TITLE:
Mechanical Complications of Osteosynthesis: Frequency and Management at the Orthopedics-Traumatology Department of CHU Ignace DEEN
AUTHORS:
Tafsir Camara, Amira Aboud, Ibrahima Sory Bangoura, Madjirabe Nassaradengar Hippolyte, Mohamed Youla, Urbain Judicael Adou Kouassi, Bah Mohamed Lamine, Léopold Lamah
KEYWORDS:
Mechanical Complications, Frequency, Therapeutics, Osteosynthesis
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.14 No.9,
September
24,
2024
ABSTRACT: Introduction: Mechanical complications after osteosynthesis are spontaneous and harmful modifications of the joint compromising the consolidation process. The aim of this study is to report on the frequency of these complications and their management in the Orthopaedic-Traumatology Department of CHU Ignace Deen. Patients and Methods: we conducted a retrospective descriptive and analytical cross-sectional study from January 2017 to December 2022. It focused on the records of patients hospitalized and treated in the department for a mechanical complication after osteosynthesis. Results: The frequency of mechanical complications was 1.2%, with an average age of 44.2 years and a sex ratio of 3.2 in favor of men. Non-compliance with postoperative instructions, non-compliance with surgical technique, postoperative infection and early loading were the main contributing factors. Disassembly of the screw-plate was the most common cause in 6 cases (35.5%), with a mean delay of 4.1 months. Revision osteosynthesis was carried out using screw plates in 8 cases (47.1%). Conclusion: Mechanical complications of osteosynthesis are less frequent traumatic conditions in our department. Several factors contribute to their occurrence.