Epidemiology of childhood fractures at the University Teaching Hospital of Owendo: a report of 212 cases
DOI :
https://doi.org/10.5281/hra.v1i3%20Jul-Aug-Sep.4804Résumé
RÉSUMÉ
Introduction. Les fractures sont la première cause d’hospitalisation des enfants au service de chirurgie orthopédique et traumatologie du Centre Hospitalier Universitaire d’Owendo. Le but de notre étude était de décrire les aspects épidémiologiques, cliniques et thérapeutiques de ces fractures à Libreville. Matériels et méthodes. C’est une étude prospective mono centrique observationnelle réalisée du 1er Janvier 2020 au 31 Décembre 2021 soit 24 mois dans le service d’Orthopédie-Traumatologie du Centre Hospitalier Universitaire d’Owendo (Libreville). Résultats. Nous avons retenu un total 212 patients dont 153 de sexe masculin. La moyenne d’âge était de 7 ans avec des extrêmes de 1 mois à 16 ans. Les accidents ludiques ont été la circonstance de survenue la plus fréquente (88,2%), avec une prédominance masculine. Par ailleurs, 63,2% des fractures concernaient les deux os de l’avant-bras. Le traitement orthopédique a été effectué chez dans 90.6% des patients avec une évolution favorable dans 94% des cas. Conclusion. Les fractures de l’enfant sont fréquentes dans notre pratique et atteignent surtout les garçons à l’occasion de jeux. Le traitement orthopédique est la règle et l’évolution est généralement favorable.
ABSTRACT
Introduction. Fractures are the leading cause of pediatric hospitalization in the Orthopedic and Traumatology Department at Owendo University Hospital Center. Our study aimed to describe the epidemiological, clinical, and therapeutic aspects of these fractures in Libreville. Materials and Methods. This prospective, single-center observational study was conducted over 24 months, from January 1, 2020, to December 31, 2021, at the Orthopedic and Traumatology Department of Owendo University Hospital Center in Libreville. Results. We included a total of 212 patients, of whom 153 were male. The average age was 7 years, ranging from 1 month to 16 years. Recreational accidents were the most common cause (88.2%), with a male predominance. Additionally, 63.2% of fractures involved both bones of the forearm. Orthopedic treatment was performed in 90.6% of patients, with a favorable outcome in 94% of cases. Conclusion.Pediatric fractures are frequent in our practice, primarily affecting boys during play. Orthopedic treatment is the standard approach, and outcomes are generally favorable.
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