8 research outputs found
Ethanol Intoxication and Road Accident Trauma Statistics in a Tertiary Hospital Complex of Cotonou City in Benin Republic
No full textBackground: Road traffic accidents are among the leading causes of morbidity and mortality in Benin Republic, in other words, a serious public health problem here. Consumption of alcoholic drinks is known as an important risk factor for road accidents. The aim of this preliminary study was to determine alcohol ingestion and its relationship with victims of road traffic accidents in Cotonou City, Benin.Methods: It is a descriptive and analytic study which carried out during January-June 2016. In this study, ethanol concentration was measured in the victims of traffic accidents’ blood. Information related to the injured people, their social characteristics, circumstances of accident occurrence, and the outcomes were also collected. Results: In this study, 80 victims of road accidents were included. Most of the victims were men (64%), youth under 40 years (70%), and motorcyclists (83%). The overall prevalence of ethanol ingestion was 55% (64% in motorcyclists and 25% in motorists). Approximately, 16% of them were involved in fatal accidents. There was no association between ethanol ingestion frequency and factors such as the age of the injured, condition of the injured at the time of the accident, time of accident, and road condition on which the accident happened. Conclusion: This study indicated that a lot of traffic accident victims had consumed alcoholic drinks shortly before the accident in Benin
Epidemiology of Fractures in a Tropical Country
No full textIntroduction: The increasing number of vehicles and the proliferation of two-wheeled vehicles accentuate the frequency of fractures in our country. The aim of this study is to describe the epidemiology of fractures in Cotonou. Materials and Methods: This prospective two-year study focused on all patients admitted to the emergency department of the National Teaching Hospital of Cotonou for a fracture injury. Results: 1794 fractures were collected in 1432 patients. Fractures accounted for 24.9% of surgical emergencies. The average age was 33.7 years (29 days - 90 years). The dominance was male with a sex ratio of 3.62. Etiological circumstances were dominated by road traffic accidents (75.8%), The etiological circumstances were dominated by road accidents (75.8%), motorcyclists being the most affected (48.5%). The admission average was 27.33 hours (15 minutes - 29 days). Fractures preferentially sat on the lower limbs (64.4%). In descending order of frequency, were distinguished the fractures of leg (32.2%), of the femur (19.8%) and of the forearm (14.8%). Conclusion: fractures are common. The etiologies are dominated by traffic accident. The lesions predominate in the lower limb. The establishment of good road safety policy (improving track conditions, extension of the highway code ...) would reduce their frequency
Outcomes and Quality of Life in Patients with Upper Limbs Amputations in Cotonou National Teaching Hospital- Benin
No full textBackground: Upper limbs amputations disturb relational life. Outcomes of upper limb amputees were studied, functional outcomes and quality of life were analyzed. Objectives: The purpose of this study was to examinate the outcomes of an upper limb amputation on a functional, social and economic level, and to investigate the epidemiological and clinical factors that bear the functional outcomes and quality of life of these patients. Methods: an analytical prospective study over seven years which included 37 patients managed at the referral hospital in Benin was performed. They were mean aged of 36.3 years and 22 were in couple. The mean time of follow-up was 3.0 ± 2.1 years. The rate of fitting prosthesis, relateralization, presence of bi-manual activity, Disabilities of the Arm, Shoulder and Hand (DASH) score, handicap imposed by the amputation, and its socio-economic impact were recorded. Quality of life of amputees evaluated using Nottingham Health Profile (NHP) score was also studied. Statistical analysis was performed with Chi2 and Kruskal-Wallis tests. A p-value ≤0.05 was established as statistically significant. Results: No patient had been fitted; one had been able to re- lateralize; 24 patients demonstrated bi-manual activity. The mean DASH score was 40.1 ± 13.7. Thirteen patients were able to dressthemselves and 10 needed an additional help to go to the toilet. Socially, 21 patients had given up their hobbies, and 5/22 were no longer in a couple. Economically, 27 patients had a decreased monthly income. Factors influencing functional outcomes were the level of amputation and gender (p of 0.005 and 0.006, respectively). The mean NHP score was 5.8 ± 0.2. There was a statistically significant relationship between quality of life, age and level of amputation (p of 0.02 and 6x10-4, respectively). Conclusion: Upper limb amputations strongly affect quality of life. A better social reintegration policy for upper limb amputees should be contemplated in Benin
