Enclouage centromédullaire verrouillé sans amplificateur de brillance au CHU de Yaoundé : à propos de 34 cas

Guifo, Marc Leroy; Muluem, O.K.; Farikou, Ibrahima; Ngongang, F.O.; Tekpa, B.; Ndoumbe, Aurélien

doi:10.1016/j.rcot.2016.01.004

Cited by 4 publications

(12 citation statements)

References 11 publications

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“…We evaluated 4 points which are objectives of interlocking nails done without image guidance according to Guifo et al . [ 10 ]; the entry point of the nail, the passage of the guide wire into the distal segment, fracture reduction, the insertion of the locking screws and presence of contact between bone fragments. The choice of the entry point is very important in in the placement of nails [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…This result is similar to those obtained by Guifo et al . [ 10 ] who had 3 cases of missed distal locking of tibia fractures ( Table 2 ). We considered that distal locking was successful when rotational movements of the nail in the medullary canal were impossible.…”

Section: Discussionmentioning

confidence: 99%

“…The outcomes were: the quality of the nailing (position of the nail and the placement of the locking screws) which was assessed using 3 criteria [ 10 ]; the entry point: slightly medial behind the tibial tuberosity; the insertion of the nail: nail drive from the proximal fragment to the distal fragment with reduction of the fracture site; the insertion of locking screws: passage of the locking screw through the eyelet of the nail; bone consolidation which was define by presence of a homogeneous bone callus on the X-ray; functional outcome, which was classified as excellent, good, fair, or poor. The quality classification was made based on criteria of Kalstrom and Olerud: walking, pain, joint integrity, morphology [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

“…Four essential aspects have been reported to be important in the achievement of a successful nailing without c- arm: the nail entry point, the progress of the guide wire through the distal segment, fracture reduction, and locking screws insertion. In Cameroon, a similar study was done but with and open reduction of the fracture [ 10 ]. This study reported the difficulties and outcomes of patients with closed interlocked nailing of tibia fractures without c- arm guidance performs in two hospitals in Cameroon.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Outcomes of closed interlocking intramedullary nailing of the tibia without fluoroscopy in resource-limited settings: experience from two hospitals in Cameroon

Bombah¹,

Mohamadou²,

Nana³

et al. 2021

Pan Afr Med J

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Introduction closed static interlocking nailing with c-arm guidance is the standard procedure for the treatment of closed diaphyseal leg fractures. It is still very difficult to carry out such procedures in a low-income setting because of few or absent image intensifiers (c-arm) despite the necessity. The aim of this study was to describe the outcomes of patients with tibial fractures treated with closed interlocking intramedullary nails without c-arm guidance in a Cameroonian population. Methods this was a prospective study including adult patients treated for tibial fractures without a c-arm in two regional hospitals. Results finally, 22 patients were included. The mean age was 34 ± 12.6 years with a male predominance (16 males and 6 females). Ninety percent of the fracture lines were simple or with a wedge fragment grade 42A or 42B respectively according to the AO classification. The mean surgery time was 1 hour 26 ± 34 minutes. The various aspects evaluated were the nail entry point which was good in 19 (86.4%) cases; proper nail driving which was considered good in 15 (68%) cases; the distal locking which was missed in 6 (27.3%) cases. Bone consolidation was obtained in an average of 4 ± 1.2 months in all 22 cases. Conclusion in resource constraints settings where c-arm are not always available, closed interlocked nail of tibia without c-arm guidance still gives overall good results. Nevertheless, there is a need to improve equipment in sub-Saharan African hospitals to make trauma surgery with c-arm a gold standard as currently recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of closed interlocking intramedullary nailing of the tibia without fluoroscopy in resource-limited settings: experience from two hospitals in Cameroon

Bombah¹,

Mohamadou²,

Nana³

et al. 2021

Pan Afr Med J

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show abstract

“…Interlocking nailing without the use of image intensifier was studied by few authors. In 2007 firsts open reduction and static locked nailing was studied in Nigeria [4,5], then in 2011 in Uganda [6], Haiti [7] and in 2016 in Cameroon [8]. In 2021 closed interlocking nailing of the tibia without fluoroscopy was study in Cameroon [9].…”

Section: Introductionmentioning

confidence: 99%

Interlocking Intramedullary Nailing without Fluoroscopy in Resource Limited Settings: Outcomes and Outlook

Bombah

2021

OROAJ

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Closed static interlocking nailing with c-arm guidance is the standard procedure for the treatment of closed diaphyseal fractures. In lowincome setting, it is still very difficult to carry out such procedures because of few or absent image intensifiers (c-arm) despite the necessity. Many techniques have been described, mainly on the lower limbs to overcome the lack of fluoroscopy. Open reduction and interlocking nailing using ancillary devices was done for femur diaphyseal fractures. Opened or Closed interlocking nailing for tibia diaphyseal fractures. These techniques were mainly carried out in subsahara Africa and made it possible to highlight the outcomes and perspectives. The common outcomes used are the quality of the nailing, the insertion of the nail, the insertion of locking screws, consolidation and functional outcome. As perspectives some elements of these techniques can be used to decrease the use of C-arm and the exposure to radiation in the operating room. There is a need to improve equipment in sub-Saharan African hospitals to make trauma surgery with c-arm a gold standard with a minimal exposure to radiation.

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Focus on interlocking intramedullary nailing without fluoroscopy in resource-limited settings: strategies, outcomes, and outlook

Bombah

Lékina

Eone

et al. 2021

International Orthopaedics (SICOT)

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Enclouage centromédullaire verrouillé sans amplificateur de brillance au CHU de Yaoundé : à propos de 34 cas

Cited by 4 publications

References 11 publications

Outcomes of closed interlocking intramedullary nailing of the tibia without fluoroscopy in resource-limited settings: experience from two hospitals in Cameroon

Outcomes of closed interlocking intramedullary nailing of the tibia without fluoroscopy in resource-limited settings: experience from two hospitals in Cameroon

Interlocking Intramedullary Nailing without Fluoroscopy in Resource Limited Settings: Outcomes and Outlook

Focus on interlocking intramedullary nailing without fluoroscopy in resource-limited settings: strategies, outcomes, and outlook

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