to September 30, 2017. We identified and reviewed 20 medical records of recent traumatic epiphyseal detachments of the distal femur. The parameters studied were sociodemographic, lesion, surgical technique and evolutionary. Results: During the study period, the most affected group age was 12 to 17 years (85%) with an average of 14.65 ± 1.61 years (6 and 20 years). The victims were male (95%). The most frequent etiology was road traffic accident (95%), with a mean time to care of 26.42 ± 10.21 hours and Type II was frequently encountered (85%) with 35% of immediate complications. Cross-bracketing was the most commonly used surgical technique (85%). The result was good (65%). Conclusion: This study allowed us to observe a significant hospital incidence of epiphyseal detachment fractures of the distal femur. Cross pinning was the most commonly used surgical technique with fewer complications (35%) and a satisfactory result in 90% of cases.

Fractures, Epiphyseal Detachments, Distal End of Femur, Pinning

Diallo, S. , Tambassi, S. , Tounkara, K. , Traore, T. , Coulibaly, K. , Diallo, A. , Traore, S. , Sangaré, A. , Kone, S. , Bagayoko, D. and Sanogo, C. (2023) Surgical Treatment of Recent Traumatic Epiphyseal Detachments of the Distal Femur in the Orthopedic and Traumatological Surgery Department of the CHU Bocar Sidy Sall de Kati: About 20 Cases. Surgical Science, 14, 338-346. doi: 10.4236/ss.2023.145038.