[Subtrochanteric fractures [Report of 42 cases]]

The authors report a retrospective study of 42 cases of subtrochanteric fractures hospitalized in the orthopedic and traumatology surgery service of the hospital Ibn Rochd [wing 4] between January 1993 and December 2003. This study exposes the clinical, automical, biomechanic and therapeutic particularities and the difficulties of the hold in charge. The middle age was of 47 years with two peaks, one between 20 and 29 years, the other between 60 and 69 years. A higt masculine predominance has been noted with a sex-ratio of 1.3. The etiological circumstances is dominate by the raping traumatisms to high energy [58%]. These fractures have been treated surgically in 90.5% and orthopedically in 9.5%. The global functional results were satisfactory with a rate of excellent results in 55.3% of the cases and good results in 44.5% of the cases. The discussion is about the best technique of osteosynthesis. It is in favor of the centromedullary implants of second generation

[Septic pseudarthrosis of the leg. [Report of 22 cases]]

This retrospective study is about 22 cases of the leg septic pseudarthrosis collected at the department of traumatology and orthopedics [wing 4] in UHC Ibn Rochd in Casablanca during 10 years, from January 1992 to December 2001. 91% of our patients are male, the mean age was 36 years old. The first causal agent was the highway accidents [86.4%]. It is about atrophic pseudarthrosis in 59% of the cases, localized particularly at the level of the uppers 2/3. The treatment of these patients consisted in 20 cases in external fixator conception P[r]ZRYOUIL. In one patient, ILIZAROV'S technique has been used. The corticospongy graft has been necessary in 11 cases. PARINEAU'S method has been used in 7 cases. The results have been good in 11 cases, medium in 7 cases and bad in 2 cases with a rate of consolidation about 90%

[Radiological diagnosis of acetabular fractures]

The scanner and the radio are essential to pose a precise diagnosis of acetabular fractures. There are never urgencies to operate a fracture of acetabulum. The radiological assessment including a basin of face; one three wing quarter and one three obturing quarter also a scanner is necessary. The reading of this assessment must be methodical, initially the radiological assessment then the scanner and to confront their results. It is the best parking to pose the operational indication and to envisage the course of the intervention

[Unicondylar fractures of the femur]

Unicondylar femoral fractures account for 0.65% of all femoral fractures; they have not been studied extensively in the orthopaedic literature. Usually occurring following sports trauma or traffic accidents. These fractures involve the lateral condyle three times more frequently than the medial condyle. We bring back 11 cases treated at our institution from 1993 to 2003 [11 years]. They are 7 men and 4 women aged 45 years on average. The circumstances of occurred are as follows: 8 accidents of the public highway, 2 falls and 1 industrial accident. The left side was reached in 8 cases. The fractures were divided into 6 cases of the types TRELAT, 4 cases of the type HOFFA and case of an intermediate type. 6 patients had associated lesions; it acted of three polyfractured cases of, two cases of ligament lesions of the knee [LLI, LCA, LCP] and a case of meniscal lesion. The treatment consisted of a plating for all the fractures, the average time of consolidation was 4 months. The continuations were marked by occurred of pseudarthrosis in 1 case and a case of gonarthrosis. The functional results were very good among 5 patients [bending > 120°], good at 2 patients [bending to 90°] and bad among 4 patients