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Neglected Elbow Dislocation with Conservation of Elbow Function, Concerning a Case in Abidjan (Ivory Coast)

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Open Journal of Orthopedics 2018年第4期8卷 127-131页

作者： Seydou Gnombena N’golo Kone abdoulaye bana Eric Gnanbro Dogba Centre Hospitalier Universitaire de Cocody Abidjan Ivory Coast

We report a case of elbow neglected dislocation with preservation of function in a 35-year-old patient. The clinical examination, ten years after the trauma, objectified a posterior dislocation of the elbow with a functional stiffness. Therapeutic abstention was decided in front of moderate functional discomfort. The high frequency of these neglected dislocations in our areas is due to the first-line appeal of patients to the bonesetters. The treatment is surgical for non-functional elbows with a risk of residual stiffness. Therapeutic abstention is recommended for functional elbows.

关键词： Elbow Dislocation Neglected

Inveterate Posterior Shoulder Dislocation Treated by Sub-Scapular Transfer, about One Case

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Open Journal of Orthopedics 2017年第10期7卷 301-307页

作者： Koné Samba Dogba Eric Kouassi Adélaide Ledion Anicet Adibo Godefroi Ote Pacome Be Jeancis bana abdoulaye Touré Stanislas Agoh Serge Service de Traumatologie Orthopédie CHU de Cocody Abidjan Cote d’Ivoire Service de Traumatologie Orthopédie CHU de Bouaké Bouaké Cote d’Ivoire

Glena-humeral dislocation is rare. More than the half of those dislocations is unremarked because the diagnostic is not an emergency. A delayed diagnostic alters the functional prognostic and sometimes forces to do a complex surgery with complications whose success rate remains uncertain. We report a case of inveterate posterior shoulder dislocation on a 42-year-old adult occurred during a sport accident and treated by sub-scapulars transfer (modified Mac Laughlin’s technical). The aim of this article is to highlight this pathology to ameliorate its diagnostic rate indeed prognostic. Our diagnostic approach and injury, noticed during surgery and therapeutic propositions, are described at the light of literature data on this subject.

关键词： Inveterate Posterior Shoulder Dislocation

Primary Malignant Bones Cancers in Cote d’Ivoire: Epidemiological and Histopathological Aspects

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Open Journal of Pathology 2018年第2期8卷 51-59页

作者： Kone Samba J. N’dah Kouame R. Kouakou Konan A. Ngandjeu Nawé Doukoure Brahima bana abdoulaye Eti Edmond Agoh Serge Service de Traumatologie-CHU de Cocody Abidjan Cote d’Ivoire Service d’Anatomie et Cytologie Pathologiques-CHU de Cocody Abidjan Cote d’Ivoire Service de Stomatologie-CHU de Cocody Abidjan Cote d’Ivoire Service de Rhumatologie-CHU de Cocody Abidjan Cote d’Ivoire

Primary bones cancers are rare and ubiquitous malignant tumors. Aim: Our study aimed was to describe the epidemiological and histopathological aspects of primary malignant bone cancers in Ivory Coast. Material and method: This is a retrospective and descriptive study of primary malignant bone cancers diagnosed over the period 1990 to 2013 (24 years). The studied parameters were: epidemiological aspects (frequency, age, sex, topography) and histological aspects. Results: Over the study period, primary malignant bone cancers accounted for 1.93% (n = 228) of cancers. The average age was 27.02 years with extremes of 2 and 85 years. The sex ratio was 1.65. They were in the skull and maxilla in 43.9% (n = 105), lower limbs (23.8%), spine and ribs (19.8%), pelvis (5.3%) and upper limbs (2.3%). The clinic was dominated by pain and alteration of general state. Radiology was variable depending on the histological type. In children, primary malignant bone cancers were found in the maxillary (77.9%) and the lower limb (15.8%). Burkitt’s lymphomas represented 36.4% (n = 66) of the histological types followed by 22.4% osteosarcomas (n = 51). In adults at histology, sarcomas were the most common (10%), followed by cancers of the hematopoietic and lymphatic organs (8.09%). Conclusion: Primary malignant bone cancers are rare in Ivory Coast. They most often affect male children with maxillofacial involvement and predominant lower extremity. Burkitt’s lymphoma and osteosarcoma are the often diagnosed histological types.

