Treatment of Pelvic Limb Fractures in a Hospital of 2^e Reference in Mali

Abstract

Introduction : A fracture is a solution in the continuity of a bone. Pelvic limb fractures may involve one or more of the bones. They constitute a real public health problem, which requires the identification of the factors inherent to this phenomenon for better prevention, but also for quality management of fractures and sequelae. Objectives: Were to describe the ep idemiological, clinical and therapeutic profile of pelvic limb fractures in Timbuktu Hospital . Pa tients and Method : We conducted a prospective, descriptive study in the Surgery Department of Timbuktu Hospital, covering a p eriod of one year from January 1 to December 31, 2017. We collected 39 patients who presented with fractures of the pelvic limbs, who were hospitalized and monitored throughout our study. Results : We obtained a hospital fre quency of 2 . 86% limb fractures. Among the 39 patients included in our study, the male sex was predominant in 69 . 2% of cases , the average age of our patients was 20 . 5 years. Pupils and students were in the majority in 48 . 7% of cases. Road traffic accidents were the mo st common cause of fracture with 59.0% of cases. The tibia was the most affected segment in 38.5% of cases. Surgical treatment was predominant in 64.0% of cases. We obtained very good results in 94.87% of cases. Conclusion : Limb fractures remain frequent due to road traffic accidents. Osteosynthesis treatment provides a good result with fewer compl ications.