Management of childhood fractures in Anjouan Island, Comoros.

Limb fractures were reviewed in 489 children, 390 boys and 99 girls whose ages ranged between 2 days and 14 years (mean 8 yrs). Only 54 (11%) were caused by road traffic accidents; 435 (89%) were due to other causes. Fractures of the arm were seen in 332 (68%) children and there were leg fractures in 157 (32%), of which 155 (32%) were undisplaced and were treated by first aid. Closed reduction was performed on 138 (28%) children and 196 (40%) were treated by internal fixation. Infection and non-union occurred in 28 (14%) and 13 (7%), respectively. Re-operation was performed because of complications in 21 (11%).