Les luxations sous astragaliennes [a propos de 12 Cas]

ABSTRACT

We present in this work the clinical and therapeutical fearures of suastragalor dislocation based on serie of 12 cases reported in the service of TraumatoOrthopedic of the U.H.C. of RABAT. Our patients are betwen 15 and 55 years aged.They have been followed-up for a period oscillating between 4 and 16 months. Thy are especialy male with slight prevalence of the internal form. The diagnosis was immediate in 7 cases, delayed in 5 cases with a dislocation age ranging from 2 months to 3 years.The orthopedic treatment is basic management in the isolated dislocation. The surgical management is imperious in the case of opening or no reductibility, and it is discussed, more particulaty in case of associated fractures. Arthrodesis can be carried out right away, and it is absolutely necessary in cases of ancient dislocation. The study of the results allowed to point on some factors that have influence on the prognosis of these desions. As for evolution, arthrosis is certainely the main risk. It's appearance seems to be favoured by existence of associated lesions