Vol. 11, Issue 4 (2025)

Introduction: These are extra-articular fractures, mainly diaphyseal, of one or both bones of the leg.

The objective of our study was to evaluate the results of surgical treatment of leg fractures in adults.

Materials and Methods: This was a prospective, descriptive, single-center study lasting two (2) years, from January 1, 2022, to December 31, 2023, involving 23 patients at the N'Dioum Regional Hospital (Senegal).

Results: We collected data on 23 patients, including 19 men (82.6%) and 4 women (17.4%), with a sex ratio (M/F=4.8). The average age of our patients was 25.95 years, ranging from 15 to 53 years. The most frequent circumstances were road accidents with 18 cases (78.3%). The left side was affected in 12 cases (52.2%). The fractures were open in 13 cases (56.5%), and Cauchoix and Duparc type II was the most common with 7 cases (53.8%). Fractures of both leg bones were found in 17 cases (73.9%), including one case of bilateral leg fracture. Fractures were located in the middle third in 12 cases (52.2%). The average time to treatment was 4 days, ranging from 2 to 17 days. Surgical treatment was dominated by lateral screw fixation in 12 cases (52.2%), while intramedullary nailing was performed in 11 patients (48.7%).

The immediate postoperative period was uneventful with no complications (no infection, compartment syndrome, or skin necrosis, etc.).

At the 24-month follow-up, we evaluated our patients according to anatomical criteria. All our patients healed well and we recorded no late complications (pseudarthrosis, malunion, osteoarthritis, loosening of osteosynthesis material, etc.).

We also evaluated our patients according to the functional criteria of Olerud and Molander: our results were excellent in 14 cases (60.9%) and good in 9 cases (39.1%).

Conclusion: Leg fractures are a real public health problem, exacerbated by the advent of motorized two-wheeled vehicles as a means of public transport in our societies. Treatment must be carried out within a short period of time in order to initiate early and continuous rehabilitation and avoid disabling complications that could impair the functional prognosis of the limb.