Research Article
External Fixation of Tibial Shaft Fractures in Cameroon-Central Africa
Jean Gustave Tsiagadigui*,
Berna Marquise Mba Wolle,
Théophile Nana,
Loïc Fonkoue,
Olivier Kennedy Muluem,
Clautaire Mwebi Ekengoue,
Marie-Ange Ngo Yamben,
Jean Bahebeck,
Maurice Aurélien Sosso
Issue:
Volume 10, Issue 2, April 2024
Pages:
17-24
Received:
8 December 2023
Accepted:
27 May 2024
Published:
15 August 2024
Abstract: Introduction: Open Tibial Shaft Fractures (TSF) are the most commonly encountered injury type in Cameroon. External fixation, relatively unfamiliar in Cameroon, helps prevent its complications. Objectives: The objective of this study was to evaluate the outcomes of the treatment of TSF using external fixation in Cameroon. Materials and Methods: Patients operated at Laquintinie and Edea Regional Hospital (ERH) with an external fixator (EF) for TSF were followed up from 2018 to 2022. Circumstances of the trauma, anatomo-clinical lesions, types of management, complications, and duration of fixator maintenance were assessed. Results: 161 EFs were placed on 144 patients. Of these, 93 (64.6%) were aged between 20 and 49 years with a sex ratio of 2.5/1. Motorcycle crashes were involved in 68.2% of patients. The fracture involved the middle third in 61 patients (37.9%). It was oblique in 57 patients (35.4%). The injuries were open in 126 (78.3%) cases. The average length of hospital stay was 36.2 days. 122 fractures (75.8%) healed within the expected time, and 21 cases (13.0%) of delayed union were observed. Bone infection was noted in 24 patients (14.9%). The outcome was deemed excellent and good in 122 cases (84.8%). Conclusion: External fixation is effective in managing TSF and is recommended for wider use in Cameroon.
Abstract: Introduction: Open Tibial Shaft Fractures (TSF) are the most commonly encountered injury type in Cameroon. External fixation, relatively unfamiliar in Cameroon, helps prevent its complications. Objectives: The objective of this study was to evaluate the outcomes of the treatment of TSF using external fixation in Cameroon. Materials and Methods: Pat...
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Case Report
Pure Metastatic Papillary Renal Cell Carcinoma Without Renal Mass: A Case Report and Literature Review
Pay Enes*
,
Ibrahim Hacibey,
Serhat Yentur,
Salih Zeki Sonmez,
Atilla Semercioz
Issue:
Volume 10, Issue 2, April 2024
Pages:
25-28
Received:
20 December 2023
Accepted:
2 January 2024
Published:
27 August 2024
Abstract: Renal cell carcinoma (RCC) is the most common solid lesion in the kidney and accounts for approximately 90% of all kidney malignancies. Metastasis usually occurs a few years after the diagnosis of RCC, but metastases can be seen at first presentation in some patients. Pure metastasis of RCC without kidney lesions is an extremely rare seen entity. Herein, we aimed to present a pure metastatic RCC (mRCC) in several lymph nodes without a kidney mass. A 41-year-old male was diagnosed with multiple lymphadenopathies based on imaging conducted after a work accident. No other lesion was detected. An excisional biopsy was performed on the supraclavicular lymph node. Histopathological examination of sample revealed a Type 2 papillary RCC metastasis. No primary lesion was observed in both kidneys in CT/MRI imaging. As a result, the patient was diagnosed as a pure metastatic papillary RCC and sunitinib treatment was started. After the treatment, metastatic lesions regressed, however, patient died due to COVID-19. In the literature, mRCC of unknown primary represents an aggressive metastatic malignancy and can be considered a poor prognostic factor in itself. However, in some cases as such in our patient, appropriate treatment could be beneficial in terms of metastatic regression. Pure metastatic RCC has been reported with only case reports and series. The treatment and prognosis in these patients are heterogeneous.
Abstract: Renal cell carcinoma (RCC) is the most common solid lesion in the kidney and accounts for approximately 90% of all kidney malignancies. Metastasis usually occurs a few years after the diagnosis of RCC, but metastases can be seen at first presentation in some patients. Pure metastasis of RCC without kidney lesions is an extremely rare seen entity. H...
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