[Surgical treatment of calcaneal fractures: about 29 cases]. / Traitement chirurgical des fractures du Calcanéum: à propos de 29 cas.

Calcaneal fractures are infrequent but, more often, serious. We report a series of 29 cases of calcaneal fractures surgically treated in the Orthopaedics and Traumatology in the University Hospital (CHU) Hassan II of Fez. This retrospective study aims to present the principles and to evaluate the results of surgical treatment for articular fractures of the calcaneus, in comparison with conservative treatment. Our study included 21 men and 8 women, the average age was 21-61 years. Etiology was dominated by road traffic accidents as wel as by falls from a high place. The evaluation of the lesions was based on the classification of Duparc. The treatment was based on open reduction associated with Y-plate osteosynthesis or one-third tubular plate osteosynthesis using triangulation. Clinical results were evaluated on the basis of kitaoka score, with an average follow-up period of 24 months. 86% of patients have had good medium-term results.

[Bilateral rupture of the anterior cruciate ligament in a ski player treated with DIDT by arthroscopic surgery in one time]. / Rupture bilatérale du ligament croisé antérieur chez un joueur de ski traitée par une ligamentoplastie DIDT sous arthroscopie en un seul temps opératoire.

We report the case of a 25-year-old patient who suffered a ski accident that causing a serious knees sprain. The patient underwent immobilization by plaster knees. After 12 rehabilitation sessions, good progress was noticed in terms of pain. However, the patient is unstable when walking and a positive Trillat Lachman sign at both knees is observed. MRI of Knees confirmed a bilateral rupture of the anterior cruciate ligament (figures A, B). We conducted a ligament ACL with the DIDT technique on both knees, beginning with the left- side. After the surgery, everything was normal. X-ray controls (face and profile views) of both knees showed a good positioning of implants (figures C, D). Rehabilitation was undertaken the day following the surgery. Six months later, the patient was able to return to sport.