Journal of the West African College of Surgeons最新文献

{"title":"Cutaneous Malignancy of the Head and Neck in Patients with Xeroderma Pigmentosum: A Report of Three Cases.","authors":"Joshua D Choji, Akintunde J Akintayo, Silas S Kaffi, Akpomushi Egga, Stanley O Akubuko, Utobong O Udo, Gerald N Nduka, Simon J Yiltok","doi":"10.4103/jwas.jwas_22_25","DOIUrl":"10.4103/jwas.jwas_22_25","url":null,"abstract":"<p><p>Xeroderma pigmentosum (XP) is a rare autosomal recessive disorder resulting from mutations in nucleotide excision repair. It is characterised by severe photosensitivity, cutaneous pigment changes, malignant tumour development, and occasionally progressive neurologic degeneration. The aim is to report three cases of XP with cutaneous malignancies with emphasis on the importance of prevention of malignant transformation in these patients. Three adults within their 3rd and 4th decades with XP were managed for cutaneous malignancies: two males and one female, two of whom were siblings. Two had fungating lesions on the forehead, and one had multiple scalp lesions. The histology in all the three patients revealed squamous cell carcinoma (SCC). All underwent wide local excision, followed by full and split thickness skin grafting to cover the defects, except the one that had transposition flap at a second surgery, and were co-managed with a dermatologist. Skin malignancies especially SCC and basal cell carcinoma are common in the facial regions of patients with XP. Adequate education of the patients on the importance of protection from the ultraviolet radiation radiations will prevent malignant transformation, and early presentation with appropriate treatment will improve prognosis.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"351-355"},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pneumatosis Intestinalis: Identifying the Need for Surgery for Gas in the Gut Wall and Outcomes.","authors":"Katha H Dave, Sagar J Vaghela, Archana D Dalal, Kalpit R Suthar, Nidhi A Saraf","doi":"10.4103/jwas.jwas_77_25","DOIUrl":"10.4103/jwas.jwas_77_25","url":null,"abstract":"<p><strong>Introduction: </strong>Pneumatosis intestinalis (PI) is a rare (0.03%) pathology defined as the presence of gas within the small or large bowel wall. It was first described by Du Vernoi in autopsy studies in 1730. There are two types of PI: primary (15% cases) with benign and cystic intramural gas and secondary (85% cases) having a linear collection of gas reflecting an underlying pathology. It is usually diagnosed radiologically. Management of PI varies from conservative to emergency surgical intervention.</p><p><strong>Aims: </strong>We report this study to make the clinicians aware about this rare, but important differential diagnosis in patients who present with acute abdominal pain.</p><p><strong>Materials and methods: </strong>This retrospective observational study includes 10 patients who presented with acute abdominal pain to the emergency department of a tertiary care hospital over a span of 24 months. Patients with radiological diagnosis of PI on contrast-enhanced computed tomography (CECT) abdomen were selected for the study.</p><p><strong>Results: </strong>All patients presented with severe abdominal pain; 60% had abdominal distension, and 40% showed signs of peritonitis and septic shock. Surgical management was needed in 60%, and the rest were treated conservatively with intravenous fluids, antibiotics and analgesics. About 20% patients could not survive despite surgery. All patients managed conservatively survived. Histopathological reports showed gangrenous changes of intestinal walls with vascular occlusion. Patients who have survived came for regular follow-up and does not show any complications.</p><p><strong>Conclusion: </strong>PI, though rare, must be recognized early to improve outcomes. Surgical intervention is necessary in cases with ischaemia on CECT abdomen. They have high mortality rates even after surgical intervention. Patients having long-term onset of symptoms with healthy bowels can be managed conservatively.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"297-302"},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Radiographic Outcomes Following Complex Spine Reconstruction in Neurofibromatosis with Severe Spinal Deformity.","authors":"Kwadwo Poku Yankey, Derrick Nyantakyi Owusu, Arthur Sackeyfio, Francis Addai, Irene Wulff, Liudmila Gross-Fenandez, Oheneba Boachie-Adjei","doi":"10.4103/jwas.jwas_43_25","DOIUrl":"10.4103/jwas.jwas_43_25","url":null,"abstract":"<p><strong>Introduction: </strong>Neurofibromatosis (NF) associated spine deformity is uncommon and can be debilitating to patients. Surgery for deformity correction is associated with improved neurological status and quality of life, however, the surgical correction of the spinal deformity can be challenging can be and associated with high complication rates. We present a series of NF patients with curves >100° or treated with a vertebral column resections (VCR).</p><p><strong>Hypothesis: </strong>Spine deformity correction surgery in NF patients with curves >100° or indicated for VCR have higher rates of postsurgical complications.</p><p><strong>Materials and methods: </strong>Twelve consecutive NF patients from a multi-centre study group who underwent complex spine reconstruction as a result of NF associated deformity (>100° or treated by VCR) were enrolled in the study. Analysis included demographic, clinical, pr-operative, intraoperative, and postoperative complications. scoliosis research society (SRS)-22 scores were used to compare pre-and 2-years postoperative functional outcomes.