Publications by authors named "Koffi Léopold Krah"

4 Publications

  • Page 1 of 1

[Fractures of the pelvis causing vaginal wound].

Pan Afr Med J 2021 21;38:70. Epub 2021 Jan 21.

Service d´Orthopédie et de Traumatologie du CHU de Bouaké, Bouaké, Côte d´Ivoire.

Pelvic fractures occur most often in people experiencing a traumatic event. Although they are due to high-velocity injuries, these lesions are rarely associated with vaginal wounds, and data on patients' evolution are scarce. The purpose of our study was to describe anatomoclinic lesions, treatment and progression of these lesions. The study involved five female patients who had had vaginal wounds due to pelvic fracture over the past decade. The patients had a mean age of 23,6 years. Vaginal wounds were mainly due to road accidents. Two patients had linear wounds and three had lacerated wounds. Vaginal suture was performed in all patients. After a mean follow-up period of 2 years, patients' evolution was favorable with healing of vaginal wound and bone. Genital and obstetric functions were not compromised. Although vaginal wounds most often go unnoticed, they should be suspected in female patients with pelvic fracture.
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http://dx.doi.org/10.11604/pamj.2021.38.70.22402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8028363PMC
May 2021

[Secondary amputation of the limb after primary surgery of open fractures of the lower limb].

Pan Afr Med J 2018 26;29:172. Epub 2018 Mar 26.

Service d'Orthopédie et de Traumatologie du CHU de Bouaké, Côte d'Ivoire.

This study reports the complications occurred during the management of open fractures of the lower limbs, resulting in secondary amputations, observed in clinicians' practice in recent years as well as different risk factors and possible deficiencies in management at the origin of these complications. We conducted a retrospective study over a period of 06 years (January 2006 - January 2012). It included patients with open fracture of the lower limb initially treated in our institution and whose complications resulted in amputation. All patient undergoing emergency amputation after examination at the Emergency Department were excluded. All patient treated in another hospital before being referred to us were excluded by the study, even if secondary amputation had been performed in our institution. We collected data by analyzing the records of patients (clinical and complementary examinations, surgical reports). We evaluated our management of open fractures of the lower limb according to the guidelines and recommendations found in the literature. These complications were observed in 9 out of 306 open fractures of the lower limb treated in the same period (January 2006 - January 2012), reflecting a rate of 2.9%. The average age was 42.6(26-57) years, all patients were male. We recorded 1 case of fracture of the femur, 7 cases of fracture of 2 leg bones and 1 case of foot crushing. These were open fractures including 1 case of type 1 fracture, 3 cases of type II fracture and 5 cases of type III fracture, according to Gustilo and Anderson classification. We performed 5 amputations of the thigh and 4 amputation of the upper third of the leg. Various complications motivated these amputations, including bone infections or soft-tissue gangrenes of ischemic or infectious origin. The patients had no morbidities such as diabete and were not chronic smokers. No patient died. Open fractures deserve special attention of the surgeon on immediade complications both from a diagnostic and therapeutic point of view in order to reduce the amputation rates after primary surgery giving patients the impression that they had an incorrect procedure performed on them. Particular attention should be paid to the degree of initial contamination and to the presence of a virulent germ at the site of trauma which may motivate particular attitudes during primary management.
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http://dx.doi.org/10.11604/pamj.2018.29.172.13177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057595PMC
August 2018

[Dorsolumbar cold abscess revealing Pott's disease].

Pan Afr Med J 2017 2;27. Epub 2017 May 2.

Service d'Orthopédie, Traumatologie, CHU de Bouake, Côte d'Ivoire.

Tuberculous cold abscesses are a rare and unusual form of extrapulmonary tuberculosis. We here report the case of a 27-year old patient with a 5-month history of left dorsolumbar swelling presenting with dorsolumbar cold abscess revealing Pott's disease without neurological complications. Examination of pus sample collected at the time the abscess was incised and drained helped to confirm the diagnosis of cold abscesses of TB origin. The patient underwent 12 months of anti-tuberculosis treatment which lead to a faster recovery; the sequelae was slight gibbosity.
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http://dx.doi.org/10.11604/pamj.2017.27.2.11174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5511723PMC
August 2017

[Squamous cell carcinoma of the nail apparatus on the hallux without osseous involvement: study of a patient treated by amputation].

Pan Afr Med J 2016 1;24:111. Epub 2016 Jun 1.

Service Orthopédie Traumatologie Hôpital Charles Nicolle, Tunis, Tunisie.

The late diagnosis of squamous cell carcinoma of the hallux in an aged patient on second-line therapy led to a trans-proximal phalanx amputation. This is a rare lesion affecting the toes which may compromise the functional prognosis of the foot. This clinical case report with review of the literature aims to highlight the difficulties of diagnosis and indications for amputation.
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http://dx.doi.org/10.11604/pamj.2016.24.111.9166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5012814PMC
March 2017
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