Etude rétrospective des fractures de Galeazzi chez l’adulte dans le Département d’Orthopédie du Centre Hospitalier Universitaire Habib Bourguiba Sfax, Tunisie: à propos de 45 cas

Sahnoun, Nizar; Ayedi, Boubaker; Keskes, Khaled; Rebaı̈, Mohamed; Zouch, I.; Zribi, Wassim; Ellouz, Zoubaier; Keskes, Hassib

doi:10.11604/pamj.2020.35.135.22612

Cited by 2 publications

(5 citation statements)

References 22 publications

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“…On the evolutionary level, the vast majority of patients found a cure without sequelae except two patients who presented a malunion late. This could be explained by the fact that an anatomical reduction was the objective to be achieved during our interventions and that the instructions for early rehabilitation were respected, which agrees well with the data in the literature [25,26] .…”

Section: Discussionsupporting

confidence: 88%

Epidemiological profile and results of the management of diaphyseal fractures of the forearm bones in adults at Owendo University teaching Hospital (Gabon)

et al. 2024

Nat. J. Clin. Orthop.

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Introduction: Forearm bone fractures are serious fractures that often affect prono supination. Their treatment remains controversial. The aim of this work was to describe the epidemiological profile and evaluate the results obtained after their surgical treatment in the department. Patients and Methods: This was a retrospective study conducted from May 2016 to May 2018, at the Owendo University Teaching Hospital. The study included all patients admitted to the department for diaphyseal fracture of one or both bones of the forearm, treated surgically and regularly followed in outpatient consultation. Results: A total of 52 patients were collected. There were 39 men (75%) and 13 women (25%). The average age was 38.0 years with extremes of 16 and 60 years. Road traffic accidents constituted the most frequent etiology with 73.1% (n = 38). Fractures were closed in 78% (n = 41). Simultaneous damage to both bones of the forearm was noted in 78.8% (n = 41). The fracture line was transverse in 78.8% (n = 41). The middle third was the most common site with 78.8% (n = 41). The average intervention duration varied between 65 and 120 minutes. Fractures operated by screw plate consolidated at the 12 th postoperative week. The anatomical and functional result was generally satisfactory at 96.1%. Conclusion: diaphyseal fractures of the forearm bones are common in the department and are the prerogative of young adult males. Support by screwed plate or intramedullary pinning gave generally satisfactory results.

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Section: Discussionsupporting

confidence: 88%

Epidemiological profile and results of the management of diaphyseal fractures of the forearm bones in adults at Owendo University teaching Hospital (Gabon)

et al. 2024

Nat. J. Clin. Orthop.

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“…All publications [1,5,6,7,8,9,10,11,12,13,14,15] report a predominance of males, and in ours, this particularity is to the nature of the male population's activity.…”

Section: Discussionsupporting

confidence: 57%

“…The frequent involvement of this age group is serious, as it can have a serious impact on socioeconomic activity. [1,6,7,8,9,10,11,12,13,14].…”

Section: Discussionmentioning

confidence: 99%

“…The choice of treatment depends on clinical and radiological parameters. Surgical restoration of tibio-astragalar joint congruence remains the only guarantee of good functional recovery of the ankle [1,6,30,45]. According to several series [9,24], the operating time should not exceed 8 to 12 hours, otherwise it is preferable to postpone the operation for 7 to 10 days until the skin condition has improved [1,12,16,30,32,44].…”

Section: Discussionmentioning

confidence: 99%

“…Tibial pilon fractures are metaphyseal-epiphyseal articular fractures, affecting the load-bearing surface of the tibiofibular mortise ceiling, with a high potential for sagittal instability [1]. These fractures are rare, accounting for 3 to 10% of all tibial fractures, and are serious in view of their complexity and therapeutic difficulties [2].…”

Section: Introductionmentioning

confidence: 99%

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New minimally invasive view of tibial pilon fractures: Experience of the A4 orthopaedic traumatology department at CHU Ibn Rochd in Casablanca

Y. EL QADIRI,

O. EL ADAOUI,

Y. SBIHI

et al. 2024

World J. Adv. Res. Rev.

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Tibial pilon fractures are rare and serious fractures, given their complexity and therapeutic difficulty. Closed-focus osteosynthesis is an interesting alternative for treating these fractures. In order to assess the clinical and radiological results of treating tibial pilon fractures with closed-focus osteosynthesis, we conducted a retrospective descriptive study of a series of 80 tibial pilon fractures treated at the Traumatology-Orthopedics Department A4 of CHU Ibn Rochd in Casablanca, over a period from January 2017 to December 2022. The mean age in our study was 42.5 years, with a M/F sex ratio equal to 3. Etiological circumstances were dominated by high-energy mechanisms, including falls from a high place in 43% and MVAs in 42% of cases. Clinical diagnosis was guided in 100% of cases by functional impotence, pain and localized swelling. We performed an ankle radiograph in front and side views, complemented by a CT scan, in all our patients to confirm the diagnosis and classify the different fracture types. Surgical treatment with closed-focus osteosynthesis was performed by combined treatment in 50% of cases; external fixator in 20% of cases; and minimally invasive treatment under arthroscopy in 30% of cases. According to CAFFINIERE criteria, functional and radiological results were good and satisfactory in 80.57% of cases, and poor in 19.43%. Complications included algodystrophy in 28.75% of cases, infection in 10%, joint stiffness in 13.75%, pseudarthrosis in 11.25%, arthrosis in 11.25% and callus in 7.5%. Finally, analysis of our results showed that the majority of our patients treated with closed-focus osteosynthesis had good functional, clinical and radiological results, demonstrating the effectiveness of this surgical method in tibial pilon fractures.

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Etude rétrospective des fractures de Galeazzi chez l’adulte dans le Département d’Orthopédie du Centre Hospitalier Universitaire Habib Bourguiba Sfax, Tunisie: à propos de 45 cas

Cited by 2 publications

References 22 publications

Epidemiological profile and results of the management of diaphyseal fractures of the forearm bones in adults at Owendo University teaching Hospital (Gabon)

Epidemiological profile and results of the management of diaphyseal fractures of the forearm bones in adults at Owendo University teaching Hospital (Gabon)

New minimally invasive view of tibial pilon fractures: Experience of the A4 orthopaedic traumatology department at CHU Ibn Rochd in Casablanca

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