</p><p><strong>Results: </strong>Mean age and body mass index were 14 ± 2.9 and 19.8 ± 4.7 kg/m², respectively. Of the twelve patients enrolled, six patients had severe kyphoscoliosis, two patients presented with kyphosis, and four with scoliosis. Halo-gravity traction was used in 75% (9/12) of patients. Mean preoperative coronal and sagittal Cobb angles were 99.7 ± 22.5 and 99.1 ± 35.4, respectively. Seven patients had VCR and five had posterior column osteotomies. At 2-years postoperatively, mean coronal and sagittal Cobb angles were 44.9 ± 17.5 and 62.7 ± 21.7, respectively. Two patients with preoperative motor deficits improved at 1 year follow-up and 1 (8.3%) patient had new neurologic deficit postoperatively but recovered within a year follow-up. About 16.70% (2/12) had post-op pulmonary complications (atelectasis and pleural effusion) and 16.7% (2/12) patients required a revision surgery for implant related complications. There were no pseudarthrosis, visual complications (blindness) or deaths in the study cohort. health related quality of life measures, including SRS-22 scores demonstrated significant improvement at 2-years follow-up.</p><p><strong>Conclusion: </strong>Complex reconstruction resulted in significant curve improvement in both coronal and sagittal planes in NF-associated spine deformity. There were low of postsurgical complications. SRS outcomes improved in all patients after 2 year f/u.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"337-342"},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smartwatch Technology Retained Aesthetic Prosthesis (STRAP) Hand: A Functional and Aesthetic Innovation.","authors":"Arpit Sikri, Tarun Kalra, Vaishali Kalra, Jyotsana Sikri","doi":"10.4103/jwas.jwas_74_25","DOIUrl":"10.4103/jwas.jwas_74_25","url":null,"abstract":"<p><p>The hand performs essential functions such as grasping, touching, holding, and manipulating, while also contributing significantly to personal identity and psychological well-being. Partial hand loss compromises both aesthetics and function, often resulting in emotional distress. A well-designed prosthesis can restore the hand's length, preserve stump sensitivity with a thin interface, protect the residual limb, and offer pressure and positional feedback. While implant-based prostheses yield superior results, their high cost limits accessibility. For transmetacarpal and carpometacarpal amputations, cosmetic gloves remain the most common solution, despite lacking anatomical detail, and colour accuracy. Functional prosthetic fitting at this level is particularly challenging due to limited residual length, stump irregularities, grafted skin, contractures, and a lack of effective options. This case report presents the development of the <b>smartwatch technology retained aesthetic prosthesis (STRAP) Hand: A functional and aesthetic innovation</b>, an inventive solution for prosthetic rehabilitation following a proximal (transmetacarpal) hand amputation. The prosthesis was meticulously fabricated using room temperature vulcanising silicone with intrinsic staining to replicate natural skin tones. Engineered as a hollow, glove-like structure, the design significantly reduced weight and cost while achieving lifelike aesthetics through distinct dorsal and ventral colour matching. A three-part mould technique enabled efficient silicone packing and precise pigment application. In addition, novel sectional wax patterning and flasking protocols were employed to enhance fabrication accuracy. A key innovation of this prosthesis was the incorporation of a silicone smartwatch strap, providing superior retention, comfort, and discreet wearability. The STRAP hand demonstrated excellent fit and passive functionality, and the patient expressed high satisfaction in terms of aesthetics, social reintegration, and ease of performing daily tasks.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"343-350"},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Profile and Outcome of Surgical Management of Spinal Tumours in Abuja.","authors":"Yusuf Ayodeji Salman, Jabir Kassim Muhammad, Adebiyi Jamiu Ayodele, Teli Mukhtar Isa, Uthman Uthman","doi":"10.4103/jwas.jwas_87_25","DOIUrl":"10.4103/jwas.jwas_87_25","url":null,"abstract":"<p><strong>Background: </strong>Spinal tumours may originate from the native tissues of the spine, spinal cord, or secondary to metastatic spread. Their neurological manifestations are often similar, irrespective of origin. Surgical intervention may be curative in most benign tumours and palliative in metastatic spine tumours. Improvement in the surgical management of spine tumours has resulted in better patients' health-related quality of life. There have been only few reports on surgical management of spinal tumours in Nigeria.</p><p><strong>Objective: </strong>The study aimed to retrospectively evaluate the clinical aspects and short-term outcome of surgically managed patients with spine tumours in our institution over 3 years.</p><p><strong>Materials and methods: </strong>A retrospective review of patients treated surgically for spinal tumours at the Neurosurgery Department of National Hospital Abuja between June 2021 and November 2024.