Vol. 5, Issue 1, Part A (2023)

Road Traffic Accidents (RCAs) have been heavily implicated in the occurrence of leg fractures, especially in low-income countries due to poor road conditions. The purpose of carrying out the treatments of leg fractures due to road traffic accidents and presenting the results of the treatment.
This was a prospective study, over a period of 11 months from January 1, to November 1, 2022 at the Owendo University Hospital Center (CHUO). Patients presenting to the trauma emergency department of the CHUO for a leg fracture after ACR were included. Patients consulting for leg fracture due to another cause were not included. Data were entered using Excel 2019 software. Statistical analysis was performed using SPSS version 24 software.
The results show that 64 patients made up of 39 men and 25 women took part in the study, with an M/F ratio: 1.56 in favor of men. The age group of 25 to 64 years was the most represented (75%) with an average age of 34 years and extremes of 6 to 63 years. The majority of patients had performed an X-ray and biological examinations (88%). Surgical treatment was the most used (64.1%) represented by ECM (34.34%). Orthopedic treatment was used in 35% of cases, represented by cruro-pedial plaster (91.3%). The suites were complicated in 29.6% of cases, most represented by osteitis (16%). The majority of patients had no complications after treatment (70%). The treatment was favorable in 91% of patients. Patients with a Cauchoix type 1 opening had a significantly unfavorable outcome. 
Ultimately, leg fractures by ACR constitute a frequent reason for consultation in traumatological emergencies. This study revealed that patients with immediate and medium-term complications were most likely to have an unfavorable outcome.