Asunto(s)
Humanos , Masculino , Femenino , Fracturas Óseas/cirugía , Luxaciones Articulares , Estudios RetrospectivosRESUMEN
Sixty one tibial pilon fractures have been collected at the department of orthopaedic and traumatologic surgery. The fracture of the tibial pilon represents 8% of the ankle traumatisms, it is the prerogative of the young person as the mean age of our patients was 36 years old with neat male predominance [71%]. The etiologic circumstances are dominated by the fall of a high place in 52%. The cutaneous lesions were present in 53% of cases. According to Vives classification, the complete complex fractures represent 46% of cases. The surgical treatment by internal osteosynthesis was practiced in 35 cases [57%], the osteosynthesis of the fibula fractures was systematic. The external fixator has been rise in 26 cases [22 Hoffman's type, 4 Ilizarov's type]. The functional results according to Lechevallier's criteria have been good in 30 cases [58%], medium in 11 cases [21%] and bad in 11 cases. We couldn't notice a correlation between functional results and radiological results; the latter's have been good in 20%, satisfactory in 46% and bad in 43%. The internal fixation proved its superiority in relationship with the external fixation
Asunto(s)
Humanos , Masculino , Femenino , Fracturas de la Tibia/cirugía , Fracturas de la Tibia/diagnóstico por imagen , Fijación Interna de Fracturas , Estudios RetrospectivosRESUMEN
The neurogenic paraosteoarthropaties of the hip is the ossifications ectopiques sitting around the coxo-femoral joint respecting the articular surfaces.We report seven cases of neurogenic paraosteoarthropaties of hip collected to the service of traumato-orthopedic in the UHC Ibn Rochd of Casablanca of the period 1992 until January 2002. These seven cases having in middle age of 28 years a sex-ratio of 0.75. All cases having like etiology the head injury with deep coma either. All cases have been operated for the hip, a three of then were operated for other localizations [2 elbows, 1 knee] according to the functional priority. For the seven cases operated for the hip intervention consisted in an arthrolyse of the hip with exerese of the osteoma. The ways were first the previous way in two cases, the postero-lateral way in three cases and the antero-external way.in two cases. Any case had a postoperative complications there. All these cases followed a rehabilitation of the postoperative with anti-inflammatory, in one case, the radiotherapy was used. The results according to the quotation of Merle d'Aubigne were excellent for 2 cases and good for the five other.The surgical treatment is obligatory when the osteoma is mature [scintigraphy, alkaline phosphatases] or in the case of compressive complications or great functional difficulty. On the other hand, the association of medical and surgical treatment in a pre and postoperative protocol is promising