Vol. 9, Issue 1, Part A (2025)
Functional result of open fractures of the metatarsals treated by axial pinning: About 13 cases at the brazzaville university hospital center
Nevil Stève Ngona Gampio Mvili, Yves Girineza Ndabereye, Thierry Tshamba, Nganzi Fusu, Larissa Prudence Mabela Bassoumba, Kevin Parfait Bienvenu Bouhelo-Pam, Zifa Francis Nzengui, Marc Fabrice Nkoua, Moïse Radam Ellah, Arnauld Sledje Wilfrid Bilongo-Bouyou and Marius Monka
Objective: Metatarsal fractures are among the most common foot injuries, accounting for approximately 5 to 6 percent of all fractures encountered in consultation. A combination of bone and soft tissue injuries can lead to foot instability. The aim of this study was to evaluate the functional outcome of open fractures of the metatarsals treated by axial pinning at the University Hospital Center of Brazzaville (CHUB).
Patients and Methods: This is a retrospective study that was carried out on 13 patients who had an open fracture of the neck and body of the metatarsals of the foot classified as type II according to Cauchoix-Duparcau at CHUB between January 2023 and June 2024, i.e. a period of 18 months. 13 patients were evaluated, including 04 women and 09 men. There were 05 cases of open fracture of the neck of the last 4 metatarsals, 04 cases of open fracture of the body of the 5 metatarsals, and 04 cases of bifocal open fracture of the 05 metatarsals. These fractures did not benefit from any cover flap, just directed healing. The mean age of the study was 40 years, with a standard deviation of ±11.29, with extremes: of 23-58 years.
Results: Thirteen patients with an open fracture of the neck and body of the metatarsals classified as type II according to Cauchoix-Duparc had a very excellent functional result with an AOFAS score of 90 points. The average for pain, function, and alignment was 40/40, 35/45, and 15/15.
Conclusion: Crush injuries are serious injuries leading to prolonged morbidity, and medical care should focus on the repair of soft tissue injuries and bone stabilization.
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