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Open Journal of Orthopedics 2022年第1期12卷 31-39页

作者： Mamoudou Sawadogo Sayouba Tinto Malick Diallo Alexandre Stanislas Korsaga Anatole Ouedraogo Didier Denne christian darga Songahir Christophe Da Orthopedic-Traumatology Department Yalgado Ouedraogo University Hospital Center Ouagadougou Burkina Faso Orthopedics-Traumatology Department Sour&ocirc Sanou University Hospital Center Bobo-Dioulasso Burkina Faso

Background: Serious trauma is the main cause of death for people under 40 years old. According to the WHO, in 2002, nearly 1.2 million people died worldwide from road traffic injuries. The vast majority (90%) are from low and middle-income countries. The diagnostic performance, the quality of the treatments offered, and the optimization of trauma care channels, make it possible to improve the management of serious trauma. This is not always the case in our context of a country with limited resources. Objectives: The objective is o describe the epidemiological, diagnostic and therapeutic aspects of premortal death in patients with traumatic injuries. Methods: This was a descriptive study with retrospective collection in the trauma emergency department of Yalgado Ouedraogo Teaching Hospital (Ouagadougou, Burkina Faso). All patients who died on the ward while in the hospital or on arrival were included. Results: 192 deaths were listed. The annual mortality was 1.6%, the sex ratio was 6.1 and the average age was 36 years. Road traffic accidents were the main etiology: 163 deaths (85%). Head injuries were the most common injuries: 45.3% of deceased patients had a Glasgow score ≤ 8. There w

关键词： Mortality Traumatic Injuries Emergencies Accidents

Complete Dorsal Carpo-Metacarpal Spatular Dislocation: A Case Report

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Open Journal of Orthopedics 2022年第1期12卷 26-30页

作者： Mwinyanne Narcisse Dabire Sayouba Tinto Zakaria Abdel Aziz Zeba Alexandre Korsag christian darga Songahir Christophe Da Université Saint Thomas d’Aquin (USTA) Ouagadougou Burkina Faso Orthopaedics-Traumatology Department University Hospital Center Yalgado Ouedraogo Ouagadougou Burkina Faso

Carpo-metacarpal dislocations are rare traumatic injuries resulting from violent trauma;they are mostly observed in young subjects. The spatular form is often accompanied by metacarpal fractures. We report a clinical case of complete dorsal carpo-metacarpal spatular dislocation. This was a 34-year-old patient, admitted for a closed trauma of the right hand, in whom the clinical examination noted edema of the hand. The radiological workup showed a complete dorsal spatular dislocation associated with a fracture of the base of the 2nd metacarpal. The reduction of these lesions in closed focus followed by stabilization by metacarpal broaching associated with an intermetacarpal transverse broach was done under scopic control in emergency. Functional rehabilitation was started in the 3rd week. The broaches were ablated at the 6th week. The functional result at 3 months was satisfying with good muscle strength. Resumption of work was effective at 8 weeks. Carpo-metacarpal dislocations are rare injuries, often unrecognized, especially in polytrauma patients, and have a good functional prognosis if they are managed correctly in an emergency.

关键词： Dislocation Carpo-Metacarpal Spatular Traumatic Hand

Factors for Postponement or Cancellation of Operating Programs Set in the Orthopedics-Traumatology Department of Yalgado Ouédraogo University Teaching Hospital in Ouagadougou (Burkina Faso)

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Open Journal of Orthopedics 2022年第12期12卷 451-462页

作者： Mamoudou Sawadogo Alexandre Stanislas Korsaga Sayouba Tinto Anatole Ouedraogo Didier Denne christian darga Abdourahmane Ouangre Anne Valérie Kabore Orthopedic-Traumatology Department Yalgado Ouedraogo University Hospital Center Ouagadougou Burkina Faso Orthopedics-Traumatology Department Regional University Teaching Hospital Ouahigouya Burkina Faso

Objective: The purpose of this work was to study the factors of cancellations or postponement of regulated operating programs of the Orthopedic-Traumatology unit of Yalgado Ouédraogo University Teaching Hospital. Materials and Methods: This was a prospective descriptive study over a period of six months. All interventions postponed or canceled during the study period were included. Patients who died or were lost to follow-up before surgery were not included. Results and Comments: the postponement/ cancellation rate was 24.5%. Out of 83 operations cancelled, 72.3% of patients were under 50 years old [extreme 15 and 88 years old]. ASA classes I and II were dominant with 57% and 37% of patients canceled, respectively. There were more postponed interventions (67.5%) than definitive cancellations (32.5%). The causes found were avoidable in 68.7% of cases. The most common was the unavailability of labile blood products (57%), the lack of financial means (36%) and the absence of the patient (28%). The results of our study show that 53% of the causes of cancellations were related to the organization of the hospital. Conclusion: the cancellation rate of orthopedic surgeries remains high at Yalgado Ouédraogo University Teaching Hospital. Most of the causes of cancellations are potentially preventable and the vast majority of them are related to the organization of the hospital. Financial accessibility to care plays an important role in cancellations.

关键词： Postponement Cancellation Settled Surgery Orthopedics-Traumatology Causes

Bilateral Anterior Shoulder Fracture-Dislocation: About a Case

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Open Journal of Orthopedics 2018年第5期8卷 183-189页

作者： Songahir Christophe Da Sayouba Tinto Alexandre Stanislas Korsaga Anatole Jean Innocent Ouedraogo Zoewemdtalé Fabrice Ouedraogo christian darga Mamoudou Sawadogo Hamado Kafando Mohamed Tall Yalgado Ouedraogo University Hospital Ouagadougou Burkina Faso Blaise Compaore University Hospital Ouagadougou Burkina Faso

Bilateral anterior dislocations of the shoulder are rare lesions. They are even rarer when combined with a bilateral fracture of major tubercles. We report the case of a 28-year-old patient admitted to trauma emergencies after trauma by falling from the top of a stool. Clinical and radiographic findings revealed bilateral anterior shoulder dislocation associated with bilateral fracture of major tubercles. The patient was treated orthopedically by a reduction of dislocations under General Anesthesia, immobilization of the shoulders for 6 weeks followed by reeducation. The functional result after 12 months was satisfactory with a UCLA score of 30 points.

关键词： Bilateral Fracture-Dislocation Shoulder Mechanism Treatment