Seydina Issa Laye Seye
Cheikh Anta Diop University
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Featured researches published by Seydina Issa Laye Seye.
Orthopaedics & Traumatology-surgery & Research | 2010
C. V. A. Kinkpe; A.V. Dansokho; M.M. Niane; E. Chau; J. Sales de Gauzy; Jean-Luc Clément; Seydina Issa Laye Seye
INTRODUCTION Extension-type supracondylar fractures of the humerus in children are frequent lesions whose orthopaedic treatment remains under debate in Rigault and Lagrange type III fractures and highly controversial in type IV fractures. The objective of this study was to extend the Blount method to fractures with substantial displacement even in patients presenting significant swelling and to evaluate the results. PATIENTS AND METHODS We conducted a prospective continuous study from December 2005 to August 2007 on 67 children: 49 boys and 18 girls with a mean age of 6 years (range, 3-14 years). The mean time lapsed from consultation to treatment was 30 h. The mean hospital stay was 72 h. In 50 children, the limb was elevated preoperatively for a mean 48 h. The fracture was reduced under fluoroscopy-guided general anesthesia with mask and immobilized with 5-cm cloth banding padded with foam. The follow-up was clinical and radiological. The mean follow-up was 16 months (range, 6-26 months). Assessment followed the 1969 SOFCOT guidelines. RESULTS At union, mean flexion was 124 degrees , the mean extension lag was 26 degrees . At last follow-up, the mean flexion was 146 degrees , the extension lag was 0.5 degrees , and pronation and supination were free. Immediately after surgery, the mean Baumann and anteflexion angles were 75 degrees and 43 degrees , respectively; at union they were 76 degrees and 44 degrees and at follow-up 79 degrees and 42 degrees . We found no vascular or nerve lesions. According to the SOFCOT criteria, at follow-up we obtained 80.6% very good results and 19.4% good results. LEVEL OF EVIDENCE Level IV. Therapeutic study.
Orthopaedics & Traumatology-surgery & Research | 2009
C.V.A. Kinkpé; A.V. Dansokho; N.F. Coulibaly; M.M. Niane; Seydina Issa Laye Seye; J. Sales de Gauzy
The authors report a case of apophysial fracture of the odontoid process in association with paresis of the upper extremities in a 5-year-old child. The fracture was treated by gradual guided self-reduction without anaesthesia, followed by a Minerva jacket cast immobilisation. Reduction was anatomical, and the neurological problems regressed within 48 hours.
Revue De Chirurgie Orthopedique Et Reparatrice De L Appareil Moteur | 2005
Mouhamadou Habib Sy; C. V. A. Kinkpe; P.W.H. Dakouré; C.-B. Dieme; A.-D. Sane; A. i. Ndiaye; Dansokho Av; Seydina Issa Laye Seye
Posterior dislocation of the femoral head with fracture is an exceptional hip injury. Emergency reduction is required. Reposition into the acetabular cavity of the dislocated femoral head may not be feasible. Irreducibility, instability, and more rarely accidental fracture of the femoral neck may also occur. We encountered this latter complication in four patients and report here its frequency and mechanism and propose preventive therapeutic measures. Seventy dislocations and fracture-dislocations of the hip were treated in our unit from March 1997 to February 2003. Among these cases, fourteen hip dislocations were complicated by femoral head fractures. Fracture of the femoral neck occurred during reduction in four. All four cases occurred in men, mean age 49.7 years, who were traffic accident victims (drivers or passengers). There were two Pipkin IV fracture-dislocations and two Pipkin II. The first reduction, achieved under general anesthesia in an emergency setting, was performed by an orthopedic surgeon in one patient and a general surgeon in three patients. Arthroplasty was used to treat the femoral neck fracture in three patients and pinning in one. We reviewed retrospectively the clinical and imaging data before and after reduction. Sub-capital fracture situated 4.0 cm (mean, range 