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Les fractures supracondyliennes de l’humérus chez l’enfant au CHU-Tokoin de Lomé


Komlatsè Gamedzi Akakpo-Numado
Azanlédji Missoki Boume
Komla Gnassingbe
Anani Komlan Mihleudo-Agbolan
Abossisso Kodjo Sakiye
Komlan Adabra
Hubert Tekou

Abstract

This retrospective descriptive study included all children treated in the Department of pediatric surgery of Tokoin Teaching Hospital for supracondylar fracture of humerus (SCFH). Results: During 3 years, 50 children were treated for SCHF. The SCHF was an in extension SCFH (ESCHF) in 49 cases and an in flexion SCHF (FSCHF) in 1 case. There were 4 stages I, 4 stages II, 16 stages III and 25 stages IV of ESCHF. The FSCHF was type III. The treatment was done with a brachio-palmar plaster in 4 ESCHF stage I, with reduction under general anesthesia and brachio-palmar plaster in 4 ESCHF stage II, with the Blount technique in 5 ESCHF stage III and with open reduction and crossed pinning in 11 ESCHF stage III, 25 ESCHF stage IV and 1 FSCHF type III. Therapeutic results were good in 45 cases (90%).
Conclusion: Early management in best conditions lead to good results.

Keywords: Supracondylar humeral fractures; children; Togo

J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(1) : 91-98

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eISSN: 2413-354X
print ISSN: 1727-8651