Author(s)

Mohamed Sidibé^1*, Mohamed Lamine Bah², Fodé Mahamoud Sylla², Tafsir Camara², Serge Ntungwanayo¹

¹Orthopedic-Traumatology Department of the Tambacounda Regional Hospital, Tambacounda, Senegal.
²Orthopedic-Traumatology Department of the Ignace Deen National Hospital in the Republic of Guinea, Conakry, Guinea.

Introduction: The aim of this study is to describe the epidemiological, lesional, therapeutic and evolutionary profile of open fractures of limbs by bites of domestic donkeys. Patients and Methods: This is a prospective descriptive study over 28 months made in the Orthopedics-Traumatology department of the Tambacounda Regional Hospital in Senegal, concerning patients bitten by donkeys, resulting in an open fracture of the thoracic and pelvic limbs. Results: Twelve male patients were included. The average age was 10.50 years ± 2.60. The most common circumstance was the bite when two donkeys were separated. The thoracic limbs were the most affected by the occurrence of the arm. Cauchoix-Duparc type II and AO A2 and B2 were predominant. The essential trimming/osteosynthesis was carried out within 24 hours of the bite. Serovaccination was systematic, but on the other hand, a single dose of anti-rabies serum was administered. Pinning was the most commonly used bone synthesis. Complications were mainly infectious, followed by a case of radial nerve palsy and non-union on pins. Conclusion: The typical profile of an open donkey bite fracture is a male child/adolescent who is bitten during the separation of two fighting donkeys. The lesions are most often found in the thoracic limbs with a predominance of Cauchoix-Duparc type II and type A2 and B2 fractures of the AO, whose treatment consisted of trimming and pinning. The infectious complications of the soft tissues marked the evolution.

Open Fractures, Limbs, Bite, Donkeys

Sidibé, M. , Bah, M. , Sylla, F. , Camara, T. and Ntungwanayo, S. (2022) Open Fractures of Limbs by the Bite of Domestic Donkeys: An Unusual Aetiology. Open Journal of Orthopedics, 12, 485-492. doi: 10.4236/ojo.2022.1212049.