ECRASEMENTS DE MEMBRES DE L’ENFANT MEMBER’S CRUSH INJURIES IN CHILDREN

Objective: To describe the epidemiology, mechanisms of occurrence and therapeutic management of the crushing member’s injuries in children. Materials and methods: It was a retrospective study of the records of patients less than 15 years treated in the Pediatric Surgery Department of the Sylvanus Olympio teaching hospital (Lomé) for crushing members from January 2008 to December 2011. Results: We recorded 15 cases of crushing member’s injuries in children representing 1.7% of hospitalizations for trauma in the pediatric surgery department. The annual incidence was 3.7 cases. There were 7 males and 8 females. The average age of the patients was 8.8 years. Older children accounted for 10 cases (66.7%). Occurrences of accidents were the mechanisms of the public highway with 53.3% (8 cases) and 46.7% (7 cases) for domestic accidents. Five (5) patients had hemodynamic shock at admission. Treatment was radical in 10 patients (66.7%). It was an amputation. Conservative treatment consisted to the cast immobilization in three patients and intra focal osteosynthesis in two (2) patients. A suppuration of amputation stumps was recorded. The average length of hospital stay was 23.17 days (extremes: 1 and 60 days). Conclusion: Members’ crush injuries are relatively uncommon in pediatric units in Togo

Traitement Chirurgical Des Fractures Du Fémur De L’enfant

Objective To describe indications, different modalities and results of surgical treatment of femur fractures in children. Patients and methods This is a retrospective study from January 2004 to December 2013 in the pediatric surgery department of Lomé Sylvanius Olympio teaching hospital, from the records of patients aged 0-15 years with femur fractured treated surgically. Results There were 66.1% (39 cases) of shaft fractures of which 53.57% localized in the middle third. Of the 33.9% (20 cases) of the lower extremity fracture, epiphyseal growth fractures accounted for 13 cases including seven (7) for type II among Salter-Harris classification. The indications were: femoral fracture occurred in the context of multiple trauma (4 cases), patients over 11 years (40 cases), failure of conservative treatment (2 patients), epiphyseal growth fractures of the distal femur after failure of conservative treatment (12 patients) and an epiphyseal growth fracture type 4 of Salter and Harris where surgery was indicated immediately (1 case). The average time of surgical treatment was 32 days. The elastic stable intramedullary nailing (ESIN) was made in 66.1% of patients, the plate in 18.6%, the pinning in 11.9% and screwing in 3.4%. The average duration of hospital stay was 45.16 days. Removal of osteosynthesis material was performed in 38 patients or 64.4% of cases. The average time of this removal was 8 months.Conclusion The methods of the most widely used surgical treatment are open ESIN because of the long waiting patients associated with very limited financial resources. This method has real advantages and should be encouraged in our communities by improving the technical facilities and living conditions of the population

Second T = 3/2 state in 9^9B and the isobaric multiplet mass equation

Recent high-precision mass measurements and shell model calculations~[Phys. Rev. Lett. {\bf 108}, 212501 (2012)] have challenged a longstanding explanation for the requirement of a cubic isobaric multiplet mass equation for the lowest $A = 9$ isospin quartet. The conclusions relied upon the choice of the excitation energy for the second $T = 3/2$ state in $^9$B, which had two conflicting measurements prior to this work. We remeasured the energy of the state using the $^9{\rm Be}(^3{\rm He},t)$ reaction and significantly disagree with the most recent measurement. Our result supports the contention that continuum coupling in the most proton-rich member of the quartet is not the predominant reason for the large cubic term required for $A = 9$ nuclei

ECRASEMENTS DE MEMBRES DE L’ENFANT MEMBER’S CRUSH INJURIES IN CHILDREN

Objective: To describe the epidemiology, mechanisms of occurrence and therapeutic management of the crushing member’s injuries in children. Materials and methods: It was a retrospective study of the records of patients less than 15 years treated in the Pediatric Surgery Department of the Sylvanus Olympio teaching hospital (Lomé) for crushing members from January 2008 to December 2011. Results: We recorded 15 cases of crushing member’s injuries in children representing 1.7% of hospitalizations for trauma in the pediatric surgery department. The annual incidence was 3.7 cases. There were 7 males and 8 females. The average age of the patients was 8.8 years. Older children accounted for 10 cases (66.7%). Occurrences of accidents were the mechanisms of the public highway with 53.3% (8 cases) and 46.7% (7 cases) for domestic accidents. Five (5) patients had hemodynamic shock at admission. Treatment was radical in 10 patients (66.7%). It was an amputation. Conservative treatment consisted to the cast immobilization in three patients and intra focal osteosynthesis in two (2) patients. A suppuration of amputation stumps was recorded. The average length of hospital stay was 23.17 days (extremes: 1 and 60 days). Conclusion: Members’ crush injuries are relatively uncommon in pediatric units in Togo