Journal of Orthopedics & Bone Disorders (JOBD)

ISSN: 2577-297X

Research Article

Results of the Management of Fractures of the Upper Extremity of the Femur in a Sahelian Hospital

Authors: IDE G*, Abdoulwahab MA, Boka Tounga Y, IDE Saley Oumarou and Illé S

DOI: 10.23880/jobd-16000273

Abstract

Objective: To report the results of the management of upper femur fractures (FESF) in adults in the orthopedic trauma department of the National Hospital of Niamey. Materials and Methods: This was a prospective, descriptive study carried out in the Traumatology-Orthopedics and Reconstructive Surgery department of the National Hospital of Niamey in Niger, over a period of 6 months, from September 1, 2022 to February 28, 2023. The study included patients aged at least 15 years of all sexes with a fracture of the upper end of the femur and treated in our department. The parameters studied were epidemiological, clinical, paraclinical, therapeutic and evolutionary. Results: In 6 months we recorded 1207 cases of fracture in our department, of which 79 fractures concerned the upper end of the femur (FESF), i.e. a hospital frequency of 6.54%. There was a male predominance of 72.15% (n=57) with a sex ratio M/F of 2.59. The average age was 63.94 years with extremes of 20 and 103 years. The circumstances of occurrence were a fall in 45.57% (n=36) and a road accident in 34.18% (n=27). The trochanteric massif was the most frequent site of injuries with 63.29% (n=50), followed by the femoral neck 36.71% (n=29). Garden stages III and IV represented 72.41% (n=12) of femoral neck fractures. Surgical treatment was indicated in all cases and performed in 96.20% (n=76), three patients died before surgery. Therapeutic outcomes were favorable in the vast majority of cases. Conclusion: Fracture of the upper end of the femur is common in our context. Its treatment is essentially surgical. The therapeutic results are favorable in the vast majority of cases.

Keywords: Fracture; Upper end of the femur; Treatment; Niamey National Hospital

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