3.5-4.5 cm) from the lesser trochanter occurred in all four cases. The head remained attached above and posteriorly to the acetabulum and was rotated less than 90 degrees . The fragment remaining in the acetabulum was displaced in two cases. In one patient, the fracture-dislocation of the head was associated with a fracture of the posterior rim of the acetabulum. This complication appears to result from an abrupt inappropriate reduction movement. The neck fracture would occur when capsulomuscular retention of the femoral head is associated with a head defect which catches on the rim of the acetabulum during the reduction movement. Neck fracture during reduction of traumatic hip dislocation is a serious complication. Prevention of this iatrogenic event requires a slow, progressive reduction limiting the trauma to a minimum; first intention open surgery may be required in selected cases.Resume La luxation posterieure avec fracture de la tete femorale constitue une lesion traumatique rare de la hanche. La reduction de la luxation est une urgence traumatologique. La reintroduction de la tete femorale dans la cavite acetabulaire peut etre marquee par une incoercibilite, une irreductibilite, une instabilite et plus rarement par une fracture accidentelle du col femoral. Cette complication a ete relevee chez 4 de nos patients. Elle est etudiee dans sa frequence, son mecanisme et ses mesures therapeutiques preventives. Soixante-dix luxations et fracture-luxations de hanche ont ete suivies dans le service entre mars 1997 et fevrier 2003. Parmi elles, 14 luxations de hanche comportant une fracture de la tete ont ete notees. La reduction de 4 d’entre-elles s’est compliquee d’une fracture du col femoral. Elles ont concerne 4 hommes âges en moyenne de 49,7 ans conducteurs ou passagers victimes d’un accident de la circulation. La fracture-luxation initiale etait de type Pipkin IV (2 fois) et de type Pipkin II (2 fois). La reduction premiere de la luxation a ete effectuee en urgence sous anesthesie generale par un orthopediste (1 fois) et un chirurgien generaliste d’un hopital regional (3 fois). Le traitement de cette complication a ete arthroplastique 3 fois et 1 fois par embrochage. L’etude etait retrospective sur dossiers comportant une observation clinique, une imagerie medicale avant et apres reduction. La fracture du col etait sous capitale a 4,0 cm en moyenne du petit trochanter (extremes 3,5 et 4,5 cm). La tete est restee accrochee au-dessus et en arriere du toit avec une rotation d’au moins 90. Le fragment reste dans l’acetabulum etait deplace 2 fois. La fracture-luxation de la tete etait associee dans un cas a une fracture de la paroi posterieure de l’acetabulum. Cette complication resulterait d’une manœuvre de reduction brutale et inappropriee. Le mecanisme de la fracture du col associerait une retention capsulo-musculaire de tete femorale a un accrochage du defect cephalique sur le bord tranchant du toit de l’acetabulum au moment de la reduction. La fracture du col femoral lors de la reduction d’une luxation traumatique de la hanche constitue une complication grave. La prevention de cette complication iatrogene passerait par une manœuvre de reduction lente, progressive, atraumatique parfois par un abord chirurgical de premiere intention.
Chirurgie De La Main | 2007
A. Bousso; A. i. Ndiaye; C.-B. Dieme; A.-D. Sane; Mouhamadou Habib Sy; Seydina Issa Laye Seye
The authors evaluated the management of malunions of midshaft fractures of the radius and ulna in an Orthopedic and Traumatology departement at Le Dantec University hospital (Dakar, Sénégal). Over a six-year period, there were 10 cases found for analysis. All patients presented with disabilities due to limited pronosupination. Surgical care improved the pronosupination amplitude in all patients. The role of conservative treatment of these fractures in causing malunion is discussed. Correction of these malunions should be by osteotomy, followed by rigid internal fixation with a plate and screws.
