Résultat du Traitement Chirurgical de la Fracture de l'Olécrane de l'Adulte à Yaoundé

Outcome of Surgical Treatment of Adult’s Olecranon Fracture in Yaoundé

Auteurs-es

  • Fonkoue Loïc 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Ngongang F. Olivier 3. Department of Orthopaedics and Traumatology, Yaounde Emergency Centre
  • Mbaga Ntjam André Claude 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Ndjou’ou, Osse Maginot Stéphane 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Muluem O. Kennedy 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Umaru Chifen 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Mohamadou Guiemse 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Nyeckel Raphaela 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Ngo Yamben Marie Ange 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Guifo Marc Leroy 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties
  • Handy E. Daniel 1. University of Yaounde 1, Faculty of Medicine and Biomedical Sciences, Department of Surgery and Specialties

Mots-clés :

fracture olécrane, haubanage intramedullaire, plaque vissée, résultats

Résumé

RÉSUMÉ
Introduction. Multiple surgical options exist for the treatment of olecranon fractures. The aim of our study was to describe and compare the results of different olecranon fracture fixation techniques in five hospitals in the city of Yaoundé. Methodology. We conducted a retrospective cohort study in five university hospitals in the city of Yaoundé. Included were all patients over 18 years of age who underwent surgery for olecranon fracture between January 2015 and December 2020, and were followed up for at least 6 months. Results. We studied 59 adults. The mean age was 33.4 ± 12.7 years with a sex ratio M/F of 3.9. Twenty (33.9%) fractures were type I, 30 (50.8%) were type IIA, and 9 (15.2%) were type IIB. The types of fixations were Tension-band Wiring (TBW) in 50 (84.7%) cases and Plate Fixation (PF) in 9 (15.3%) cases. Type I and IIA fractures were fixed by TBW, while all IIB fractures were fixed by PF. The overall consolidation rate was 93.2%. The most common complications were elbow stiffness (23.7%) and cutaneous impingement of osteosynthesis material (6.7%). The mean MEPI score was 85.6 ± 12.9 and the functional score was good to excellent 81.5% of the cases. There was no significant difference between the two types of fixations, apart from elbow stiffness, which was more common in PF (OR= 0.17; 95% CI: 0.03-0.78; p=0.02). Conclusion. Tension-band wiring and Plate fixation give good results in the treatment of olecranon fractures in Yaounde. Apart from elbow stiffness, there was no significant difference in outcome between the two techniques.
ABSTRACT
Introduction. Plusieurs options chirurgicales existent pour le traitement des fractures de l'olécrâne. L'objectif de notre étude était de décrire et de comparer les résultats de différentes techniques de fixation des fractures de l'olécrâne dans cinq hôpitaux de la ville de Yaoundé. Méthodologie. Nous avons mené une étude de cohorte rétrospective dans cinq hôpitaux universitaires de la ville de Yaoundé. Ont été inclus tous les patients de plus de 18 ans ayant subi une chirurgie pour une fracture de l'olécrâne entre janvier 2015 et décembre 2020, et ayant été suivis pendant au moins 6 mois. Résultats. Nous avons étudié 59 adultes. L'âge moyen était de 33,4 ± 12,7 ans avec un ratio hommes/femmes de 3,9. Vingt (33,9%) fractures étaient de type I, 30 (50,8%) étaient de type IIA et 9 (15,2%) étaient de type IIB. Les types de fixations étaient le cerclage tendineux (CT) dans 50 (84,7%) cas et la fixation par plaque (FP) dans 9 (15,3%) cas. Les fractures de type I et IIA ont été fixées par CT, tandis que toutes les fractures de type IIB ont été fixées par FP. Le taux de consolidation global était de 93,2%. Les complications les plus courantes étaient la raideur du coude (23,7%) et la pincement cutané du matériel d'ostéosynthèse (6,7%). Le score MEPI moyen était de 85,6 ± 12,9 et le score fonctionnel était bon à excellent dans 81,5% des cas. Il n'y avait pas de différence significative entre les deux types de fixations, à l'exception de la raideur du coude, qui était plus fréquente dans la FP (OR= 0,17; IC à 95 %: 0,03-0,78; p=0,02). Conclusion. Le cerclage tendineux et la fixation par plaque donnent de bons résultats dans le traitement des fractures de l'olécrâne à Yaoundé. Mis à part la raideur du coude, il n'y avait pas de différence significative dans les résultats entre les deux techniques.

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Publié-e

2024-04-28

Comment citer

Fonkoue Loïc, Ngongang F. Olivier, Mbaga Ntjam André Claude, Ndjou’ou, Osse Maginot Stéphane, Muluem O. Kennedy, Umaru Chifen, Mohamadou Guiemse, Nyeckel Raphaela, Ngo Yamben Marie Ange, Guifo Marc Leroy, & Handy E. Daniel. (2024). Résultat du Traitement Chirurgical de la Fracture de l’Olécrane de l’Adulte à Yaoundé: Outcome of Surgical Treatment of Adult’s Olecranon Fracture in Yaoundé. HEALTH RESEARCH IN AFRICA, 2(5). Consulté à l’adresse https://hsd-fmsb.org/index.php/hra/article/view/5664

Numéro

Vol. 2 No. 5 (2024): Health Research in Africa

Rubrique

Médecine et Chirurgie Tropicales

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