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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. 18, No. 2, 2013, pp. 82-88
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Bioline Code: js13034
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. 18, No. 2, 2013, pp. 82-88
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Outcome of Femoral Plate Osteosynthesis 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 main 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%) nonunions,
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.
Keywords
Femoral; Plate; Osteosynthesis; Outcome; Developing; Country
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© Copyright 2013 - East and Central African Journal of Surgery
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