Open Fractures of Limbs by the Bite of Domestic Donkeys: An Unusual Aetiology  

作　　者：Mohamed Sidibé Mohamed Lamine Bah Fodé Mahamoud Sylla Tafsir Camara Serge Ntungwanayo Mohamed Sidibé;Mohamed Lamine Bah;Fodé Mahamoud Sylla;Tafsir Camara;Serge Ntungwanayo(Orthopedic-Traumatology Department of the Tambacounda Regional Hospital, Tambacounda, Senegal;Orthopedic-Traumatology Department of the Ignace Deen National Hospital in the Republic of Guinea, Conakry, Guinea)

机构地区：[1]Orthopedic-Traumatology Department of the Tambacounda Regional Hospital, Tambacounda, Senegal [2]Orthopedic-Traumatology Department of the Ignace Deen National Hospital in the Republic of Guinea, Conakry, Guinea

出　　处：《Open Journal of Orthopedics》2022年第12期485-492,共8页矫形学期刊（英文）

摘　　要：Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and evolutionary profile of open fractures of limbs by bites of domestic donkeys. Patients and Methods: This is a prospective descriptive study over 28 months made in the Orthopedics-Traumatology department of the Tambacounda Regional Hospital in Senegal, concerning patients bitten by donkeys, resulting in an open fracture of the thoracic and pelvic limbs. Results: Twelve male patients were included. The average age was 10.50 years ± 2.60. The most common circumstance was the bite when two donkeys were separated. The thoracic limbs were the most affected by the occurrence of the arm. Cauchoix-Duparc type II and AO A2 and B2 were predominant. The essential trimming/osteosynthesis was carried out within 24 hours of the bite. Serovaccination was systematic, but on the other hand, a single dose of anti-rabies serum was administered. Pinning was the most commonly used bone synthesis. Complications were mainly infectious, followed by a case of radial nerve palsy and non-union on pins. Conclusion: The typical profile of an open donkey bite fracture is a male child/adolescent who is bitten during the separation of two fighting donkeys. The lesions are most often found in the thoracic limbs with a predominance of Cauchoix-Duparc type II and type A2 and B2 fractures of the AO, whose treatment consisted of trimming and pinning. The infectious complications of the soft tissues marked the evolution.Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and evolutionary profile of open fractures of limbs by bites of domestic donkeys. Patients and Methods: This is a prospective descriptive study over 28 months made in the Orthopedics-Traumatology department of the Tambacounda Regional Hospital in Senegal, concerning patients bitten by donkeys, resulting in an open fracture of the thoracic and pelvic limbs. Results: Twelve male patients were included. The average age was 10.50 years ± 2.60. The most common circumstance was the bite when two donkeys were separated. The thoracic limbs were the most affected by the occurrence of the arm. Cauchoix-Duparc type II and AO A2 and B2 were predominant. The essential trimming/osteosynthesis was carried out within 24 hours of the bite. Serovaccination was systematic, but on the other hand, a single dose of anti-rabies serum was administered. Pinning was the most commonly used bone synthesis. Complications were mainly infectious, followed by a case of radial nerve palsy and non-union on pins. Conclusion: The typical profile of an open donkey bite fracture is a male child/adolescent who is bitten during the separation of two fighting donkeys. The lesions are most often found in the thoracic limbs with a predominance of Cauchoix-Duparc type II and type A2 and B2 fractures of the AO, whose treatment consisted of trimming and pinning. The infectious complications of the soft tissues marked the evolution.

关 键 词：Open Fractures LIMBS BITE DONKEYS 

分 类 号：R65[医药卫生—外科学]