Predictive factors of malunion and nonunion at the Aristide le Dantec hospital

Authors

  • Fode I. Keita Aristide le Dantec Teaching Hospital, Senegal
  • Pape A. Diouf Aristide le Dantec Teaching Hospital, Senegal
  • Youssef Benadada Aristide le Dantec Teaching Hospital, Senegal
  • Alioune B. Dione Aristide le Dantec Teaching Hospital, Senegal
  • Badara Dembele Aristide le Dantec Teaching Hospital and Medical school of Cheikh Anta Diop University, Senegal
  • Charles B. Dieme Aristide le Dantec Teaching Hospital and Medical school of Cheikh Anta Diop University, Senegal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20231174

Keywords:

Malunion, Diaphysis, Nonunion, Traditional practice, Conservative treatment

Abstract

Background: Malunion and nonunion are late complications that can occur during the fracture healing process. The aim of this study was to determine the predictive factors for malunion and nonunion

Methods: This was a retrospective study over a period of 43 months. Predictive factors were sought from patient, fracture and initial management data

Results: We recorded 72 consolidation disorders in 69 patients. malunion accounted for 54.1% and nonunion for 45.9%. The study population was divided as follows: 53 men and 16 women. The average age was 37.8 years. The patients lived in urban areas in 81.2% of cases. Comorbidities were present in 14.5%. The circumstances of fracture occurrence were dominated by traffic accidents, especially for 39 patients. The initial fracture was closed in 91.3%. Long bones were involved in 97.2% of cases, with a diaphyseal location in 52.8%. The fracture was simple in 79.1%, with 84.7% of the fractures being transverse. The tibia was the bone most affected by malunion (53.8%). Nonunion occurred in the humerus, femur and tibia in 27.3% each. Initial treatment was undertaken in 91.3% of patients.

Conclusions: Malunion and nonunion are a reality in our daily practice. These consolidation problems occur in young patients who are victims of road traffic accidents. Diaphyseal fractures of long bones with a transverse line have been the most frequently incriminated. conservative treatment and traditional practice have favoured the development of these complications.

Metrics

Metrics Loading ...

References

Adendjingue DM, Mouassede M, Madjirebaye K, Salia O, Amoné-Né DO. Complications of traditional treatment of limb trauma at the CHU Le Bon Samaritain de Walia (N'Djamena, Chad). Med Trop Sante Int. 2022;2(1):15.

Mensaha E, Tidjanib I.F, Chigblob P, Lawsonb E, Ndeffoa K, Hans-Moevi Akuéb A. Epidemiological and lesional aspects of complications of traditional treatment of limb fractures in Parakou (Benin). J Orthopaed Trauma Surg. 2017;103:330-4.

The population of Senegal in 2018/MEFP/ANSD 2019. Available at: https://globaledge.msu.edu/global-resources/resource/5756. Accessed on 20 November 2022.

Ngongang G, Arabo S, Guifo L, Fonkoue L, Mokom P. Results of treatment of aseptic pseudarthrosis of the humeral shaft. About 20 cases. J Orthopaed Trauma Surg. 2016;102:788-803.

Bousso A, Ndiaye A, Dieme C, Sane A, Sy MH, Seye SIL. Diaphyseal vicious calluses of both forearm bones in adults. A propos de 10 observations. Chirurgie de la main. 2007;26:288-92.

Dahmani O, Bouziane A, Shimi M, Elibrahimi A, Elmrini A. Aseptic pseudarthrosis of the humeral shaft treated with screw plate and bone autograft (about 20 cases). Hand Surg. 2013;32:85-91.

Thein E, Chevalley F, Borens O. Aseptic pseudarthrosis of the long bones. Rev Med Suisse. 2013;9:2390-6.

Hernandez RK, Do TP, Critchlow CW, Dent RE, Jick SS. Patient-related risk factors for fracture-healing complications in the United Kingdom General Practice Research Database. Acta Orthop. 2012;83(6):653-60.

Jiao H, Xiao E, Graves DT. Diabetes and Its Effect on Bone and Fracture Healing. Curr Osteoporos Rep. 2015;13(5):327-35.

Förster T and Ammann C. African cities and the development puzzle, International Development Policy. Int J Develop Policy. 2018;10:23-9.

Schlimmer S. Governing African cities, Panorama des enjeux et perspectives. IFRI. 2022;12:13-9.

Ikpeme AI, Nkese EM, Innocent EA, Ngim EN. Long Bone Non-Unions and Malunions: Risk Factors and Treatment Outcomes in Calabar, Southern Nigeria. J Orthoped. 2013;3:253-7.

Souna BS, Mamadou A, Guida S. Diaphyseal vicious callus of the femur: about 32 cases collected in Niamey. Mali Méd. 2010;15(4):7-10.

Thomas JD, Kehoe JL. Bone Nonunion. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

Nicholson J, Makaram N, Simpson A. Fracture nonunion in long bones: A literature review of risk factors and surgical management. Injury. 2020;10:16-9.

Muller ME, Nazarian S, Koch P, Schatzker J. The comprehensive classification of fractures of long bones/AO Classification of Fractures. Heidelberg: Springer-Verlag; 1990.

Ekegren CL, Edwards ER, De Steiger R and Gabbe BJ. Incidence, costs and predictors of non-union, delayed union and mal-union following long bone fracture. Int J Environ Res. Public Health. 2018;15:2845.

Layes T, Terna T, Pascal. Epidemiology and treatment of diaphyseal pseudoarthrosis of the long bones at Sikasso Hospital. Health Sci Dis. 2020;21(11):97-100.

Downloads

Published

2023-04-28

How to Cite

Fode I. Keita, Pape A. Diouf, Youssef Benadada, Alioune B. Dione, Badara Dembele, & Charles B. Dieme. (2023). Predictive factors of malunion and nonunion at the Aristide le Dantec hospital . International Journal of Research in Orthopaedics, 9(3), 471–474. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20231174

Issue

Section

Original Research Articles