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  • Title: [Results of an open fixation treatment of 131 fractures of the femoral diaphyses in a Congolese hospital setting].
    Author: Moyikoua A, Pena-Pitra B, Onzoto JM, Kaya JM, Bouity-Buang JC.
    Journal: Med Trop (Mars); 1994; 54(3):249-51. PubMed ID: 7885206.
    Abstract:
    From 1987 to 1991, 196 fractures of the femoral diaphysis were treated at the University Hospital Center of Brazzaville. A retrospective perusal of the files of these patients produced 131 analyzable cases, all treated by open osteosynthesis using either screw-attached plates (n = 84) or nails (n = 47). The overall infection rate was 5.4% (7/131). This rate was 5.9% (5/84) using screw-attached plates and 4.2% (2/47) using nails, i.e. only slightly higher than in the literature. Bone fixation was successful in 90% of cases. Mechanical complications (11.4%) were due mainly to technical errors during the initial fixation. With a follow-up of 3 years, analysis according to the criteria of GENESTE showed that open osteosynthesis of fractures of the femoral diaphysis in an African orthopedic department led to 90% of good (32%) and excellent (58%) results. In this African series, the main problem was the initial fixation.
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