TITLE:
Therapeutic Strategies and Evolution in the Short Term: Fractures by Firearms in Civilian Practice about 35 Operated Lesions
AUTHORS:
Dikongue Dikongue Fred, Mohamadou Guemse, Hans Moevi Akue, Bahebeck Jean, Fondop Joseph
KEYWORDS:
Open Fractures, Firearm, Treatment, Surgery, Trauma Orthopedics, Public Health, Africa
JOURNAL NAME:
Surgical Science,
Vol.14 No.10,
October
26,
2023
ABSTRACT: Fracture by firearms is a surgical emergency. The
aim of our study was to report our experience in the management of open
fractures by firearms and monitoring with a decline of 6 months the lesions
observed in peacetime. This retrospective study over 3 years (January 2007-November
2010), supplemented by a prospective (December 2010-November 2011) is based on
an analysis of operative reports and clinical records of patients admitted to
the Yaoundé Central Hospital. 29 cases were selected, including 35 lesions were
observed. Our series consists of 27 men and 2 women, mean age 30 years. 40% of our
patients were initially supported (debridement) before the 6th hour and 51.42%
between the 6th and 24th hours. In terms of internal fixation, these figures
were 66% between the 25th and 96th hours. The type of material was used as the
external fixate (64.9%). Conversion processing by the establishment of an
internal hardware, after 3 - 6 weeks and control NFS (numeration of blood count or blood count), VS
(rate of sedimentation), CRP (C reactive
protein). Unfortunately this has been possible only in two cases because of
financial means. In 40% of cases, surgical outcome was simple, and complications to a type of osteomyelitis, shortening,
suppuration in 42.7% of cases.