Background. Comminuted tibial pilon fractures are induced by high-energy mechanisms and are often associated with soft tissue injuries. Their surgical approach is problematic due to postoperative complications. Minimally invasive management of these fractures has a considerable advantage in preserving the soft tissue and the fracture hematoma. Materials and Methods. We conducted a retrospective study of a series of 28 cases treated at the Orthopedic and Traumatological Surgery Department of the CHU Ibn Sina in Rabat over a period of 3 years and 9 months, from January 2018 to September 2022. Results. After a mean follow-up of 16 months, 26 cases had good clinical results according to the Biga SOFCOT criteria and 24 cases had good radiological results according to the Ovadia and Beals criteria. No cases of osteoarthritis were observed. No skin complications were reported. Conclusion. This study highlights a new approach that deserves to be considered for this type of fracture as long as no consensus has been given.

The Monteggia fracture is characterized by a combination of cubital fracture and radial head dislocation. In this retrospective study, we analyzed 17 cases of Monteggia fracture-dislocation, which were collected between 2006 and 2011 in the Traumatology-Orthopedics department of Ibn Sina Hospital. Patients ranged in age from 16 to 56 years, and radial head dislocation was anterior in 11 cases, posterior in 3 cases, and lateral in 3 cases. According to the Bado classification, the anatomopathological aspect was type I in 10 cases, type II in 3 cases, type III in 3 cases, and type IV in one case. All patients were surgically treated by osteosynthesis, with different types of cubital fracture fixation. Functional results were evaluated using DASH and Broberg-Morrey scores, which showed 36% very good results, 45% good results, 9.5% average results, and 9.5% poor results. In conclusion, it is important to diagnose and treat Monteggia fractures early, which require a quality radiograph to detect radial head dislocation. Functional results are satisfactory if appropriate treatment is applied.

Isolated fractures of the distal humerus are rare. Their diagnosis is often late, and treatment has progressed but serious complications may occur. We conducted a retrospective study of a series of 10 cases at the Department of Orthopedic and Traumatologic Surgery of the Ibn Sina University Hospital in Rabat over a 4-year period, from January 2018 to January 2022. All our cases were treated surgically with Herbert screws. The functional, clinical and radiological outcome was satisfactory with a return to pre-fracture activity in all patients.

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Background: Weber B fractures occur at the syndesmosis and are very common. They pose a problem of fixation due to the short available length of the distal fragment, in addition if the quality of the bone is poor as in the case of osteoporosis. Objectives: to assess the outcomes of the surgical management of Weber B fractures in osteoporosis by conventional lateral plate. Methodology: This is a retrospective study of 56 osteoporotic patients treated for trans- syndesmotic bimalleolar fracture in the Department of Orthopedic and Trauma Surgery at the Ibn Sina University Hospital. The study was conducted over a period of two years. Results: The mean age was 61 years with a sex ratio of 2.5. 43 patients were followed for osteoporosis. Intraoperative evaluation of radiographs and bone quality confirmed the poor quality of the bone in our patients. Falls were the most frequent mechanism. All patients were operated on within 8 hours. Consolidation was obtained after an average of 4 months. Distal screw setback was reported in 5 cases requiring removal of the material. All of our patients were satisfied with the results. Conclusion: Although other studies report the superiority of locked plates or antiglide plates in osteoporosis, our data show no complications related to the use of conventional lateral plates with an advantage of low cost.