Chirurgie De La Main | 2007
A. Bousso; A. i. Ndiaye; C.-B. Dieme; A.-D. Sane; Mouhamadou Habib Sy; Seydina Issa Laye Seye
The authors evaluated the management of malunions of midshaft fractures of the radius and ulna in an Orthopedic and Traumatology departement at Le Dantec University hospital (Dakar, Sénégal). Over a six-year period, there were 10 cases found for analysis. All patients presented with disabilities due to limited pronosupination. Surgical care improved the pronosupination amplitude in all patients. The role of conservative treatment of these fractures in causing malunion is discussed. Correction of these malunions should be by osteotomy, followed by rigid internal fixation with a plate and screws.
Medecine Et Chirurgie Du Pied | 2015
C.-B. Dieme; B. Dembélé; A. M. Gaye; L. Sarr; C. Coundoul; A. B. Gueye; H. Déme; A.-D. Sane; Seydina Issa Laye Seye
Osteosarcoma is the primary malignant bone tumor, which affects most commonly the metaphysis of the long bones. This chapter deals with a 21-year-old male patient with osteosarcoma of the calcaneus. Symptoms of the disease were pain and swelling of the right foot since 4 years. Standard X-rays and CT scan oriented the diagnosis while tumor-open biopsy and histological examination confirmed the diagnosis. Hence, the leg was amputated. Here, we discuss the clinical presentation, diagnosis, and therapeutic management of the disease.RésuméL’ostéosarcome est une tumeur maligne primitive de l’os. Il atteint préférentiellement les métaphyses des os longs. Nous rapportons le cas d’un ostéosarcome du calcanéus chez un patient de 21 ans. Le tableau clinique marqué par des douleurs et une tuméfaction au pied a évolué pendant quatre ans environ. Le diagnostic a été orienté par la radiographie standard et la tomodensitométrie. Un examen anatomopathologique après biopsie de la tumeur a permis de poser le diagnostic et d’effectuer une amputation de jambe. Nous discutons la présentation clinique, le diagnostic et la prise en charge thérapeutique.AbstractOsteosarcoma is the primary malignant bone tumor, which affects most commonly the metaphysis of the long bones. This chapter deals with a 21-year-old male patient with osteosarcoma of the calcaneus. Symptoms of the disease were pain and swelling of the right foot since 4 years. Standard X-rays and CT scan oriented the diagnosis while tumor-open biopsy and histological examination confirmed the diagnosis. Hence, the leg was amputated. Here, we discuss the clinical presentation, diagnosis, and therapeutic management of the disease.
Medecine Et Chirurgie Du Pied | 2010
C. V. A. Kinkpe; P. W. H. Dakoure; A.V. Dansokho; M.M. Niane; N.G. Dahbi; Seydina Issa Laye Seye
RésuméLes auteurs rapportent une observation de fracture bilatérale comminutive du talus associée à une fracture de la malléole médiale. Il s’agissait d’un automobiliste, âgé de 39 ans, victime d’un accident de la circulation routière. Les auteurs discutent le mécanisme lésionnel, les aspects thérapeutiques et évolutifs de cette lésion rare.AbstractThe authors report a case of bilateral and simultaneous medial malleolar and talar body fractures. A case of 39-year-old man sustained a trauma of both ankle from road traffic accident. The mechanism, management, and outcome of this lesion are discussed.
Chirurgie De La Main | 2010
C. V. A. Kinkpe; A.V. Dansokho; M.M. Niane; Seydina Issa Laye Seye
The floating elbow in the child is rare and serious. The authors report a traumatic case of floating elbow without vascular and nervous lesions associated in a 6-year-old child. We treated these both fractures of the distal forearm and the supracondylar humeral by respectively cast plaster and a collar and cuff with an anatomical reduction. The radiological and clinical results were excellent with the 29 months follow-up.
