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Results of Surgical Treatment of Leg Shaft Mal-Union in Adults at CHU-Brazzaville. A Five Case Retrospective Observation

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Open Journal of Orthopedics 2019年第9期9卷 191-196页

作者： Marius Monka terence olivier ohoya etsaka Albert Ngatsé-Oko Armand Moyikoua Department of Trauma-Orthopedics CHU-Brazzaville Teaching Hospital Brazzaville Congo

Objective: To assess the anatomical and functional results after surgical management of leg shaft mal-union in African environment. Methodology: This was a retrospective study of patients operated for leg mal-union at Brazzaville University Hospital between January 2014 and December 2018. The studied parameters were epidemiological and therapeutic. The anatomical evaluation was based on the quality of the leg’s relaxation and bone healing, which was indicated on standard X-rays. The functional evaluation was based on Thorensen’s criteria. Results: Five patients were selected for this study. There were 3 men and 2 women with an average age of 39 years with extremes of 27 and 59 years. Three patients were treated with locked intramedullary nail and 2 patients with screwed plate. At an average follow-up of 9 months, bone consolidation was achieved in all our patients. The average consolidation time was 4 months (range 3 to 7 months). We noted 1 case of residual mal-union in valgus (5°) on screwed plate and 1 case of valgus angulation (5°) on locked intramedullary nail. Walking was considered normal in 3 patients. The wearing of a 2 cm heel was indicated in 2 patients. According to Thorensen’s criteria, the overall results were considered good in 3 patients and average in 2 patients. Conclusion: Leg shaft mal-union are likely to cause serious functional issues. Their treatment is strictly surgical and osteotomy is the only management option to restore the anatomy of the deformed limb.

关键词： Leg Shaft Mal-Union Leg Osteotomy

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Homolateral Combined Fracture of Monteggia and Galeazzi. Case Report and Review of the Literature

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Open Journal of Orthopedics 2019年第3期9卷 61-65页

作者： Marius Monka Kevin Bouhelo-Pam ohoya etsaka terence olivier Albert Ngatsé-Oko Armand Moyikoua Department of Trauma-Orthopedics CHU-Brazzaville Teaching Hospital Brazzaville Congo

Introduction: Homolateral combined fractures of Monteggia and Galeazzi are very rare. Their treatment is exclusively surgical and should be proposed early in order to restore the anatomy of the antebrachial skeleton, pronosupination, and the flexion-extension of the elbow and wrist. Observation: We reported the case of a 45-year-old woman who presented a homolateral fracture of Monteggia and Galeazzi following a road accident. This combination of fractures posed a problem of diagnosis and management. Surgical follow-up presented functional issues. Conclusion: The association of Monteggia and Galeazzi fracture is very rare and poorly reported in the literature. This observation reminds us of the importance of performing a complete clinical and paraclinical assessment before any therapeutic decision.

关键词： Ipsilateral Fracture Monteggia Galeazzi

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High Risk Factors of Pancreatic Carcinoma

