Orthopedics

Open fractures are any disruption of continuity where the fracture site communicates with the outside. The aim of this study was to evaluate the treatment of open leg fractures by intramedullary nailing. This was a single-center, cross-sectional, retrospective study carried out over a continuous period of 4 years, from January 2020 to December 2023. Open fractures were classified according to Gustillo/Anderson, and anatomical and functional outcomes were evaluated using the modified Ketenjian criteria. Twenty-eight patients, including 3 women aged 18 to 60 years (mean 38.14 years), were collected. They represent 6.15% of open leg fractures and 0.96% of all fractures in the orthopedic and trauma surgery department. The etiologies were dominated by road traffic accidents (88%). We recorded 15 cases (53.6%) of type I, 6 cases (21.4%) of type II, 6 cases (21.4%) of type IIIa, and one case of type IIIb (3.6%). The average time to management was 35.5 hours, with extremes ranging from one hour to 240 hours. Thorough debridement plus antibiotic prophylaxis was performed in all our patients. The complications consisted of one case of surgical site infection, one case of osteitis and joint stiffness, and one malunion. The average consolidation time was 4.75 months. Functional and anatomical results were satisfactory in 82.2%.Immediate intramedullary nailing in open leg fractures allows for good results.

Epiphyseal separation fractures of the distal radius represent the most common injury in children, but the open, bilateral form remains rare. We report the case of a 15-year-old right-sided adolescent with no known medical history who was the victim of a road traffic accident resulting in bilateral open wrist trauma. Clinical and paraclinical investigations led to the diagnosis of a bilateral open epiphyseal separation fracture (Gustillo type II on the left and type I on the right; Salter/Harris type II on the left and type I on the right). Careful debridement and reduction were performed, followed by double pinning on the right and quadruple pinning on the left. The anatomical and functional results were excellent.

Cricket is known as the most popular sports in Bangladesh. Female participation in professional cricket is increasing day by day. The Present study was conducted to find out the cricket injuries & its related pattern among injured female cricketers. A cross-sectional study was carried out by a self-constructed questionnaire. 51 injured female cricketer comprising 21 Bowlers, 21 Batsmen & 9 Wicket keepers were included in this study. The maximum age range was 18 to 20 years old (56.9%) where a greater percentage of participants had 4 years of cricket experience. Results indicated that Bowlers are more prone to injury than any other cricketing role. Shoulder, Elbow, & Ankle injury were founded as the high prevalence of injury compares to other anatomical sites of injury. Senior female cricketers were reported more likely to experience a recurrence injury than junior cricketers. Proper Knowledge about the mechanism of injury & its related factors might help to reduce the prevalence of injury.

Spontaneous rupture of the tibialis anterior tendon is uncommon. This article presents a case report of an Atraumatic Tibialis Anterior Tendon. Rupture of the tibialis anterior tendon can be caused by open, closed, direct, or indirect trauma, or it can occur spontaneously. Closed rupture is uncommon. Review of the literature reveals few reported cases of spontaneous rupture. Keywords: Atraumatic.; Tibialis Anterior Tendon, treatment

The management of osteochondral tumors is a major challenge due to their rarity, diagnostic complexity, morbidity, and mortality. The objective was to assess the epidemiological, diagnostic, and therapeutic aspects of osteochondral tumors in Bamako (Mali). A retrospective, multicenter, descriptive, and analytical study was conducted over a five-year period (January 2019 to December 2023) in three university hospitals of Bamako, Mali. Patients admitted during the study period with complete medical records who were followed for at least six months were included. The prevalence was 6.2 cases per 10,000 patients. The mean age of patients was 35.3 ± 20 (range: 2 to 82 years). Pain was the most common presenting symptom in 90.6% (184 cases). Pelvic localization represented 166 cases (81.3%). There were 154 cases of malignant tumors, including 140 primary cases (70%) and 14 secondary cases (7%). Stage IV according to the TNM classification represented 26.1% of cases. Surgical treatment was the most common, accounting for 61.6% (125 cases), combined with chemotherapy in 106 cases (52.2%) and/or radiotherapy in 7 cases (3.4%). The outcome was favorable in 59.1% of cases. Recurrence and death were associated with malignant tumors in 16 cases (7.9%) and 19 cases (9.3%), respectively.

