1.Results of the Treatment of Talar Neck Fractures in a West African Hospital
Malaysian Orthopaedic Journal 2011;5(1):26-29
Talar neck fractures (TNFs) are complex injuries and treatment is fraught with complications. We retrospectively studied 18 patients with TNFs: 6 Hawkins type I, 7 type II, 4 type III, and 1 type IV. Five patients with type I and 2 with type II fractures were treated conservatively. The remaining 11 patients underwent operative treatment. Open reduction via posterolateral approach was performed in 10 patients while closed reduction was used in one patient. All operatively reduced fractures were stabilized
Orthopaedic
2.Primary Unreamed and Unlocked Intramedullary Nailing of Femoral Shaft Fractures
EJB Sié ; AD Kacou ; A Traoré ; BL Séry ; Y Lambin
Malaysian Orthopaedic Journal 2012;6(2):13-17
In this retrospective study, we present our experience using open Küntscher nailing (K-nailing) which is still performed in developing countries for femoral fractures. Of 157 acute fractures treated between January 2003 and December 2009, 100 were stable (63.7%) and 135 were located within the middle third of the shaft (86%). Comminution was absent or minimal in 135 (86%) cases. Fracture union was achieved at an average of 14 weeks (range, 10 - 25). The duration of follow-up was 17 months (range, 6 - 36). Final evaluation showed that 129 (82.2%) patients had a good result according to modified Kempf’s criteria. The predominant complications were infection (n=5; 3.2%), nonunion (n=9;5.5%), implant failure (n=11; 7%), and malunion (n=27; 17.3%). Open reduction and fixation with a tight fitting Knail can give good results in selected acute femoral shaft fractures but knowledge of potential complications is needed.