Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville
The DHS system is an effective means of open reduction and internal fixation of proximal femur fractures. Postoperative complications are little described and deserve to be studied for better preventive and curative treatment. We report the observations of five (5) patients who presented postoperati...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/4177203 |
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| author | F. M. Bombah M. Diawara B. Y. Ekani T. Nana A. Mikiela |
| author_facet | F. M. Bombah M. Diawara B. Y. Ekani T. Nana A. Mikiela |
| author_sort | F. M. Bombah |
| collection | DOAJ |
| description | The DHS system is an effective means of open reduction and internal fixation of proximal femur fractures. Postoperative complications are little described and deserve to be studied for better preventive and curative treatment. We report the observations of five (5) patients who presented postoperative complications specific to the DHS system at army instructional Hospital-Libreville. These described complications are related to deterioration of internal fixation leading to callus, nonunion, or infection. Those found are the cut out phenomenon, avascular necrosis of the femoral head, and the fracture of the DHS system. All these complications required surgical revision without functional repercussions at the last follow-up. Complications of internal fixation by the DHS system can be avoided by rigorous asepsis, adequate indications for surgery, and rigorous surgical techniques. Good management can restore hip function. |
| format | Article |
| id | doaj-art-7b77380def9545cf9c1eacbdfbafd9c5 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-7b77380def9545cf9c1eacbdfbafd9c52025-02-03T05:44:45ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/41772034177203Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-LibrevilleF. M. Bombah0M. Diawara1B. Y. Ekani2T. Nana3A. Mikiela4Department of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, CameroonOrthopedic and Traumatologic Surgery Department, Army Instructional Hospital, Libreville, GabonDepartment of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Buea, CameroonDepartment of Surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Buea, CameroonOrthopedic and Traumatologic Surgery Department, Army Instructional Hospital, Libreville, GabonThe DHS system is an effective means of open reduction and internal fixation of proximal femur fractures. Postoperative complications are little described and deserve to be studied for better preventive and curative treatment. We report the observations of five (5) patients who presented postoperative complications specific to the DHS system at army instructional Hospital-Libreville. These described complications are related to deterioration of internal fixation leading to callus, nonunion, or infection. Those found are the cut out phenomenon, avascular necrosis of the femoral head, and the fracture of the DHS system. All these complications required surgical revision without functional repercussions at the last follow-up. Complications of internal fixation by the DHS system can be avoided by rigorous asepsis, adequate indications for surgery, and rigorous surgical techniques. Good management can restore hip function.http://dx.doi.org/10.1155/2021/4177203 |
| spellingShingle | F. M. Bombah M. Diawara B. Y. Ekani T. Nana A. Mikiela Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville Case Reports in Orthopedics |
| title | Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville |
| title_full | Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville |
| title_fullStr | Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville |
| title_full_unstemmed | Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville |
| title_short | Complications after Dynamic Hip Screw Osteosynthesis of Proximal Femoral Fractures at Army Instructional Hospital-Libreville |
| title_sort | complications after dynamic hip screw osteosynthesis of proximal femoral fractures at army instructional hospital libreville |
| url | http://dx.doi.org/10.1155/2021/4177203 |
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