Reoperations for mechanical complications of femoral osteosynthesis. Analysis of 20 cases

Moyikoua, A.; Bouity-Buang, J.C.; Pena-Pitra, B.

Medecine Tropicale Revue du Corps de Sante Colonial 53(4): 521-525

1993


ISSN/ISBN: 0025-682X
PMID: 8139442
Document Number: 409200
Based on a study of 220 femoral osteosynthesis, the results of 20 second surgical operations because of mechanical complications sat in 19 patients. These complications occurred on 15 screwed plates (6 breakings, 6 angulations, 3 dismounting) and 5 nailings (4 proximal migrations, 1 angulation). The critical analysis about the first osteosynthesis showed some technical error in several cases. Pseudarthrosis (9.2 p.c.) was observed in all mechanical complications at the plates A second surgical operations, thanks to a new osteosynthesis associated, in 8 cases, with a cortico-spungoïd osseous graft led to 85 p.c. of good and very good results and 15 p.c. of satisfactory results. No post surgery complication was observed.

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