RESUMO
Objectif: Évaluer les résultats radiologique et fonctionnel des patients traités par enclouage centromédullaire verrouillé type SIGN pour fractures du membre pelvien. Matériel et méthodes: Cette étude prospective a été réalisée entre janvier 2012 et décembre 2013. Elle a concerné 82 patients traités pour fractures récentes du fémur ou du tibia par clou SIGN. Le recul moyen était de 7,2 mois. On notait 63(77%) hommes et 19(23%) femmes dont l'âge moyen était de 37ans avec des extrêmes de 15 et 85 ans. La cause des fractures a été un accident de la voie publique dans 60 (73%) cas. La fracture siégeait au fémur dans 53 (65%) cas et au tibia dans 29 (35%). Au fémur, l'enclouage était fait par voie antérograde (n=30;57%) ou rétrograde (n=23; 43%). Au tibia, l'enclouage a été fait à foyer fermé dans quatre cas. Le délai moyen d'hospitalisation était de 10 jours. Résultats: Soixante-quinze (91%) patients avaient un cal radiologique à 3 mois. Le délai moyen de consolidation était de 11 semaines. Une dynamisation a été nécessaire pour les autres patients. Soixante-treize (89%) patients n'avaient aucune douleur et pouvaient faire leurs courses et utiliser le transport public à trois mois de l'intervention. Trente-deux (39%) patients qui avaient un travail sédentaire l'ont repris dans un délai moyen de 7semaines. Nous avons noté deux cas d'échec de verrouillage et quatre cas d'infection superficielle. Conclusion: Le clou SIGN nous a permis d'obtenir de bons résultats anatomiques et fonctionnels avec une reprise de l'activité professionnelle et sportive dans les meilleurs délais
Assuntos
Burundi , Relatos de Casos , Fraturas do Fêmur/radioterapia , Fixação Intramedular de Fraturas , Avaliação de Resultados em Cuidados de Saúde , Fraturas da Tíbia/radioterapiaRESUMO
Little data is available about osteogenesis imperfecta in Black African children. This defect was diagnosed in monozygotic twins from Rwanda who presented multiple fractures, in particular of the femur, when they began to walk. Osteogenesis imperfecta was confirmed by lower limb deformity, presence of wormian bones in the skull, blue sclera, and tooth defects. In addition to the fact that it is uncommon to encounter this condition in monozygotic twins, this case is interesting for several reasons. Was osteogenesis imperfecta in these patients type I, frequent, or type III, exceptional? More importantly, this case stresses the high prevalence of type III in Black Africa which could constitute a hot-bed in the world.
Assuntos
Doenças em Gêmeos/diagnóstico , Osteogênese Imperfeita/diagnóstico , Gêmeos Monozigóticos , Pré-Escolar , Diagnóstico Diferencial , Doenças em Gêmeos/classificação , Doenças em Gêmeos/epidemiologia , Doenças em Gêmeos/genética , Feminino , Fraturas Ósseas/etiologia , Genes Dominantes , Genes Recessivos , Humanos , Osteogênese Imperfeita/classificação , Osteogênese Imperfeita/complicações , Osteogênese Imperfeita/epidemiologia , Osteogênese Imperfeita/genética , Prevalência , Ruanda/epidemiologia , CaminhadaRESUMO
Acute intestinal occlusion is rare during pregnancy, and more exceptional is the source itself of the occlusion we are reporting embryonic. This is actually an embryonic remains: the omphalo-mesenteric (vitellin) duct that did not resorb and has developed into a fibrous cord. The latter, owing to physiological modifications, is responsible of the occlusion. The authors analyse the two facts which, when associated, represent an interesting clinical fact.
Assuntos
Obstrução Intestinal/etiologia , Intestino Delgado , Complicações na Gravidez/etiologia , Ducto Vitelino/anormalidades , Adulto , Anormalidades Congênitas/diagnóstico , Anormalidades Congênitas/patologia , Anormalidades Congênitas/cirurgia , Feminino , Fibrose , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/epidemiologia , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/epidemiologia , Resultado da GravidezRESUMO
A new case report of new born baby's omphalocele allows us to precise the embryological data indispensable to understand the genesis of this pathology. The future of the primitive intestinal loop and the explanation of the temporary physiological hernia, are the basis of such phenomenons rarely reported and they complete the three cases' report recently published.
Assuntos
Hérnia Umbilical/cirurgia , Burundi , Hérnia Umbilical/classificação , Hérnia Umbilical/embriologia , Hospitais Universitários , Humanos , Recém-Nascido , MasculinoRESUMO
The authors report on a new case of acute necrotic non obstructive enterocolitis. Discussion is mainly centered on the nosological framework of this uncommon affection, occurring in an infectious background, and on its etiopathogenetic mechanism. Several hypothesis are formulated. Because of the seriousness of its prognosis, it is emphasized on the necessity of a rapid surgical intervention.
Assuntos
Enterocolite Pseudomembranosa/complicações , Obstrução Intestinal/etiologia , Criança , Enterocolite Pseudomembranosa/diagnóstico , Enterocolite Pseudomembranosa/cirurgia , Infecções por Escherichia coli/etiologia , Humanos , Obstrução Intestinal/diagnóstico , Masculino , Complicações Pós-Operatórias , Choque Séptico/etiologiaRESUMO
Classified as a part of thoraco-abdominal traumas and polytraumas, midriff traumatic rhexis must be operated as soon as possible. A new case of the rhexis of a left dome confirms this notion admitted by all. Their peculiar prognosis is generally very good but all depends on the possible associated lesions able to hamper the vital prognosis.