Roger Amisi Kitoko
Kisangani University, Congo
Title: Open reduction and internal fixation (ORIF) of tibial and fibular fractures in Democratic Republic of the Congo
Biography
Biography: Roger Amisi Kitoko
Abstract
The surgical care of the traumatology in Kisangani (Democratic Republic of the Congo “DRC”) comes up against constraints medical-economic and cultural which often end in delayed care. The purpose of this study was to determine the deadlines of care, the operating deadlines and to correlate them in the postoperative complications. The Functional and radiographic results of the fractures of leg were also evaluated. Our hypothesis was that the rate of complications is significantly higher in case of the delayed care (coverage). This retrospective study was realized in Kisangani University Hospital from 1996 to 2009. 76 leg fractures or tibial pilon treated by internal or external fixation closed or open hearth were analyzed. Functional and radiographic results were evaluated at 12 months minimum. The care of the patient loads was late. The average time of admission at the hospital was of 19±18.28 days (extreme from 1 to 90 days) with a significant difference of the complications according to the time of admission (p<0.05). The operating time after admission was 9.5±8.51 days (Extremes of1 to 30 days) with a significant difference complications according to the operative time (p<0.05) at the expense of late operated patients (infections and nonunion). The time of admission or the operating time after admission does not influence the operating results functional (p>0.05). These results are consistent with those reported in the literature. The delay of surgery is a partner to the increase of postoperative complications (infection and nonunion) and hospital stay. A delay of more than an operative 48 hours must be avoided, but not for the medically unstable patients who require medical stabilization period. Level of evidence - Level IV: retrospective - historical series.