Medecine Et Chirurgie Du Pied | 2007
A.-D. Sane; A. i. Ndiaye; C.-B. Dieme; A. Vauvert Dansokho; Jean Claude Sané; Mouhamadou Habib Sy; Seydina Issa Laye Seye
RésuméLe but de ce travail est d’évaluer notre technique d’arthrodèse talocrurale et son retentissement sur les articulations sous-jacentes dans la prise en charge des arthroses de la cheville secondaire à un traumatisme négligé ou à une arthrite septique. De janvier 1996 à juin 1999, 26 arthrodèses talocrurales avaient été réalisées. Les critères d’inclusion étaient une étiologie arthrosique par traumatisme négligé ou séquellaire d’ostéoarthrite, une évaluation clinique et radiologique complète effective, une articulation sous-talienne normale, une fixation interne par vissage en X et un recul supérieur à six mois. La série présentait alors 11 cas avec une prédominance masculine (sept hommes pour quatre femmes) et un âge moyen de 46 ans à la date de l’arthrodèse. Le recul moyen était de 23 mois avec des extrêmes de 6 et 54 mois. Notre technique d’arthrodèse consistait, après un abord antérieur de la cheville, un avivement des surfaces articulaires, en une fixation par des vis à os spongieux croisées en X. La cheville était en position neutre dans les trois plans. Une contention plâtrée complétait cette synthèse pendant douze semaines. L’appui total était autorisé vers la dixième semaine. Nos patients avaient été évalués cliniquement selon la cotation de Duquennoy et radiologiquement sur la fusion osseuse et l’aspect de l’articulation sous-talienne. Nos résultats étaient bons dans 81,8 % des cas avec une fusion osseuse dans neuf cas dans un délai moyen de 12,4 semaines. Deux cas de pseudarthrodèse ont été observés. Nous avons observé au bout de 12 mois environ la survenue dans 45,4 % des cas d’une arthrose sous-talienne postérieure. L’arthrodèse talocrurale semble représenter, dans le cadre de la prise en charge de l’arthrose posttraumatique et postarthritique de la cheville, un traitement de choix malgré la survenue dans les suites lointaines d’une arthrose sous-talienne postérieure.AbstractThe aim of our work was to evaluate our tibiotalar arthrodesis technique and its effects on distal joints in treating ankle arthrosis secondary to a neglected injury or septic arthritis. From January 1996 to June 1999, we performed 26 tibiotalar arthrodeses. The inclusion criteria were arthrosis caused by a neglected injury or sequelae of osteoarthritis, a complete clinical and radiological evaluation, a normal subtalar joint, internal fixation by X cancellous bone screws and follow-up greater than six months. The series presented 11 cases (7 men and 4 women). The average age was 46. The average follow-up was 21 months (6 to 54 months). Using an anterior approach to the ankle, our arthrodesis technique consisted of joint surface resection and fixation by X cancellous bone screws. We maintained the ankle in neutral position. A plaster cast was applied for 12 weeks, with weight bearing allowed at week 10. Our patients were clinically evaluated according to the Duquennoy scoring system, the radiological determination of bone fusion and the appearance of the subtalar joint. The outcomes were good in 81.8% of the cases, with fusion in 9 cases obtained over on average period of 12.4 weeks. Two cases of pseudarthrodesis were observed. Posterior subtalar arthrosis occurred in 45.4% of the cases after an average of 12 months. Tibiotalar arthrodesis is a safe alternative for the treatment of neglected injuries and septic arthritis of the ankle after the occurrence of subtalar arthrosis in the long-term.
European Journal of Orthopaedic Surgery and Traumatology | 2007
C. Diémé; A. Sané; Gabriel Ngom; A. Dansokho; M. Niane; A. Ndiaye; Seydina Issa Laye Seye
Two cases of hip snapping in its external or lateral variety are presented. The authors review the pathogenesis of this affliction. They underline the fact that the diagnosis is primarily clinic. Further, they discuss the different therapeutic options and they propose a crosswise section of the ilio-tibial band with fixation to the great trochanter.RésuméDeux observations de ressaut de hanche dans la variété externe sont décrites. Les auteurs étudient la pathogénie de cette affection. Ils insistent sur le diagnostic qui est essentiellement clinique. Enfin ils discutent les différentes méthodes thérapeutiques et proposent la section en croix de la bandelette ilio-tibiale et sa fixation sur le grand trochanter.