E ISSN: 2583-049X
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International Journal of Advanced Multidisciplinary Research and Studies

Volume 2, Issue 5, 2022

Diaphyseal Fractures of the Forearm: Epidemiological, Clinical and Therapeutic Aspects in Mahajanga Madagascar



Author(s): Randrianirina A, Randrianirina HH, Andrianiaina HD, Tsialiva P, Randrianirina JBS

Abstract:

Given the frequency of fractures of the two bones of the forearm, it is particularly important to study their clinical and therapeutic aspects. Our objective in this work is to describe the epidemiological and therapeutic aspects of these fractures. This work is a retrospective study concerning a series of 55 cases of fractures of the two bones of the forearm, seen in the Service of surgical emergencies of the University Hospital Professor ZAFISAONA Gabriel Mahajanga, from January 2019 to December 2020. The frequency of forearm bone fractures in the service was 1.63% in relation to admissions and 25.58% in relation to fractures. Age ranged from 2 to 63 years, with a mean of 32.5 years. The male gender represented 65% of the cases, and 52.50% were pupils or students. Road accidents were the most frequent cause, found in 42.50% of patients, occurring in urban areas (82.50%). The mechanism of direct impact was predominant in 75% of cases. The fracture was located on the left forearm in 50% of patients and 75% were closed, without associated lesions. The fracture involved both bones in 55% of cases, with the middle third of the fracture (67.50%). The majority of patients were admitted within the first two hours after the trauma (65%) and 87.50% of them were managed within 24 hours. Orthopedic treatment was widely used (70%), while surgical treatment by osteosynthesis was adopted in 30%.But to have better data bases on the choice of treatment, it seems interesting to us to carry out a study on the comparison of results between orthopedic treatment and surgical treatment.


Keywords: Forearm, Fracture, Accident, Anatomopathological Aspect, Management, Mahajanga

Pages: 830-834

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