Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes
Introduction: paediatric fractures are often of good prognosis due to auto-correction of insufficient fracture reduction by bone remodeling. In sub-Saharan Africa, traditional healers are renowned for managing fractures and there is a neglect for specialized pediatric fracture care. We aimed to dete...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2017-05-01
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| Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/27/46/pdf/46.pdf
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| _version_ | 1828749370274611200 |
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| author | Marc Leroy Guifo Joel Noutakdie Tochie Blondel Nana Oumarou Jean Roger Moulion Tapouh Aristide Guy bang Aurelien Ndoumbe Bonaventure Jemea Maurice Aurelien Sosso |
| author_facet | Marc Leroy Guifo Joel Noutakdie Tochie Blondel Nana Oumarou Jean Roger Moulion Tapouh Aristide Guy bang Aurelien Ndoumbe Bonaventure Jemea Maurice Aurelien Sosso |
| author_sort | Marc Leroy Guifo |
| collection | DOAJ |
| description | Introduction: paediatric fractures are often of good prognosis due to auto-correction of insufficient fracture reduction by bone remodeling. In sub-Saharan Africa, traditional healers are renowned for managing fractures and there is a neglect for specialized pediatric fracture care. We aimed to determine the demographic characteristics, clinical presentation, treatment patterns and outcomes of paediatric fractures in a tertiary health care centre in Yaoundé. Methods: we conducted a prospective cohort study of all consenting consecutive cases of fractures in patients younger than 16 years managed between January 2011 and June 2015 at the University Teaching Hospital, Cameroon. We analysed demographic data, injury characteristics, fracture patterns, treatment details, therapeutic challenges and outcome of treatment at 12 months of follow-up. Results: we enrolled 147 fractures from 145 children with a mean age of 7 years and male-to-female sex ratio of 2.5:1. The main mechanisms of injury were games (53%) and accidental falls (20.7%). Forearm fractures were the most common fractures (38%). The mainstay of management was non-operative in 130 (88.5%) fractures, with 29.3% manipulations under anesthesia and 17 (11.5%) open reductions with internal fixation. The most surgically reduced fractures were supracondylar humeral fractures. Major difficulties were long therapeutic delay, lack of diligent anaesthesia and the lack of fluoroscopy. The outcome of treatment was favorable in 146 (99.3%) paediatric fractures. Conclusion: with the growing population of sub-Saharan Africa and the objective of becoming an emergent region, public policies should match the technical realities. |
| first_indexed | 2024-12-10T20:21:44Z |
| format | Article |
| id | doaj.art-fd41a34fe7a8447a9d193b0f1f306384 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-10T20:21:44Z |
| publishDate | 2017-05-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-fd41a34fe7a8447a9d193b0f1f3063842022-12-22T01:35:02ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882017-05-01274610.11604/pamj.2017.27.46.1148511485Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomesMarc Leroy Guifo0Joel Noutakdie Tochie1Blondel Nana Oumarou2Jean Roger Moulion Tapouh3Aristide Guy bang4Aurelien Ndoumbe5Bonaventure Jemea6Maurice Aurelien Sosso7 Department of Surgery, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon Department of Surgery and specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon Department of Surgery and specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon Department of Surgery and specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon Department of Surgery and specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon Department of Surgery, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon Department of Surgery and specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon Introduction: paediatric fractures are often of good prognosis due to auto-correction of insufficient fracture reduction by bone remodeling. In sub-Saharan Africa, traditional healers are renowned for managing fractures and there is a neglect for specialized pediatric fracture care. We aimed to determine the demographic characteristics, clinical presentation, treatment patterns and outcomes of paediatric fractures in a tertiary health care centre in Yaoundé. Methods: we conducted a prospective cohort study of all consenting consecutive cases of fractures in patients younger than 16 years managed between January 2011 and June 2015 at the University Teaching Hospital, Cameroon. We analysed demographic data, injury characteristics, fracture patterns, treatment details, therapeutic challenges and outcome of treatment at 12 months of follow-up. Results: we enrolled 147 fractures from 145 children with a mean age of 7 years and male-to-female sex ratio of 2.5:1. The main mechanisms of injury were games (53%) and accidental falls (20.7%). Forearm fractures were the most common fractures (38%). The mainstay of management was non-operative in 130 (88.5%) fractures, with 29.3% manipulations under anesthesia and 17 (11.5%) open reductions with internal fixation. The most surgically reduced fractures were supracondylar humeral fractures. Major difficulties were long therapeutic delay, lack of diligent anaesthesia and the lack of fluoroscopy. The outcome of treatment was favorable in 146 (99.3%) paediatric fractures. Conclusion: with the growing population of sub-Saharan Africa and the objective of becoming an emergent region, public policies should match the technical realities. https://www.panafrican-med-journal.com/content/article/27/46/pdf/46.pdf paediatric fracturesclinical presentationmanipulation under anaesthesia |
| spellingShingle | Marc Leroy Guifo Joel Noutakdie Tochie Blondel Nana Oumarou Jean Roger Moulion Tapouh Aristide Guy bang Aurelien Ndoumbe Bonaventure Jemea Maurice Aurelien Sosso Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes The Pan African Medical Journal paediatric fractures clinical presentation manipulation under anaesthesia |
| title | Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes |
| title_full | Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes |
| title_fullStr | Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes |
| title_full_unstemmed | Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes |
| title_short | Paediatric fractures in a sub-saharan tertiary care center: a cohort analysis of demographic characteristics, clinical presentation, therapeutic patterns and outcomes |
| title_sort | paediatric fractures in a sub saharan tertiary care center a cohort analysis of demographic characteristics clinical presentation therapeutic patterns and outcomes |
| topic | paediatric fractures clinical presentation manipulation under anaesthesia |
| url |
https://www.panafrican-med-journal.com/content/article/27/46/pdf/46.pdf
|
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