Patellar tendon rupture is a rare pathology with few cases series reported in literature. The aim of this study is to describe the epidemiological, clinical profile of patellar tendon ruptures as well as its operative management and outcome. We carried out a retrospective descriptive study involving 11 cases of patellar tendon rupture managed between 2012 and 2018 at the department of Traumatology and Orthopedic surgery A of Hassan II Teaching Hospital, Fez. It is an infrequent injury potentially occurring at any age in life with a clear predominance in young male adults. All cases pertain to an acute post-traumatic rupture. Diagnosis was made preoperatively on physical examination in most patients. Surgery found a full body mid substance ruptures in most cases with a distal tear only in the 33.3% of cases. Surgery is the mainstay treatment. It involves repair using vicryl 2sutures reinforced by a wire frame in most cases patients: transosseous sutures augmented with a steel wire frame or an autologous semitendinosus graft. Functional outcomes were evaluated using Swik's criteria, with 58.3% cases exhibiting excellent or good results. Thus the authors conclude that acute patellar tendon ruptures affect mainly young active males with surgery being the mainstay treatment that guarantees favorable outcome depending on the time of repair and postoperative patella height.
32 out of 60 trauma patients were referred to our department for severe knee trauma. All 32 patients were skeletally mature adults with floating knees. All patients were involved in high energy trauma with road traffic accidents being the cause. Patients were admitted to our unit through accident and emergencies department of the teaching hospital after initial resuscitation. A complete standard radiological assessment was routinely performed in all cases comprising a plain lower limb x-rays spanning the hip and ankle joints with a pelvis AP view. Other imaging techniques such as cerebral CT, facial CT, angiography, full body CT, ultrasound and other first line imaging tools were
Introduction: Calcaneus fractures are frequent and serious injuries. They represent 65% of tarsal trauma and 2% of all fractures. The thalamic fractures constitute a particular entity by their mechanism of occurrence, by their treatment and by their prognosis much less favorable than the extra-articular fractures.1 Materials and methods: Our series spanning a period of 7 years from January 2011 to November 2018 focused on 12 patients with a thalamic fracture of the calcaneus treated by anatomical plate with bearing, collected in the Orthopedic Trauma Department A of the Hassan II Fez University Hospital. All adult patients with a thalamic calcaneal fracture who had undergone an osteosynthesis using an anatomical plate were included and extra-thalamic fractures and thalamic fractures treated by other therapeutic means or other types of screw plates were excluded. All patients underwent an urgent general systematic examination and a regional examination. On the neurological level, the majority of patients were admitted with a GCS at 15. Results: Our focused on 12 operated patients between the ages of 17 and 53 with an average of 35 years. Our series includes 12 patients including 17 calacneum fractures which are divided into 10 men and 2 women; the male sex represents 83.3%. The preoperative delay was on average 9.25 days with extremes between 03 and 20 days. No thromboembolic complications or algodystrophy were noted in our series. According to Kitaoka's rating, the average score was 73.5%. The functional results were excellent in 47.06% of the cases, good in 23.53% of the cases, average in 23.53% of the cases and poor in 5.88% of the cases. In post-operative the average Bohler angle was 26.5° (15° to 35°) against a pre-operative Bohler angle varying between -7° to 15°. On revision, the average recoil from Bohler's angle finds it to be 21.5°. Conclusion: In the light of all those preceding the surgical treatment of articular fractures of the calcaneus displaced by anatomical plate, despite the risks associated with this technique provides a certain superiority if you are sure you can get a perfect reduction.
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