Epidemiological profile and results of the management of diaphyseal fractures of the forearm bones in adults at Owendo University teaching Hospital (Gabon)

Abstract

Introduction: Forearm bone fractures are serious fractures that often affect prono supination. Their treatment remains controversial. The aim of this work was to describe the epidemiological profile and evaluate the results obtained after their surgical treatment in the department. Patients and Methods : This was a retrospective study conducted from May 2016 to May 2018, at the Owendo University Teaching Hospital. The study included all patients admitted to the department for diaphyseal fracture of one or both bones of the forearm, treated surgically and regularly followed in outpatient consultation. Results: A total of 52 patients were collected. There were 39 men (75%) and 13 women (25%). The average age was 38.0 years with extremes of 16 and 60 years. Road traffic accidents constituted the most frequent etiology with 73.1% (n = 38). Fractures were closed in 78% (n = 41). Simultaneous damage to both bones of the forearm was noted in 78.8% (n = 41). The fracture line was transverse in 78.8% (n = 41). The middle third was the most common site with 78.8% (n = 41). The average intervention duration varied between 65 and 120 minutes. Fractures operated by screw plate consolidated at the 12 th post-operative week. The anatomical and functional result was generally satisfactory at 96.1%. Conclusion : diaphyseal fractures of the forearm bones are common in the department and are the prerogative of young adult males. Support by screwed plate or intramedullary pinning gave generally satisfactory results.