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Traumatic epiphyseal detachment fractures of the distal end of the femur are a rare lesion whose severity is linked to disabling sequelae such as limb length discrepancy or most often angular deformities. In this report, surgical treatment seeks to allow early mobilization of the knee. Surgery carried out mainly by placement of pins or screws, through an open or closed approach, can be a source of complications including migration of pins, infections, knee stiffness, and growth disorders. The aim of this work was to describe their epidemiological, anatomo-clinical, therapeutic aspects as well as their evolution in the orthopedics and traumatology department of the Ségou regional hospital which is a reference hospital for orthopedic and traumatological pathology in the region. This was an observational, prospective study over 49 months from March 2015 to March 2019. It included 32 patients with traumatic epiphyseal detachment of the distal femur occurring within at most 21 days, on a healthy knee with an active cartilage fertile, who were treated surgically and followed in the department. The diagnosis of traumatic epiphyseal detachment of the distal femur was based on clinical examination and radiographs of the knee in the anterioposterior and lateral views. The functional results were evaluated according to the functional criteria of the Eastern Orthopedic Traumatology Society (SOTEST). To these criteria, we added muscle atrophy. It was measured by comparative values of thigh circumference taken 10 cm above the base of the patella. Thirty-two patients including 24 boys and 8 girls with a mean age of 12 years, ranging from 8 to 16 years. The lesions were classified according to the Salter Harris classification. We noted 22% type I (n = 7), 72% type II (n = 23), 3% type III (n = 1) and 3% type IV (n = 1). The surgical treatment consisted of reduction and bone fixation: fixation was performed by X-shaped Kirschner wires of diameter 22 in 28 cases (type I n = 7, type II n = 21), by cancellous bone screws 6.5 in 2 patients (type II n = 1, Type III n = 1), and by Kirschner wires and cancellous bone screws in 2 cases (type II n = 1, Type IV n = 1). Union was achieved in all patients within averagely 6 weeks with extremes of 4 and 12 weeks. The functional result was considered very good in 85% and good in 15% of cases. Traumatic epiphyseal detachment fractures of the distal end of the femur are a rare lesion whose severity is linked to disabling sequelae such as limb-length discrepancy or most often angular deformities. Surgical treatment aims to reconstruct the anatomy of the distal femur, to avoid secondary displacements and to allow early mobilization of the knee. [ABSTRACT FROM AUTHOR]

The authors report the forensic identification of the victims after the crash of the aircraft TJ TIM DHC-6-400 of the Nigerian company Caverton on May 11, 2022, in the locality of Bibey (District located 259 km from the capital Yaoundé). 11 occupants were on board, including 2 crew members The human remains brought to the morgue of the Central Hospital of Yaoundé were recovered by the gendarmes with the help of the local populations. At the request of the National Gendarmerie, a college of forensic doctors wasset up to carry out operations to identify human remains with a view to returning the remainsto the families. 9 victims were identified by DNA typing. The other 2 were examined by macroscopic examination and by personal effects. At the end of the investgations, we put emphasis on the importance of multidisciplinary management for the identification of victims of disasters and the establishment of an adequate framework for the conduct of forensic investigations in our country. [ABSTRACT FROM AUTHOR]

Objective: This research aimed to analyze the epidemio- clinical characteristic and the prognosis of patients with eclampsia admitted to the intensive care unit at the University Hospital of Point G. Materials and methods: The clinical records of all patients admitted to intensive care for eclampsia from September 2009 to February 2011 were retrospectively collected. We analyzed the following parameters: age, parity, gravidity, the admission deadline, the beginning of eclampsia compared to the term of pregnancy, the number of seizure, mode of delivery, score of Glasgow, blood pressure, proteinuria, complications and evolution. Results : Amoung 702 admissions, 158 patients, with a mean age of 20 ± 4 were hospitalized for eclampsia (22.5%). We recorded 106 cases of first pregnancies (67.1%) and 104 primiparous (65.8%). The admission period after the first seizure was over 6 hours for 90 patients (57%). The first seizure had occurred in ante-partum period for 69 patients, in per-partum period for 4 patients and in postpartum period for 85 patients. Ninety-three patients (59%) had consciousness disorders at admission, 12 patients received oxygen treatment. Vaginal delivery was the mode of delivery for 93patients and cesarean section for 65patients. Eclampsia was associated with renal failure in 25 patients, HELLP syndrome for 15 patients, the stroke for 5 patients, acute pulmonary edema for 3 patients, the coagulation disorders for one patient; and the sepsis for 6 patients. Maternal and perinatal lethality was 9.5% and 10.8% respectively. Conclusion : Eclampsia is a frequent medical and obstetric emergency in intensive care unit of the University Hospital of Point G and affects young patients during their first pregnancy and delivery. Maternal and perinatal lethality remains high, due to the delay in the cases management and the associated factors of gravity. Strong actions are needed to raise awareness for early medical visit and to prepare medical teams for better cases management. [ABSTRACT FROM AUTHOR]