关键词： Cancers Bones Epidemiology Histopathology Cote d’Ivoire

Clinical Case of Bilateral Rupture of the Patellar Tendon of the Late Diagnosis

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Open Journal of Orthopedics 2017年第9期7卷 235-240页

作者： Koné Samba Dogba Eric Nguianbanda Léandre Kouassi Adélaide Ledion Anicet Krah Léopold bana abdoulaye Touré Stanislas Agoh Serge Service de Traumatologie Orthopédie CHU de Cocody Abidjan C&ocirc te d'Ivoire Service de Traumatologie Orthopédie Hô pital des Instructions des Armées (HIA-OBO) Libreville Gabon Service de Traumatologie Orthopédie CHU de Bouaké Bouaké C&ocirc te d'Ivoire

Defined as a continuity solution on the muscular-osseous-tendinous chain of the knee, ensuring the extension of the leg on the thigh, the traumatic rupture of the knee’s extensor apparatus is often reported in literature. They are dominated by patellar fractures. The patellar or quadricipital tendon damage is rare and even exceptional in a bilateral topography. The aim of this work was to highlight the clinical case of bilateral rupture of the patellar tendon of late diagnosis, occurring in an adult with a particular field. It was an adult, who presented a bilateral rupture of the knee extensor apparatus following a minimal traumatism. Anamnesis found a chronic kidney disease correctly follow-up. The diagnosis was delayed so was the surgical management (Krackow’s technique and protection by a metallic frame). At 8 months post surgery the functional result is acceptable. The bilateral rupture of the patellar tendon stays a rare pathologic entity, which always seems associated at a particular field. The diagnosis delay (and so did the care) is an important bad prognosis factor. Treatment of this old form (unknown) is exclusively surgical.

关键词： Knee Extensor Apparatus Bilateral Late

Profile of Knee’s Bone and Joint Tuberculosis in Adults: About 33 Cases

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Open Journal of Orthopedics 2015年第7期5卷 189-197页

作者： Touré Stanislas bana abdoulaye Koné Samba Soumaro Kanaté Gbané Mariam Sévédé Daouda Ouali Boubacar Megne Estelle Traoré Moriba Ngandeu Nawé Astrid Service de Chirurgie Orthopédique et Traumatologique du C.H.U. de Cocody Abidjan Ivory Coast Service de Rhumatologie du C.H.U. de Cocody Abidjan Ivory Coast Service de Bactériologie Institut Pasteur C.H.U. de Cocody Abidjan Ivory Coast

The authors report toward a monocentric retrospective and descriptive study on a 08 year period, 33 cases of knee osteoarticular tuberculosis (OAT) of adult, certified by bacteriologic and/or histolological evidence proof of the sample (synovial biopsy) after a knee arthrotomy. There were 07 cases of arthritis and 26 cases of osteoarthritis. The treatment of knee OAT was medical (anti-tubercular poly-chemotherapy) on one year duration. The surgery was useful in front of some clinical presentations. After a minimum of 18 months, a functional evaluation was done following the Lequesne algo-functionnal index. None had signs of local recurrence testifying the adequacy of medical treatment, even if it is long and binding. The main of our case series is to establish an epidemiological, clinical and biological profile of the knee tuberculosis of adult and to research elements of prognosis through an analysis of results.

关键词： Knee Bone and Joint Tuberculosis Adult Prognosis Factors

Giant Myositis Ossificans Circumscribed Post Traumatic of Gluteus and Adductor Muscles: Case Report

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Open Journal of Orthopedics 2015年第6期5卷 157-162页

作者： Koné Samba Touré Stanislas bana abdoulaye Dogba Eric Doukouré Brahima Ngandeu Nawé Astrid Koffi Gérard Vangah Marius Mègné Estelle Allou Sylvain Service de Chirurgie Orthopédique et Traumatologique C.H.U de Cocody Abidjan Ivory Coast Service d’Anatomie Pathologie du C.H.U de Cocody Abidjan Ivory Coast Service de Rhumatologie C.H.U de Cocody Abidjan Ivory Coast Service de Chirurgie Orthopédique et Traumatologique C.H.U de Bouake Bouake Ivory Coast

Myositis ossificans circumscribed is a bone and cartilage heterotopic non neoplastic proliferation inside the soft tissues. It is a benign focal heterotopic ossification process of soft tissues, and a rare disorder that occurs spontaneously or after local trauma. Clinical and radiographic appearances are quite hustler. A careful histological examination of biopsy straightens diagnosis is necessary. There is no consensus in support (surgical or/and medical). From Benign prognosis, evolution of this pathology is usually favorable. The authors report a case of giant myositis ossificans circumscribed post-traumatic localized on gluteus and adductor muscles of the right hip on a 26-year-old man. Through a review of literature the mechanism, the diagnostic methods and therapeutic will be discussed.

关键词： Giant Myositis Ossifying Gluteus and Adductor Muscles Biopsy