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Therapeutic Strategies and Evolution in the Short Term: Fractures by Firearms in Civilian Practice about 35 Operated Lesions

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Surgical Science 2023年第10期14卷 618-625页

作者： Dikongue Dikongue Fred Mohamadou Guemse Hans Moevi Akue Bahebeck Jean Fondop Joseph Department of Surgery and Specialties Faculty of Medicine University of Dschang Dschang Cameroon Department of Surgery and Specialties Faculty of Medicine University of Yaoundé 1 Yaoundé Cameroon Faculty of Health Sciences of Cotonou University of Abomey Calavi National University Hospital Center of Cotonou Cotonou Benin Department of Morphological and Anatomopathological Sciences Faculty of Medicine University of Dschang Bafoussam Regional Hospital Dschang Cameroon

Fracture by firearms is a surgical emergency. The aim of our study was to report our experience in the management of open fractures by firearms and monitoring with a decline of 6 months the lesions observed in peacetime. This retrospective study over 3 years (January 2007-November 2010), supplemented by a prospective (December 2010-November 2011) is based on an analysis of operative reports and clinical records of patients admitted to the Yaoundé Central Hospital. 29 cases were selected, including 35 lesions were observed. Our series consists of 27 men and 2 women, mean age 30 years. 40% of our patients were initially supported (debridement) before the 6th hour and 51.42% between the 6th and 24th hours. In terms of internal fixation, these figures were 66% between the 25th and 96th hours. The type of material was used as the external fixate (64.9%). Conversion processing by the establishment of an internal hardware, after 3 - 6 weeks and control NFS (numeration of blood count or blood count), VS (rate of sedimentation), CRP (C reactive protein). Unfortunately this has been possible only in two cases because of financial means. In 40% of cases, surgical outcome was simple, and complications to a type of osteomyelitis, shortening, suppuration in 42.7% of cases.

关键词： Open Fractures Firearm Treatment Surgery trauma orthopedics Public Health Africa

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