INDICATIONS ET RESULTATS DE L’UTILISATION DES FIXATEURS EXTERNES AU CENTRE HOSPITALO-UNIVERSITAIRE JOSEPH RAVOAHANGY ANDRIANAVALONA
Keywords:
Bacteriology, External fixer, Infection, Open fractureAbstract
Introduction: External fixers are osteosynthesis materials used in traumatology. We studied their indications and the result of their use as part of a definitive treatment.
Patients and method: This was a retrospective, descriptive study of patients who received definitive treatment by external
fixer seen in the Department of Trauma Orthopaedics at CHUJRA over a four-year period.
Results: The study selected 17 patients. Their average age was 36.27 years. Traffic accidents were the leading cause of injury (72.22%). Open fractures were the only indications of external fixers, with the predominance of the Gustilo IIIb type (58.82%). FESSA was the most widely used (64.70%). Bone consolidation was achieved over an average of 6.7 months. The soft parts healed after five months. The main complication was card infection (58.82%). The germs involved were Staphylococcus aureus and Enterobacteriaceae, followed by Pesudomonas Aeruginosa. Patients were hospitalized for an average of 38.83 days.
Conclusion: External fixers play an important role in the management of open limb fractures. Infectious complications are the most to be feared because they can involve the functional or even vital prognosis.
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