Aspects Épidémiologiques et Thérapeutiques des Traumatismes Balistiques en Milieu Civil à Cotonou
No full textIntroduction: the incidence of gunshot wounds is clearly increasing in our countries. The treatment of these lesions in a civilian environment has evolved considerably in recent years. The aim of this study was to describe the sociodemographic, lesional and therapeutic aspects of civilian firearm trauma at the National Teaching Hospital of Cotonou. Materials and methods: It was a descriptive retrospective study conducted at the National Teaching Hospital of Cotonou, covering the period from January 2015 to December 2016 (2 years). Included in the study were gunshot wounds, supported by Trauma Orthopedic departement. Patients who received initial care before admission and those aged lessthan 15 years were excluded. Results: fifteen patients were identified during the study period. The median admission time was 13 hours. All patients were male and the median age was 33.71 years. The circumstances were divided into aggression (11 cases, 73.3%), two lost balls (13.3%) and two handling accidents (13.3%). In 9 cases (60%), a handgun was causing the injuries. An antibiotic prophylaxis made of amoxicillin / clavulanic acid was started in all patients and was associated with gentamicin in case of bone involvement. All lesions were surgically treated according to a protocol including trimming, exploration and delayed primary closure. No internal fixation was performed urgently but performed secondarily after healing of wounds and negativation of the C-reactive protein in a median time of 23 days. Conclusion: lesions resulting from ballistic injuries in civilian environments are rarely serious and their management differs in some respects from that of firearm injuries in war situations.Introduction : l’incidence des lésions par balle est en nette augmentation dans nos pays. Le traitement de ces lésions en milieu civil a beaucoup évolué ces dernières années. Le but de cette étude était de décrire les aspects sociodémographiques, lésionnels et thérapeutiques des traumatismes par arme à feu en milieu civil au CNHU-HKM de Cotonou. Matériels et méthodes : Il s’est agi d’une étude rétrospective descriptive menée au Centre National Hospitalier Universitaire Hubert Koutoukou Maga (CNHU-HKM) de Cotonou, et couvrant la période de Janvier 2015 à Décembre 2016 (2 ans). Etaient inclus dans l’étude, les dossiers des blessés par balle, pris en charge dans le service de Traumatologie-Orthopédie et de Chirurgie Réparatrice du CNHU-HKM. Les patients ayant bénéficié d’une prise en charge initiale avant leur admission et ceux agés de moins de 15 ans étaient exclus. Résultats : quinze patients étaient recensés durant la période d’étude. Le délai d’admission médian était de 13 heures. Tous les patients étaient de sexe masculin et l’âge médian était de 33,71 ans. Les circonstances se répartissaient en agression (11 cas, 73,3%), deux balles perdues (13,3%) et deux accidents de manipulation (13,3%). Dans 9 cas(60%), une arme de poing était à l’origine des lésions. Une antibioprophylaxie faite d’amoxicilline/acide clavulanique était débutée chez tous les patients et était associée à la gentamicine en cas d’atteinte osseuse. Toutes les lésions avaient été prises en charge chirurgicalement selon un protocole comprenant un parage, une exploration et une fermeture primaire différée. Aucune ostéosynthèse interne n’a été effectuée en urgence mais réalisée secondairement après cicatrisation des plaies et négativation de la C-réactive protéine dans un délai médian de 23 jours. Conclusion : les lésions issues des traumatismes balistiques en milieu civil sont rarement graves et leur prise en charge diffère sur certains points de celle des lésions par arme à feu en situation de guerre
Ipsilateral proximal and shaft femoral fractures
No full textPurpose: To study the management and evaluate anatomical and functional outcomes of patients with ipsilateral proximal and shaft femoral fractures.
