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Traumatic Fractures of the Pelvic Limbs in Children in the Paediatric Surgery Department of Don Ka National Hospital: A Review of 35 Cases

DOI : https://doi.org/10.36349/easjms.2026.v08i01.005
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Introduction: The objective was to present the results of the management of traumatic pelvic fractures in children in the department. Materials and Methods: This is a prospective 16-month study from January 2024 to July 2025 on patients admitted, hospitalised and treated for traumatic pelvic fractures. The parameters studied were epidemiological, clinical, radiological, therapeutic and evolutionary. Results: Thirty patients were registered, corresponding to 35 cases of lower limb fractures. The average age was 11.7 years (7 to 15 years). There were 13 (43.33%) boys and 17 (56.67%) girls, with a sex ratio of 0.76. The majority of patients were schoolchildren (28, or 93.33%). Only five (16.66%) patients were transported by ambulance. Road traffic accidents accounted for 25 cases (83.33%). Pain associated with functional impairment was found in all cases. The fracture was closed in 21 cases (70%). Overlap was the most commonly observed displacement in 14 cases (40%). ECMES was performed in 16 cases (45; 71%). The average length of hospitalisation was 17.46 days (1 to 140 days). The outcome was favourable in 25 patients (80.33%). The minimum follow-up period was 6 months. Conclusion: Traumatic fractures of the lower limb are common in our setting, with schoolchildren being the most affected. Only prevention can help reduce the frequency of these accidents.

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Professor Thomas Count Dracula, MD, PhD

Distinguished Professor of Haematology Head — Experimental, Historical & Sensory Haematology Vlad the Impaler University, Wolf’s Lane, Wooden Stakes Grove 666, Transylvania.

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