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Primary Total Hip Arthroplasty on Complex Hips Conditions in a Low-Resource Setting

Open Journal of Orthopedics 2024年第7期14卷 325-333页

作者： Souleymane Ouédraogo Malick Diallo Sékou Sidibé massadiami soulama Adama Sidibé Ousmane Ouermi Patrick W. H. Dakouré Orthopedics and Traumatology Department University Hospital Sour SANOU Bobo-Dioulasso Burkina Faso Superior Institute of Medical Sciences University Nazi BONI Bobo-Dioulasso Burkina Faso

Introduction: Total hip arthroplasty of complex morphology is a challenge for the orthopaedic surgeon. Careful analysis of the hip’s anatomy helps to unravel the difficulties and anticipate the procedures to be performed and the implants to be planned. The aim was to identify the types of hip that make first-line THR difficult, specify the technical procedures to be used on these sites, and assess the functional results of the series. Material and Methods: This was a retrospective study that concerned patients operated on for total hip arthroplasty between January 2015 and December 2022 at the medical center “La Grâce” in Bobo-Dioulasso, Burkina Faso. Patients with coxarthrosis (on hip dysplasia, acetabular protrusio, acetabular malunion or neurological hip) and those with ankylosis of the hip, osteonecrosis secondary to neglected dislocation of the hip or hemoglobinopathy were included. Results: A total of 31 total hip replacements were performed in 30 patients. The mean age of patients at the surgery time was 36.2 years with extremes of 17 and 61 years. The male-to-female sex ratio was 1. The main indications for THA were the dysplasic hip osteoarthritis (11 cases) and the neglected hip dislocations (7 cases). In situ femoral neck osteotomy before hip dislocation was performed in seven cases. The acetabulum reconstruction techniques varied from the structural iliac bone graft (n = 3) and cancellous bone graft (n = 4) to the Kerboull plate (n = 1). After 45 months of mean follow-up, all hips were evaluated. The mean PMA score increased from 7.1 [4 - 8] before the surgery to 13.2 [13 - 17]. Conclusion: The large spectrum of challenges in complex hip management requires effective preoperative planning. Preoperative planning minimizes complications and ensures a better outcome.

关键词： Primary Total Hip Arthroplasty Hip Dysplasia Complex Hip

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Traumatic Neglected Antero-Medial Knee Dislocation: Case Report

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Open Journal of Orthopedics 2024年第9期14卷 421-426页

作者： Souleymane Ouédraogo massadiami soulama Abdourahmane Ouangré Ousmane Ouermi Sékou Sidibé Maik Telyann Tchitembo Malick Diallo Patrick Wendpouiré Hamed Dakouré Orthopedics and Traumatology Department University Hospital Sour Sanou Bobo-Dioulasso Burkina Faso Superior Institute of Medical Sciences University Nazi Boni Bobo-Dioulasso Burkina Faso Surgery Department Regional University Hospital Ouahigouya Burkina Faso Faculty of Medicine University Ledea Bernard Oudraogo Ouahigouya Burkina Faso

Introduction: Neglected knee dislocation is an unusual injury, only a few cases have been reported in the literature. The circumstances of onset are generally an unnoticed knee dislocation in a polytrauma context or a delay in consultation after the initial trauma. Presentation of case: We report the case of a 48-year-old female patient who sustained a knee injury during a domestic accident. Initial treatment was traditional and was followed for 3 years. She then consulted hospital, where a neglected knee dislocation was identified and treated with femorotibial arthrodesis. Discussion and conclusion: The treatment options of neglected knee dislocation include open reduction and fixation, arthrodesis and total knee arthroplasty. That the choice depends on the old unreduced of dislocation.

