Vol. 6, Issue 1, Part B (2024)

Purpose: To report the results of internal osteosynthesis of Gustilo and Andersson type I and II open fractures in our department.
Materials and Method: This was a prospective study, descriptive type, carried out at the Traumatology-Orthopedics and Reconstructive Surgery department of the Niamey National Hospital in Niger; from August 1, 2022 to January 1, 2023 (5 months). All patients of both sexes admitted for open fracture type I or II of the Gustilo and Anderson classification and treated with internal osteosynthesis during our study period were included. The parameters studied were epidemiological, clinical, paraclinical, therapeutic, and evolutionary.
Results: In 5 months, the frequency of Gustilo and Anderson type I or II open fractures treated by internal osteosynthesis was 10.99%. There was a male predominance of 84.80% (n= 106) and a sex ratio of 5.58. The average age of the patients was 31.12 years; with extremes of 5 years and 75 years. Road traffic accidents were the first circumstance to occur in 79.20% (n=99). The majority of fractures were Gustilo and Anderson type II, 71.20% (n=129). The pelvic limb was mainly affected 81.75% (n=148). The fracture line was simple in 80.66% (n=146) and complex in 19.34% (n=35) of cases. Therapeutically, the treatment was in all cases surgical, and consisted of internal osteosynthesis; which was postponed in 71.20% (n=129) and carried out urgently in 28.80% of cases (n=52), the screwed plate was the most used material in 60.97% (n=110). The results were mostly satisfactory 93.60%. Infection (10 cases) and nonunion (2 cases) were noted.
Conclusion: Gustilo and Andersson type I or II open fractures of the limbs are common at the Niamey National Hospital. Road traffic accidents constitute the first circumstance in which these traumas occur. Internal osteosynthesis was the surgical modality used to treat these fractures and the results were mostly satisfactory