A rare feature in civil registries, vascular limb trauma is a serious injury that requires rapid and effective interaction between diagnosis and management. We report on the epidemiological, clinical and management aspects of these injuries in a context of working with limited resources. This was a retrospective, monocentric, descriptive and analytical study of 45 patients victims of vascular trauma of the limbs, between January 1, 2017 and June 30, 2022 at the CUTO-CR of the CNHU-HKM of Cotonou. Men were the majority in our series with a sex ratio of 6.5. The average age of the population was 33.71 years. Road traffic accidents were the most common occurrence with a 33.3% frequency. Vascular injuries from broken glass were the most common (40%). Upper limb vascular injuries were the most represented (65.46%) principally arterial lesions (67.27%). As major complications, five secondary amputations had to be performed for limb ischemia and we recorded one death. Vascular trauma of the limbs is a relatively rare entity in civil practice in Cotonou. Despite the time taken for the management far beyond the standards and limited resources, results were generally satisfactory.

Musculoskeletal pain (MSK) is a common issue during pregnancy. Some hormonal and anatomical changes that can affect the MSK system, creating complains about MSK pain.The objectives of the study to determine the prevalence and to assess the MSK pain and its associated factors among pregnant women. A cross-sectional study was conducted among 96 pregnant women attended in a selected tertiary public hospital situated in Dhaka city. Purposive sampling technique was used and data were collected from face to face interview with a structured administered questionnaire with consideration of inclusion and exclusion criteria. The Severity of MSK pain was assessed by a visual analogue scale (VAS) and data were analyzed by SPSS (Version 20). Results indicated as 59% prevalence of MSK pain was found among pregnant women with low back pain (LBP) being the common prevalent site as compared to others. The maximum age range of participants was 21 to 30 years old and housewives were more than half of the participants. Maximum completed below level of SSC. In addition, most of the participants had a history of normal delivery. However, there was a highly significant relation (p= 0.001) found between MSK pain with the month of pregnancy period. MSK pain was moderately high among pregnant women where certain factors are responsible for influencing MSK pain. To reduce the severity and prevalence of MSK pain, women should be aware of their number of pregnancy and some related factors.

Mycetomas are chronic, inflammatory, and often multi-fistulized pseudotumors of the skin, caused by exogenous fungi (eumycetomas) or aerobic bacteria (actinomycetes), and characterized by the production of grains. These are severe lesions, mostly seen in tropical and subtropical regions. Their management is challenging and can sometimes require radical treatment.We report the case of a 23-year-old male farmer with no known medical history, residing in Adré, a town located 1060 km from N'Djamena, the capital of Chad. He presented to the outpatient clinic with a painless swelling of the left knee evolving over four years. The patient reported a history of trauma from an acacia thorn prick. Clinical examination revealed a large, inflamed, polyfistulized knee with a “watering can” appearance. Upon pressure, multiple blackish grains of various sizes were visible to the naked eye. A diagnosis of left knee mycetoma with bone involvement was made. The patient underwent arthrotomy with sample collection and joint lavage, combined with antifungal treatment. The course was marked by recurrence, which required radical surgical intervention.This localization is particularly severe due to the near-systematic bone involvement.

Knee Osteoarthritis (KOA) is a degenerative joint disease and a major public health problem all over the world. The present study is focused to evaluate the Socio-demographic and Risk factors associated with radiographic evidence of KOA subjects who were attended to Government Ayurveda Hospitals in Jaffna District from January 2013 to August 2014. There were 177 (70.8%) female and 73 (29.2%) male with a mean age of 57.02 (SD±8.78) years and highly significant association between age and gender (P<0.05) and BMI and gender (P<0.05) of KOA subjects. The findings of this study had indicated that risk factors as age, gender, family history, menopause and BMI were similar to the findings of KOA studies of other research studies.

Bimalleolar fractures are common injuries that have a favorable outcome if treated properly. Weber type C fractures require osteosynthesis of the malleoli and stabilization of the tibiofibular syndesmosis. The aim of this study is to evaluate the treatment of these injuries using a less expensive technique involving pins and steel wire for pinning. Over a period of two years, 15 patients were treated for bimalleolar fractures with syndesmosis involvement. The average age was 34.2 years. The surgical technique was performed with an open approach, involving pinning of the lateral malleolus, syndesmosis, and medial malleolus cerclage. The functional assessment at six months showed an excellent outcome with an average Karlson and Peterson score of 90.13 (range: 85 to 97). The use of simple and less expensive techniques improves the prognosis of bimalleolar fractures in developing countries.