[The treatment of tibia open fractures by Hoffmann external fixation in Niamey. About 50 cases]

The authors present the results of a retrospective study performed during 12 months; about 50 open fractures of tibia, treated by Hoffmann external fixation entirely or partially. The mean age was 33 years (6 years to 60 years). Forty (80%) patients had sustained the fracture in road traffic. According to Cauchoix system: 30 (60%) tibia open fracture was type I, 8 (16%) type II, and type III 12 (24%). 20 patients treated by external fixation following by internal fixation (plate), 10 patients treated by external fixation following by cast; 20 patients treated by external fixation only. The mean bone healing time was 7.5 monthinfections 6%, non-union 5 patients. Hoffmann external fixation is an excellent and safe method for the management of tibial open fractures.