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2016年第3期36卷 295-304页

作者： Soriba Naby Camara 殷涛杨明李响龚琼周静赵刚杨智勇 Tajoo Aroun Martin Kuete Sonam Ramdany Alpha Kabinet Camara Aissatou Taran Diallo 冯珍宁辛熊炯新陶京钦琪周伟崔静黄敏郭尧勾善淼王博刘涛 ohoya etsaka terence olivier Tenin Conde Mohamed Cisse Aboubacar Sidiki Magassouba Sneha Ballah Naby Laye Moussa Keita Ibrahima Sory Souare Aboubacar Toure Sadamoudou Traore Abdoulaye Korse Balde Namory Keita Naby Daouda Camara Dusabe Emmanuel 吴河水王春友 Department of General Surgery Pancreatic disease InstituteUnion Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Breast and.Thyroid Surgery Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Planning Family and Reproductive Institute Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of General Medicine Sir Seewoosagur Ramgoolam National Hospital of PamplemoussesMauritius 21017Mauritius Department of Thoracic Surgery Friendship Hospital Sino-Guinea of Kipe Department of General Surgery National Hospital of Ignace DeenConakry 1147Guinea Department of Gastroenterology and Hepatology Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Nephrology Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Dermatology Friendship Hospital Sino-Guinea of Kipe Department of Internal Medicine Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of Biochemistry University Gamal Abdel Nasser of ConakryConakryl147Guinea Department of Neurosurgery Friendship Hospital Sino-Guinea of Kipe Department of Medical Imaging Good Shepherd Medical CenterThe University of TexasLongview 75601USA Department of Visceral Surgery National Hospital of Donka Department of Gynecology and Obstetrics National Hospital of Donka Department of Stomatology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Over the past decades, cancer has become one of the toughest challenges for health professionals. The epidemiologists are increasingly directing their research efforts on various malignant tumor worldwide. Of note, incidence of cancers is on the rise more quickly in developed countries. Indeed, great endeavors have to be made in the control of the life-threatening disease. As we know it, pancreatic cancer（PC） is a malignant disease with the worst prognosis. While little is known about the etiology of the PC and measures to prevent the condition, so far, a number of risk factors have been identified. Genetic factors, pre-malignant lesions, predisposing diseases and exogenous factors have been found to be linked to PC. Genetic susceptibility was observed in 10% of PC cases, including inherited PC syndromes and familial PC. However, in the remaining 90%, their PC might be caused by genetic factors in combination with environmental factors. Nonetheless, the exact mechanism of the two kinds of factors, endogenous and exogenous, working together to cause PC remains poorly understood. The fact that most pancreatic neoplasms are diagnosed at an incurable stage of the disease highlights the need to identify risk factors and to understand their contribution to carcinogenesis. This article reviews the high risk factors contributing to the development of PC, to provide information for clinicians and epidemiologists.

关键词： high risk factors pancreatic cancer treatment epidemiology pathogenesis etiology

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Arthroscopic Treatment of Gonarthrosis in a Low-Income Setting

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Open Journal of Orthopedics 2024年第1期14卷 75-82页

作者： Kevin Parfait Bienvenu Bouhelo-Pam Affleck Romaric Ledier Angalla Norbert Edgard Lamini N’soundhat Marius Monka Arnauld Sledje Wilfrid Bilongo Bouyou Paul Yèlai Ikounga Térence olivier etsaka-ohoya Department of Orthopaedic Surgery and Traumatology University Hospital of Brazzaville Brazzaville Congo Faculty of Health Sciences Marien N’GOUABI University Brazzaville Congo Department of Rhumatology University Hospital of Brazzaville Brazzaville Congo

Background: Knee osteoarthritis is a frequent, debilitating, and degenerative condition. It is the most common operative indication for surgical arthroscopy. Hypothesis: Arthroscopy allows painless treatment of knee osteoarthritis and functional recovery. Patients and Methods: Our study was conducted in a private medical center in the city of Brazzaville in Congo, during the period from September 2020 to February 2023. It was prospective and based on patients with mechanical knee pain caused by osteoarthritis. A mobile arthroscopy device was used. The IKDC and KOOS scores allowed the evaluation of the treatment. Results: Our work involved 15 men and 7 women, with an average age of 39.9 years. Knee osteoarthritis was classified as type 2 according to Ahlbäck in 26 cases (70.27%) and type 3 in 11 cases (29.73%). In 7 patients, arthroscopy revealed lesions not visualized on MRI. Joint lavage was performed in all cases, synovial debridement in 17 cases (45.94%), and extraction of cartilaginous foreign bodies in 10 cases (27.03%). 20 patients were very satisfied with the surgery and 2 moderately satisfied. The EVA, subjective IKDC and KOOS scores were acceptable on a long-term follow-up. Discussion: Arthroscopy is a modern surgical technique for the management of intra-articular lesions of the knee. It relieves pain and stabilizes the degenerative process. A mobile arthroscopy device used here was preferred because of the low cost of installation and production.

关键词： Arthroscopy Surgery Imaging Knee

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