Paediatric fractures at the district teaching hospital of Oueme-Plateau in Benin republic: epidemiology and therapeutic modalities
DOI:
https://doi.org/10.18203/2349-2902.isj20241130Keywords:
Pediatric fractures, Epidemiology, Therapeutic modalities, BeninAbstract
Background: Fractures are a common occurrence in pediatric traumatology, accounting for 10 to 25% of all fractures. This study aims was to describe their epidemiological characteristics and specify the therapeutic modalities available at DTH-OP.
Methods: This was a retrospective, descriptive, and analytical monocentric study conducted in the surgery and emergency departments of DTH-OP. Medical records of patients aged 0 to 15 years admitted for fractures and seen between 1 January 2021 and 31 December 2022 were identified.
Results: Two hundred and thirty (230) cases met the inclusion criteria for 266 fractures. The mean age was 7.6. There were 137 (59.6%) males and 93 (40.4%) females, giving a sex ratio of 1.5. The circumstances of occurrence were road accident and home accident in the same proportions (97 cases; 42.2%). Sport accident and work accident occurred in the same proportions (12 cases; 5.2%). The series included 134 fractures (50.4%) of the pelvic limbs and 96 fractures of the thoracic limbs (36.1%). One hundred and seventy-six (176) patients (76.5%) had received orthopaedic treatment. Treatment modalities included cast 149 cases (84.7%).
Conclusions: Fractures in children are common, especially in older children and adolescents. Males were more affected than females. Etiological circumstances are dominated by road and domestic accidents. The treatment is essentially orthopaedic. The surgical treatment is based on thin pins and Metaizeau pins.
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