关键词： Neglected Knee Dislocation Tibiofemoral Arthrodesis Total Knee Arthroplasty

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C1C2 Wiring and Posttraumatic Atlantoaxial Dislocation: An Effective and Cheap Surgical Procedure in a Developing Country

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Surgical Science 2024年第5期15卷 357-370页

作者： Ibrahim Dao Massimiliano Visocchi Salah Sow John Jabang Ousmane Ouattara Astride Somda Abdoulaye Sanou Elie Dibloni Nassoum Arsène Tossou Narcisse Ouedraogo Frédéric Bako massadiami soulama Malick Diallo Patrick Wendpouiré Hamed Dakouré Department of Neurosurgery University Hospital Souro Sanou Nazi Boni University Bobo Dioulasso Burkina Faso High Institute of Health Sciences Nazi Boni University Bobo Dioulasso Burkina Faso Military Hospital Colonel Major Tanguet Ouattara Bobo Dioulasso Burkina Faso Institute of Neurosurgery Craniovertebral Junction Surgery Unit School of Medicine Catholic University Rome Italy Department of Radiology and Medical Imaging University Hospital Yalgado Ouedraogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso Department of Neurosurgery (Unit) Edward Francis Small Teaching Hospital Banjul Gambia Department of Neurosurgery University Hospital Yalgado Ouedraogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso Department of Neurosurgery Military Hospital Capitaine Halassane Coulibaly Ouagadougou Burkina Faso Department of Orthopedic Surgery University Hospital Souro Sanou Nazi Boni University Bobo Dioulasso Burkina Faso

Objectives: Atlantoaxial dislocation remains a rare and serious condition with a high preoperative and postoperative morbidity and mortality. Its successful surgical management is still challenging and gratifying for neurosurgeons. Several technics have been described such as wiring, trans articular screwing, C1C2 screwing with plate and screw introduced by Goel et al., and modified by insertion of polyaxially screw and rod many years later by Harms. Unavailability and expensiveness of upper cervical spine instrumentation device led us to C1C2 Wiring resulting in a good outcome. Finally, a quadriplegic patient with a more comfortable financial condition had ordered devices from abroad and benefit for Goel and Harms screwing technique and improved dramatically from ASIA A to ASIA E. Material and methods: This is a retrospective study of patients managed in our department by a same neurosurgeon from January 2019 to April 2024. Results: We defined 6 men and 1 woman with an average age of 33 years. Unrestrained driver in a rollover motor vehicle accident was most common. Only one patient was neurologically intact on admission. Neurovegetative disorders were noticed in one patient. Dislocation was associated to a fracture of the dens in two patients. Three patients have been successfully operated with remarkable outcome, mostly from ASIA A to E. Conclusion: C1C2 dislocation is a serious condition and C1C2 Wiring represents an effective and cheaper technic. Therefore, this technic should deserve consideration above all in low incomes countries when screwing devices are not available. Seatbelt should be demanded for motor vehicle drivers and passengers.

关键词： Superior Cervical Spine Dislocation Fracture Wiring Screwing Neurovegetative Disorders

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Primary Total Hip Arthroplasty on Complex Hips Conditions in a Low-Resource Setting

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Open Journal of Orthopedics（矫形学期刊） 2024年第7期 325页

作者： Souleymane Ouédraogo Malick Diallo Sékou Sidibé massadiami soulama Adama Sidibé Ousmane Ouermi Patrick W. H. Dakouré

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C1C2 Wiring and Posttraumatic Atlantoaxial Dislocation: An Effective and Cheap Surgical Procedure in a Developing Country

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Surgical Science（外科学） 2024年第5期 357页

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Open Posteromedial Dislocation of the Tibiotalar Joint without Associated Malleolar Fracture: A Case Report

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Open Journal of Orthopedics 2016年第11期6卷 331-336页

作者： Malick Diallo Patrick Wendpouire Hamed Dakoure massadiami soulama Souleymane Ouedraogo Salifou Gandema Service d’Orthopedie traumatologie CHU Souro Sanou de Bobo-Dioulasso Bobo-Dioulasso Burkina Faso Service de Reeducation fonctionnelle CHU Souro Sanou de Bobo-Dioulasso Bobo-Dioulasso Burkina Faso

Background: Open pure tibiotalar dislocations with an associated superficial fibular nerve injury are rarely reported. Case presentation: The authors report a case of open tibiotalar dislocation without any associated fracture and an associated injury of superficial fibular nerve after a motorcycle accident. A debridement plus an open reduction and casting were performed sixteen hours after the trauma. After twenty-six months, the outcome was good without any infection and a sensitivity recovery of the foot. Conclusion: A delayed management of an open tibiotalar dislocation with an associated superficial fibular nerve injury led to a good mid-term outcome.

