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Amniotic Band Syndrome at the Van Norman Clinic in Burundi: A Case Series

Surgical Science 2024年第3期15卷 118-124页

作者： Alice Ndayishimiye Hélène Bukuru Déogratias Niyungeko Anne Marie Nikuze Sylvestre Bazikamwe Jean Claude Mbonicura gilbert ndayizeye Department of Pediatrics Kamenge University Hospital Center Bujumbura Burundi Department of Obstetrics and Gynecology Kamenge University Hospital Center Bujumbura Burundi General Surgery Department Kamenge University Hospital Center Bujumbura Burundi Orthopaedy Department Kamenge University Hospital Center Bujumbura Burundi

Amniotic band syndrome is an acquired embryo-fetopathy. It is rare and is characterized by malformations mainly affecting the limbs but also the skull, face and thoraco-abdominal axis. Its etiopathogenesis remains poorly understood. Its diagnosis is essentially clinical and is classically based on the existence of signs such as furrows, amputations and pseudosyndactyly. To show the importance of antenatal diagnosis in resource-limited countries, we report the case of two newborns, one premature at 31 weeks and the other at term, in whom amniotic band syndrome was discovered incidentally at birth. It involved an amputation of the right leg for both cases. The premature baby was born in a context of neonatal sepsis and will succumb to the latter while the 2nd case was released from the hospital alive. Imaging examinations to search for probable congenital malformations could only be carried out for the 2nd case and no accessible congenital malformation had been identified. And as management of the disease, only psychological support to the parents was provided for the 2 cases. The antenatal discovery of a case of amniotic band syndrome in countries with low technical capacity such as Burundi should push clinicians to think in time about treatment options.

关键词： Amniotic Band Syndrome Embryo-Fetopathies Antenatal Diagnosis Limbs

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Amniotic Band Syndrome at the Van Norman Clinic in Burundi: A Case Series

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Surgical Science（外科学） 2024年第3期 118页

作者： Alice Ndayishimiye HélèneBukuru Déogratias Niyungeko Anne Marie Nikuze Sylvestre Bazikamwe Jean Claude Mbonicura gilbert ndayizeye

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Treatment of Fracture Dislocation of the Femoral Head in a Resource Limited Country (Burundi)

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Open Journal of Orthopedics 2020年第12期10卷 384-394页

作者： gilbert ndayizeye Jean Claude Niyondiko Sebastien Manirakiza Clovis Paulin Baramburiye Christopher Carter Orthopedic Surgeon University of Burundi Kamenge Teaching Hospital Bujumbura Burundi Radiology University of Burundi Kamenge Teaching Hospital Bujumbura Burundi General Surgery University of Burundi Kamenge Teaching Hospital Bujumbura Burundi Foundation for Development of Orthopaedics in Burundi Bujumbura Burundi

Introduction: Fractures of the femoral head are rare injuries which generally follow a traumatic dislocation of the hip or in a poly-trauma scenario. A fracture dislocation of the femoral head is an orthopedic emergency. The most frequent complications after a fracture of the femoral head are osteonecrosis, post traumatic arthritis and heterotopic ossification. Objective: To focus on the therapeutic aspect of fracture-dislocations of femoral head and their short- and long-term prognoses. Materials and Methods: This is a prospective study conducted at Kamenge teaching hospital and Rohero Christian medical and surgical clinic from January 2013 to August 2020. All patients diagnosed with fracture-dislocations of the femoral head were included in this study. Results: Five patients were admitted for fracture dislocation of the femoral head. The mean age was 40.4 years and varied between 25 and 55 years. The dashboard injury was the most common mechanism and was found in four patients (80%). A standard x-ray was performed for the five patients as well as CT scans in two cases. All patients had posterior iliac dislocations with fractures of the femoral head classified as Pipkin I in three patients and Pipkin III in two patie

关键词： Fracture Dislocation Femoral Head Treatment Prognosis

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Necrotizing Fasciitis in Low Income Countries: About 23 Cases of Bujumbura Hospitals

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Open Journal of Orthopedics 2021年第2期11卷 33-39页

作者： Jean Claude Niyondiko Evrard Niyonkuru gilbert ndayizeye Stève Nimubona Clovis Paulin Baramburiye Léodégal Bazira Kamenge Teaching Hospital Department of Trauma and Orthopedic Surgery Bujumbura Burundi Kamenge Teaching Hospital Department of General Surgery Bujumbura Burundi

Background: Necrotizing fasciitis is a rapidly spreading soft tissue infection involving the deep facial layers. It can cause secondary necrosis leading to significant morbidity and mortality. The most important predictor of mortality is a delay in diagnosis. In low income countries, that delay must be high and other predictors of morbidity and mortality must be pointed out. Objective: To determine necrotizing fasciitis (NF) prognostic factors in a low income country. Patients and Methods: It is a prospective and descriptive study conducted over a one-year period from November 1, 2017 to November 1, 2018 about 23 cases of necrotizing fasciitis in two hospitals of Bujumbura. Results: The incidence of necrotizing fasciitis in these 2 hospitals (Kamenge Teaching Hospital and Prince Regent Charles Hospital) was 1%. The average age of patients was 41.76 years. Males were predominant with a sex ratio of 1.55. The risk factors for NF were: NSAIDs in 39%;HIV infection in 13%, diabetes mellitus in 4% and high blood pressure in 4%. The average time from symptoms onset to admission was 17.13 days. The mean time from admission to surgical treatment was 4 days with extremes of 1 to 22 days. The most affected site was the lower limb in 82% of cases. All patients (96%) were treated with necrotic tissue debridement. It was associated with skin grafting in 48% of cases. One patient (4%) with diabetes mellitus and HIV infection was amputated. The mortality rate was 22% (n = 5). Among those 5 patients, there was a combination of risk factors (diabetes mellitus, NSAID use and HIV infection) in 80% (n = 4), 60% (n = 3) were over 60 years of age and 60% (n = 3) were operated 10 days after the onset of symptoms. The average time of hospital stay was 101 days with extremes of 14 to 400 days. Conclusion: Necro

关键词： Necrotizing Fasciitis Prognosis Low Income Countries

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Necrotizing Fasciitis in Low Income Countries: About 23 Cases of Bujumbura Hospitals

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Open Journal of Orthopedics（矫形学期刊） 2021年第2期

作者： Jean Claude Niyondiko Evrard Niyonkuru gilbert ndayizeye Stève Nimubona Clovis Paulin Baramburiye LéodégalBazira

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