</p><p><strong>Results: </strong>Thirty-four patients with histologically proven spinal tumours who had surgeries were reviewed. There was a slight female preponderance with mean age of 51 years. Back pain and motor deficits were the most common presentation. Metastatic tumours from prostates and the breast were the commonest operated cases. The thoracic spine was most frequently affected (50%), followed by the cervical spine (20.6%). Gross total resection was achieved for all meningioma and schwannoma cases. Most metastatic tumours were debulked to decompress the spinal cord. Half of the patients improved, 30% remained same and 20% deteriorated as at last follow up.</p><p><strong>Conclusion: </strong>Surgical intervention results in significant improvement of pain and neurological deficit in most of the patients with spinal tumours. Metastatic spinal tumours were the most operated cases.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"268-273"},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atraumatic Distal Radius and Ulna Fracture Following An Electrocution in a 14 Years Old Child: A Case Report.","authors":"Ravi Kumar, Srikanth Eppakayala, Adinarayana Kashap, Deepankar Satapathy, Sreedhar Sathu, Maheshwar Lakkireddy","doi":"10.4103/jwas.jwas_115_24","DOIUrl":"10.4103/jwas.jwas_115_24","url":null,"abstract":"<p><p>Fractures following a household electrical injury are uncommon, and it is even rarer to pick up fractures in patients who devoid a history of falls. The authors are presenting a case of a 14-year-old boy who had an electric shock at home and had continuous pain in his left wrist before presenting to us. He has sustained both distal radius and ulna uni-cortical break which were treated non-operatively. Household low-voltage electrical injuries resulting in fractures due to tetany are very uncommon. Having a uni-cortical break at both the distal radius and ulna with ventromedial displacement makes it unique, as it has never been reported. It is extremely important for the clinicians who are involved in electrical injury patient care to be suspicious about fractures associated with electrical injuries and should be looking at cues carefully for fractures even without a history of falls.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 1","pages":"103-105"},"PeriodicalIF":0.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Address by the President to 65th Annual General Meeting of the WACS at Centre International de Conference de Bamako (CIDB), Mali, on 19 February 2025.","authors":"Emmanuel R Ezeome","doi":"10.4103/jwas.jwas_81_25","DOIUrl":"https://doi.org/10.4103/jwas.jwas_81_25","url":null,"abstract":"<p><p>Notwithstanding the challenges experienced in holding the 65th Conference of WACS in Bamako, Mali, we must express our gratitude to the LOC of Bamako 2025 for the wonderful work they did in organizing a peaceful and well conducted conference. The incapacitation of the WACS President-elect created a constitutional challenge in Bamako which the Council and AGM must resolve to have a president to lead the College after the conference. The 32nd EXCO of the College accomplished a lot of milestones within the two years of its existence. Clinical examination was extended to Enugu, a new examination centre was opened in Cameroun, fledging young examination centres in Banjul, Freetown and Liberia were sustained. College sources of funding were reengineered with increased contributions from non-examination sources while maintaining exam contribution. Examinations returned to profitability and overall, College finances were tremendously increased. The construction of WACS skills and simulation centre in Abuja and the Accra office of the College were initiated during this period. Renovation of real estate properties in Morris Street Lagos guaranteed increased inflow of funds. BOT membership in Ghana and Nigeria were formalized. College-wide training-of-trainers and curriculum review with emphasis on competency acquisition and assessment were implemented. Subspecialisation commenced fully in all the faculties as well as post fellowship training in Surgical Oncology. A renewed emphasis was placed on skills training with different curricular designed for basic laparoscopic, mid level and advanced level skills and simulation programs. In collaborations with Universities, in-residency PhD degree training was started. College research capacity was greatly increased with registration on Gov.org and grants applications to facilitate training in surgical sciences. It was indeed a two-year of intense activity and I express my gratitude to all the fellows who made all the achievement possible.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and prospects of surgical simulation among final-year medical students in Enugu State, Nigeria.","authors":"Kelechi U Imediegwu, Chinenye C Odo, Chiamaka Q Onyebuchukwu, Kosisochukwu C Okeke, Somadila T Agulanna, Ikwuoma G Eleweke, Bassey Asuquo, Uku Thomas, Chiamaka Onwuasoigwe","doi":"10.4103/jwas.jwas_103_23","DOIUrl":"10.4103/jwas.jwas_103_23","url":null,"abstract":"<p><strong>Background: </strong>Simulation has rapidly become the go-to method for skill practice and training in surgical practice, to reduce the use of patients.</p><p><strong>Objectives: </strong>To determine the current state of simulations in surgical education among final-year medical students in Enugu state, Nigeria, ascertain the challenges, and proffer realistic solutions to the provision of simulations for surgical education among the students.