关键词： Ankle Tibiotalar Joint Dislocation Adult

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Profile of Traumatic Hip Dislocations in a West African Teaching Hospital

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Open Journal of Orthopedics 2017年第11期7卷 345-355页

作者： Patrick W. H. Dakouré Malick Diallo Thierry A. W. Guigma massadiami soulama Salifou Gandéma Service d’Orthopédie Traumatologie CHU Sour&ocirc Sanou Bobo-Dioulasso Burkina Faso Service de Rééducation Fonctionnelle CHU Sour&ocirc Sanou Bobo-Dioulasso Burkina Faso

Purpose: Traumatic hip dislocations (THD) are rarely reported from developing countries. The aim of the current study is to describe the trauma, the presentation, the treatment and the outcome patterns of THD received in the trauma unit of an emergency department (ED) in west Africa. Patients and Methods: A retrospective ongoing study from 2008 to 2014 was performed at the ED. All patients over 15 years with an unreduced THD and an anteroposterior pelvic radiograph were studied. Data were collected and analyzed by means of a statistical software. Results: A total of 50 THD were included in the study. We found an average of seven dislocations per year with a mean age of 36 years mainly males (n = 37). Road traffic accidents by motorcycle (n = 20) were the common circumstance of trauma. Forty-five extra-pelvic THD were diagnosed. According to the Bigelow classification, THD were classified posterior (n = 33), anterior (n = 10) and irregular (n = 2). Associated acetabular fractures (n = 36), ipsilateral lower limb fractures (n = 10) and sciatic nerve palsy (n = 2) were also found. The THD cases were treated by closed reduction (n = 34), open reduction (n = 6) and Girdlestone procedure (n = 1). The outcome after 16 months showed 21 good and excellent functional results and one death. The short term complications were post traumatic arthritis (n = 10) and osteonecrosis (n = 2). Conclusion: The THD occurrences are important in our emergency department. They are characterized by the place of motorcycle accidents and by the delayed reduction due to hospital’s locations and numbers and beliefs. A reduction before four hours, an earlier rehabilitation, a non-use of traction and a short hospitalization time below 14 days gave better results.

关键词： Developing Country Dislocation Hip Motorcycle Traumatic

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Optimization of the Implementation Process and Physical Properties of Cotton (<i>Gossipium hirsutum </i>) and Kenaf (<i>Hibiscus cannabinus </i>L.) Wooden Chipboard

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Engineering（科研） 2015年第12期7卷 803-815页

作者： Sagnaba soulama Kokou Esso Atcholi Bé taboalé Naon Komi Kadja Komla Sanda Study and Research Group in Mechanics Energetics and Industrial Technics (SRGME&IT) Laboratory Polytechnic University of Bobo-Dioulasso Bobo-Dioulasso Burkina Faso Research Institute on Transport Energy and Society IRTES-M3M Laboratories Technology University of Belfort-Montb&eacute liard (UTBM) Belfort Cedex France Research Unit on Agro Materials and the Well-Being of the Environment (RUAMWE) University of Lom&eacute Lom&eacute Togo

The present study aims at valorizing two residues types of the foodless vegetable biomass which are abundant and very pollutant in Burkina Faso. To do it, first we try to identify the optimal values of chipboard elaboration parameters with kenaf and cotton stems by using a natural binder (the bone glue). Next we proceed to the elaboration of two panels types with optimized elaboration parameters. Besides we determine mechanical and thermal characteristics of elaborated panels with a view of an indoor thermal insulation application. Also it becomes necessary for us to determine by experimenting the thermal conductivity, Young’s modulus, Coulomb’s modulus, and the water inflation rate, taking into account some elaboration parameters on one hand and the correlation between mechanical and thermal properties on the other hand. Finally, the obtained results are compared with the panels properties values required by ANSI A 208.1-1999 standard.

