Management of Post-Traumatic Sternal Fractures in a West African Country: the Case of Niger
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Keywords

Fracture
post traumatic
sternum
Niamey

How to Cite

1.
Sani R, Dalatou MH, Alzouma Ibrahim I, Akoke Farid A, Mohamed A. Management of Post-Traumatic Sternal Fractures in a West African Country: the Case of Niger. ATD [Internet]. 2023 Apr. 2 [cited 2024 Apr. 19];2023. Available from: https://mbmjpress.com/index.php/atd/article/view/704

Abstract

Introduction: Traumatic fractures of the sternum are relatively rare injuries and occur against the backdrop of high-energy chest trauma. The severity of these lesions is mainly related to their association with life-threatening cardiovascular lesions. Their treatment is mostly conservative. The aim of this work is to report the results of the management of post-traumatic fractures of the sternum in Niger. Patients and methods: a 27-month retrospective study involving 9 patients with a post-traumatic fracture of the sternum treated at the thoracic surgery department of the General

Reference Hospital of Niamey. 8 of these patients were treated with conservative methods and 1 benefited from osteosynthesis by a screwed ankle plate adapted to the sternum. Results: The mean age of patients was 41.78 years (14 to 60 years). The male sex was predominant with 7 cases or 77.77%. Public road traffic is the most common occurrence circumstance found in 88.9% of cases. Symptomatology was dominated by presternal chest pain. The site of the fracture was at the level of the manubrium in 66.6% of cases and the most common type of fracture was the simple fracture in 55,56 of cases. Pulmonary contusion and hemothorax were the most associated lesions with respectively 44.4% each. There was 1 case of death in the context of polytrauma. Conclusion:  Post-traumatic fractures of the sternum are rare and potentially serious, requiring multidisciplinary management.

https://doi.org/10.15342/atd.2023.704
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Copyright (c) 2023 Mahamadou Habibou DALATOU, Rabiou Sani

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