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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 20, No. 2, 2015, pp. 88-95
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Bioline Code: js15037
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 20, No. 2, 2015, pp. 88-95
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Evaluation of the Outcome of Femoral Plate )steosynthesis in a Teaching Hospital in a Developing Country.
Ogundele, O.J.; Ifesanya, A.I.; Fakoya, A.A. & Alonge, T.O.
Abstract
Background:
Fractures of the femur are a common presentation of traumatic injuries and
are usually associated with other injuries. The need for surgical fixation is undisputed
although operative options are varied, and often the choice is based on fracture pattern,
available facilities and the surgeon's preference. This decision should be determined by the
predicted functional outcome rather than by the type of implant to be used. The objective of
this study was to evaluate the results of treatment of femoral shaft fractures using plate
osteosynthesis in our centre.
Method:
This was a retrospective study done by reviewing the medical records of patients
presenting with femoral shaft fractures between 2005 and 2012.
Results:
A total of two hundred and four patients underwent plate osteosynthesis of femoral
shaft fractures within the period under consideration. One hundred and seventy (83.3%)
patients achieved clinical and radiological union after an average of 5months. There were
12 (5.9%) non-unions, 10 (4.9%) infected implants and 4 (2%) broken implants.
Conclusion:
Plate osteosynthesis is vital in the management of femoral fractures especially
in developing countries where the cost of care is entirely borne by the patients and
relations. Careful patient selection and meticulous post-operative follow-up care are
essential for a favourable outcome.
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© Copyright 2015 - East and Central African Journal of Surgery
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