关键词： Chipboard Cotton Wood Kenaf Wood Bone Glue Mechanical Properties

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Impact of Smart Valley on Soil Moisture Content and Rice Yield in Some Lowlands in Burkina Faso

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Agricultural Sciences 2020年第9期11卷 860-868页

作者： Bama Nati Aïssata Delphine Dossou Yovo Elliott Gbané Mahanat Vanessa Gnépi Elvire soulama Issa Ibrahima Ouedraogo Adama Ouédraogo Institut de l’Environnement et de Recherches Agricoles Département de Production Végétale INERA Ouagadougou Burkina Faso Africa Rice Center (AfricaRice) Cotonou Benin Institut International d’Ingénierie de l’Eau et de l’Environnement Laboratoire Eaux Hydro-Systèmes et Agriculture Ouagadougou Burkina Faso Centre Agricole Polyvalent de Martourkou Bobo-Dioulasso Burkina Faso

To reduce the impact of rainfall variability on lowland rice yields, Burkina Faso state develops lowlands for small rice farmers. However, the high cost of these infrastructures makes impossible to duplicate them to satisfy the needs which are enormous. The Smart-Valley technology which is actually popularized in certain coastal countries of West Africa would therefore be a boon to increase the productivity of the Sudanese lowlands if it well regulates runoff. The object of this study was therefore to know if smart valley technology could increase soil moisture in order to mitigate the impact of drought’s pockets on rice cultivation in the Sudanese lowlands. The experiment takes place in three lowlands during the rainy seasons 2018 and 2019. The climatic data comes from the meteorological stations in the study areas as well as those installed on the sites. The infiltration measurements were carried out using the double Muntz ring. The soil moisture measurement device consisted of a smart valley area of 5 ha and an undeveloped area of 5 ha per site. Sixteen tubes were installed per lowland allowing the humidity to be measured at a depth of 10, 20, 30, 40 cm using a probe. Four rice varieties, Orylux6, FKR62N, FKR19 and FKR64 were tested on plots of 0.25 ha per variety in the smart valley and undeveloped parts. The results showed that the humidity level was 12% higher in the smart-valley plots throughout the cycle compared to the unmanaged area. In addition, humidity decreases rapidly in unmanaged plots as rain becomes increasingly scarce. Finally, the smart-valley development allowed an average increase in rice yields of 21% compared to the average yield of undeveloped plots.

关键词： Smart Valley Soil Moisture Lowland Development Rice Productivity Rain

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Septic Chronic Multifocal Osteomyelitis in Children: A Challenging Presentation of Osteomylitis in a Low Income Country

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Open Journal of Orthopedics 2018年第6期8卷 213-220页

作者： S. A. Kissou P. W. H. Dakouré J. M. Somé M. soulama M. Diallo Department of Pediatrics Nazi BONI University Bobo-Dioulasso Burkina Faso Department of Orthopaedics and Trauma Nazi BONI University Bobo-Dioulasso Burkina Faso Department of Medical Imaging University Teaching Hospital Ouahigouya Burkina Faso

Background: The aim of this study was to describe the clinical, biological and x-ray presentation of Septic Chronic Multifocal Osteomyelitis (SCMO) and discuss the therapeutic difficulties of this pathology in an African Sub-Saharan teaching hospital. Patients and Methods: A retrospective study was conducted in the Orthopedics and Trauma department of the university teaching hospital of Bobo-Dioulasso (Burkina Faso). Over a period of two years, we selected all cases of chronic osteomyelitis. We studied the epidemiological, diagnostic and therapeutic aspects of SCMO cases. Results: Eleven cases of SCMO were identified. The mean age of the patients was 11.8 years and the sex ratio was 1.75. There were 7 rural patients. The mean time to visit the hospital was 158 days. The most common reasons for consultation were pain (10 cases), swelling (9 cases), and fever (7 cases). Two were sickle cell patients. The most affected bones were the femur (10 cases), the tibia (9 cases) and the fibula (6 cases). The most frequent specific radiological lesions were sequestra (6 cases) followed by pandiaphysitis. Staphylococcus aureus was the most common aetiology. Treatment combined antibiotherapy and surgery (sequestrectomy and/or bone curettage and/or fistulectomy). Hip dislocations, pathological fractures and bone defect complicated the course of this disease. The therapeutic results was good in 3 patients and bad in 5 patients;the other 3 patients were lost to follow-up. Conclusion: Septic chronic multifocal osteomyelitis is a rare but formidable form of osteomyelitis in children. Therapeutic outcomes are often poor in hospitals with limited resources. The best strategy is prevention through early diagnosis and aggressive treatment of acute osteomyelitis.

关键词： Bacterial Children Hematogen Multifocal Osteomyelitis

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