Objective: To assess the anatomical and functional results after surgical management\nof leg shaft mal-union in African environment. Methodology: This\nwas a retrospective study of patients operated for leg mal-union at Brazzaville\nUniversity Hospital between January 2014 and December 2018. The studied\nparameters were epidemiological and therapeutic. The anatomical evaluation\nwas based on the quality of the legâ??s relaxation and bone healing, which was\nindicated on standard X-rays. The functional evaluation was based on Thorensenâ??s\ncriteria. Results: Five patients were selected for this study. There\nwere 3 men and 2 women with an average age of 39 years with extremes of 27\nand 59 years. Three patients were treated with locked intramedullary nail and\n2 patients with screwed plate. At an average follow-up of 9 months, bone\nconsolidation was achieved in all our patients. The average consolidation\ntime was 4 months (range 3 to 7 months). We noted 1 case of residual\nmal-union in valgus (5Degree) on screwed plate and 1 case of valgus angulation\n(5Degree) on locked intramedullary nail. Walking was considered normal in 3 patients.\nThe wearing of a 2 cm heel was indicated in 2 patients. According to\nThorensenâ??s criteria, the overall results were considered good in 3 patients\nand average in 2 patients. Conclusion: Leg shaft mal-union are likely to cause\nserious functional issues. Their treatment is strictly surgical and osteotomy is\nthe only management option to restore the anatomy of the deformed limb.
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