</p><p><strong>Materials and methods: </strong>A cross-sectional survey of final-year medical students in two (2) medical schools in Enugu state, Nigeria. Data collection was done using a well-structured and validated online questionnaire distributed through online social media platforms (WhatsApp and Telegram). Descriptive and inferential data analysis was done with Statistical Package for the Social Sciences (SPSS) version 21. Chi-squares and Fischer's exact values were calculated. Significance was set at <i>P</i> < 0.05. Consent was obtained from all participants.</p><p><strong>Results: </strong>113 final-year medical students completed and submitted the questionnaires. The most commonly used virtual resource for simulation was Zoom lectures (39.8%), followed by recorded teachings (24.8%), and mannequin use (17.7%). The majority agreed that these resources caused less emotional (always = 31.0%; most times = 31.0%) and physical stress (always = 34.5%; most times = 41.6%) as well as aided better understanding of concepts (always = 22.1%; most times = 40.7%). More than half (62.8%) of respondents agreed that inadequate numbers of simulation devices was a very significant challenge, and 67.3% also recognised cost to be a very significant challenge. Among the suggested solutions, the majority agreed that curriculum restructuring was beneficial (67.3%; statistically significant with <i>P</i> = 0.05), increased funding (71.7%), training courses (48.7%) and increased awareness (62.8%) were still needed as solutions to the challenges.</p><p><strong>Conclusion: </strong>There is a need for larger-scale studies to determine the nationwide status of surgical simulation in medical schools. There is also a need to coordinate efforts towards establishing and incorporating simulator-based curricula in medical students' surgical training in Nigeria.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 1","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Patterns of Hearing Thresholds in Unilateral Hearing Loss: A Retrospective Analysis at the National Ear Care Centre, Kaduna.","authors":"Nurudeen Adebola Shofoluwe, Jamila Lawal, Maimuna Damagum Umar, Saadat Titilayo Yahaya, Amina Abdullahi Mohammed, Mohammed Sani, Rasheedat Sanni Oladigbolu, Abdurahman Omodele, Idris Abdullahi","doi":"10.4103/jwas.jwas_92_24","DOIUrl":"10.4103/jwas.jwas_92_24","url":null,"abstract":"<p><strong>Background: </strong>Unilateral hearing loss (UHL) is a prevalent audiological concern that can significantly impact an individual's quality of life. This retrospective study, conducted at the National Ear Care Centre, Kaduna, aimed to determine the hearing threshold pattern in a cohort of 693 patients with UHL, ranging in age from 5 to 70 years.</p><p><strong>Materials and methods: </strong>Data collected between January 2018 and December 2022 included pure-tone audiometry results, patient demographics, and medical history. Audiometric assessments were conducted using an A2d diagnostic audiometer. Descriptive statistics and graphical representations were used to analyse the data and identify patterns in hearing thresholds at various frequencies.</p><p><strong>Results: </strong>The analysis revealed distinct hearing threshold patterns in patients with UHL. Notably, sensorineural hearing loss (SNHL) was the most prevalent type, with 68.05% of participants exhibiting this pattern. Conductive hearing loss and mixed hearing loss were observed in 19.32% and 12.63% of participants, respectively. The hearing threshold patterns varied between the right and left ears, suggesting the importance of considering laterality in clinical assessments.</p><p><strong>Conclusion: </strong>This study contributes valuable insights into the hearing threshold patterns in patients with UHL, encompassing a broad age range. The predominance of SNHL highlights the need for tailored diagnostic and management approaches. Understanding the audiometric characteristics of this population is essential for the development of patient-specific interventions and treatment strategies.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"413-421"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Massively Displaced Type II Odontoid Fracture in an Obese Patient in a Resource-Challenged Facility: A Case Report of an Anterior Screw Osteosynthesis Technique.","authors":"Lukman Olalekan Ajiboye, Chukwuebuka Kingsley Okezie, Muhammad Abdullahi","doi":"10.4103/jwas.jwas_90_24","DOIUrl":"10.4103/jwas.jwas_90_24","url":null,"abstract":"<p><p>The surgical management of a 22-year-old obese patient with a massively displaced type II odontoid fracture through anterior osteosynthesis (using a cannulated titanium screw of size 4.0 mm by 35 mm) in a resource-challenged facility is reported. The fracture was transverse at the waist of the dens with huge anterior-lateral displacement and overlapping. This fracture was unique in term of its displacement and overlapping nature of the fragment from routinely seen cases. The management was also challenged with the patient's obesity, lack of a Mayfield device, and a nonadjustable operating table. The patient underwent the surgery and gradually and satisfactorily improved with full pre-injury functional status.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"490-496"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}