TITLE:
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
AUTHORS:
Souleymane Diallo, Sory Ibrahim Tambassi, Kaly Tounkara, Terna Traore, Kalifa Coulibaly, Aboubacar Diallo, Soumana Traore, Aboubacar Sidiki Sangaré, Salif Kone, Drissa Kaloga Bagayoko, Cheick Oumar Sanogo
KEYWORDS:
Fractures, Epiphyseal Detachments, Distal End of Femur, Pinning
JOURNAL NAME:
Surgical Science,
Vol.14 No.5,
May
29,
2023
ABSTRACT: 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.