Case Series
Pages: 1 - 5
Yafoutané Djaba Pacôme1*, Adoum Allamine Hassan1,5, Beufoutcham Kachare Cephas2,6, Atchoum Mandjo2,6, Dingamnodji Magloire1,5, Hassia Nassou Christophe1,5, Bachar Loukoumi Oumar3,6 and Kessely Yannick Canton4,6
Introduction: Operating theatres are one of the main areas of hospital activity and represent the most costly facilities within a hospital. Assessing these activities provides scientific evidence and enables their documentation, with a view to improving the quality of service. The aim of this study was therefore to describe the profile of surgical procedures in orthopaedics and traumatology at the Renaissance University Hospital in N’Djamena, a centre of excellence in Chad.
Patients and methods: This was a descriptive, retrospective cross-sectional study conducted in the operating theatre of the Renaissance in N’Djamena, covering 18 months of orthopaedic and trauma surgery, from 1 April 2024 to 30 September 2025, involving 407 patients. The study included patients of both sexes, of all ages, with a complete medical record who had undergone surgery in the operating theatre during the study period, whether elective or emergency.
Results: We recorded 407 patients who underwent surgery, representing 22.6 cases per month. The 21–30 age group was the most common, accounting for 22.90% (n = 93), with ages ranging from 12 months to 98 years and a sex ratio of 2.95. Traumatic conditions were the most common, accounting for 91.17% (n = 371), followed by degenerative conditions at 3.93% (n = 16). Road traffic accidents were the most frequent cause, accounting for 68.80% (n = 280). Patients undergoing elective surgery accounted for 84% (n = 342) compared with 16% (n = 65) undergoing emergency surgery. Regarding traumatic conditions, the types of procedures performed were dominated by intramedullary nailing, followed by screw-fixed plate osteosynthesis, accounting for 20.40% (n = 83) and 19.90% (n = 81) respectively. Non-traumatic conditions were dominated by the removal of osteosynthesis hardware and total hip replacements, accounting for 17.70% (n = 72) and 3.93% (n = 16) respectively.
Conclusion: This study shows that the majority of patients admitted to the operating theatre of the orthopaedic and trauma department are young adult males who have been involved in road traffic accidents. Osteosynthesis plays a major role in their treatment. In our region, further efforts are needed in terms of both material and human resources.
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