TITLE:
Emergency Intramedullary Nailing in Open Leg Fractures: What Results?
AUTHORS:
M. N. Dabiré, J. Hien, N. L. M. Ouedraogo, S. C. Da, H. Kafando, M. Kaboré, J. Simporé
KEYWORDS:
Open Fractures, Nailing, Leg
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.10 No.9,
September
24,
2020
ABSTRACT: Introduction: Leg fractures are the prerogative of violent trauma,
which lead to pluritissular lesions, including the opening of the focus, thus worsening
the prognosis. The indication of centromedullary nailing (CMN) is subject to time
and trained team requirements. The aim of this work is to evaluate the results of
CMN in emergency cases of open leg fractures in adults. Patients and Methods: This was a retrospective, descriptive and analytical study from
January 1, 2014 to December 31, 2018. It concerned adult patients with an open leg
fracture treated by CMN in emergency at the Orthopedics-Traumatology Department of the Yalgado Ouedraogo University
Hospital. During five years, 91 patients were registered. Their average age was
34.1 years with a sex ratio of 2.2. The average admission time was 1 hour 41 minutes.
Cauchoix and Duparc type I open fractures predominated (64.8%). Antibiotic therapy
was instituted as soon as the patient arrived. The functional results of osteosynthesis
were evaluated according to the Lysholm score after an average follow-up of 48 months. Results: The majority of our patients (51.3%) were operated on between the
6th and 18th hour. After careful trimming of the open fracture, CMN was performed
in all our patients. The average hospital stay was six days. The mean Lysholm score
was 87.23 ± 11.06 with a satisfactory functional result in 81.3% of cases. Discussion: The satisfactory results observed in 81.3% of our study testify to the reliability
of the indication of CMN as specified by Dakouré et al. [4] in their series. Conclusion: Open leg fractures are very frequent injuries and have a considerable socio-economic
impact. Centromedullary nailing is a suitable solution for adequate and rapid socio-professional
reintegration of the patient.