Methods: A retrospective, descriptive and analytic study lasted for ten years and a half ranging from January 1, 2005 to June 30, 2015. The following parameters were studied: epidemiology, fracture characteristics, therapeutic, anatomical and functional outcomes. The correlation between different parameters was analyzed with Fischer test. The significant threshold was defined for p value <0.05.
Results: Ten medical files were registered. There were 7 men and 3 women, with a sex ratio of 2.33. The average age was 46 years (range: 29–62 years). It was about traffic road accidents in all cases. Motorcycle–motorcycle and motorcycle–car collision were most frequent. Average admission delay was 7 h (range: 1.5–24 h). Left side was most reached in 8 cases. According to Garden classification, there was type III cervical fracture in 2 cases, type II in 1 case and type IV in 1 case. According to Ender classification, there was type I trochanteric fracture in 3 cases, type VI in 2 cases and type VII in 1 case. According to AO classification, there was type A shaft fracture in 6 cases (A2 in 4 cases and A3 in 2 cases), type B in 2 cases (B1 in 1 case and B2 in 1 case) and type C in 2 cases (C1 in 1 case and C2 in 1 case). Average surgical delay was 28.7 days (range: 11–61 days). For proximal femoral fracture, Moore prosthesis was used in 1 case, blade plate 130° in 2 cases, long Gamma nail in 4 cases, double screwing in 2 cases and dynamic hip screw in 1 case. For shaft femoral fracture, blade plate 95° was used in 3 cases, low compressive plate in 2 cases. Osseous contention was achieved in 4 cases with long Gamma nail and in 1 case with long blade plate 130°. Nonunion of cervical fracture was achieved in 2 cases. The average osseous healing delay was 5.14 months (range: 3–12 months) for proximal femoral fracture and 5 months (range: 3–8 months) for shaft femoral fractures. According to Friedman and Wyman criteria, functional results were good in 4 cases, average in 4 cases and bad in 2 cases. Regarding implants, healing delay showed no statistic difference between one-implant group and two-implant group (p = 0.52), and among the patients with different functional outcomes (p = 0.52). Functional outcomes showed no statistic difference between one-implant group and two-implant group (p = 0.46).
Conclusion: Ipsilateral proximal and shaft femoral fractures are relatively uncommon in our daily activities. It is difficult to recognize proximal femoral fractures which are unnoticed. Results are generally good if the doctors take the two fractures into account in the management
Aneurysmal Bone Cyst of Talus: A Case Report
No full textIntroduction:
Aneurysmal bone cyst (ABC) is a metaphyseal bone tumor that is frequent in children. Talar location is exceptional.
Case Report:
We report a case of this rare lesion managed in our department. It was a 16-year-old girl who presented with heel pain at walk, without any trauma. Radiologic explorations found a pathologic fracture of the right talus due to a bone cyst. A surgical procedure was proceeded, with curettage, and bone grafting completed by a plastered immobilization. Histopathology confirmed the diagnosis of ABC. Consolidation was achieved in 2 months, and there was no recurrence after 5 years.
Conclusion:
ABC of the talus is a rare etiology of heel pain, which must not be forgotten in children
Aspects épidémiologiques et histopathologiques des sarcomes à Cotonou (Bénin) de 2010 à 2020.
No full textInternational audienceObjectif. Étudier les caractéristiques épidémiologiques et histopathologiques des sarcomes diagnostiqués dans les centres hospitaliers de référence de Cotonou. Méthodes. Il s’agissait d’une étude multicentrique, descriptive, rétrospective réalisée sur une période de 10 ans. Nous avons recruté systématiquement toutes les observations médicales de patients atteints d’un sarcome histologiquement confirmé.Résultats. 159 comptes-rendus de sarcomes ont été retenus. L’âge moyen des patients était de 38,9 ans avec une prédominance féminine (sex-ratio : 0,9). Les sarcomes des tissus mous étaient les plus fréquents (65,4%). La localisation retrouvée le plus fréquemment était les membres pelviens (30,2%). Conclusion. Un meilleur accès aux moyens diagnostiques contribuerait à une meilleure évaluation du fardeau de cette pathologie au Béni
