Introduction: Tripolar lesions of the thoracic limb are rare. We report a rare a Galéazzi fracture associated with an ipsilateral fracture of ulna and olecranon in a 45-year-old patient. Surgical management has been delayed due to limited resources of the patient. Case presentation: It was a 45-year-old man admitted in our emergency after a fallen on bicycle. He presented a fracture of olecranon, shaft bone fracture of radius and ulnar, and distal radio-ulnar disjunction. The assessment at 18 months has found a consolidation of fractures. The elbow and wrist regained joint range, but we noted a limitation of prono-supination related to radioulnar synostosis. This limitation had no impact on the professional and sporting activities of the patient. Conclusion: Apart the difficulties to describe mechanism responsible of this complex lesion, the functional prognosis of the limb depends on a correct diagnosis and adequate management. At the last follow-up, the patient was satisfied with the result obtained. Longer term follow-up will allow us to determine the issue of this complex lesion in this patient. For the moment patient is not complained so wejust wait and see. Keywords: Galeazzi fracture, distal radioulnar disjunction, fractures, forearm, olecranon.

Objectives: The aims of this work were to assess functional and radiographic results of primary total hip arthroplasty and to determine the profile of patients and the different indications. Materials and Methods:We conducted a retrospective study of 56 patients operated for total hip arthroplasty at Afagnan hospital (Togo), from first January 2007 to 31 December 2016. The clinical evaluation was made with Devane activity score and Postel Merle D'Aubigné (PMA) score. Radiologicaly, the analysis focused on the inclination of the cup, and the osseointegration of implants. Results: 56 patients underwent total hip arthroplasty with dual-mobility cups in which two bilateral. The average passing time of follow-up was 6, 5 years [range1-9 yrs.]. The mean age was 42.69 years (20-77). The main indications were: aseptic osteonecrosis of hip 28 cases (48.27%), sequelae of trauma 11 cases (18.96%), hip dysplasia 4 cases (06.90%), and primitive degenerative arthritis 12 cases (20.69%). The PMA score increased from 9.1 (2-15) preoperatively to 15.8 (13-18) at the last follow. The average of the inclination cups was 42 degrees. No episode of luxation was watched for the arthroplasty with dualmobility cup. The survival rate was 100%. Conclusion: Total hip arthroplasty were mainly impacted with a dual-mobility cup at the last follow; the overall results are satisfactory with PMA score of 15.8. Our study confirms the medium-term reliability of dual -mobility cup with 100% survival rate. These results must be tempered because of the occurrence of long-term complications related to the risk of dual mobility among young people.

Chronic osteomyelitis in children is frequent in the developing countries. Their complications and morbidity burden the functional prognosis. The reconstruction of diaphyseal bone loss after sequestrectomy in young children remains a difficult and expensive challenge in our context. The delay in care and the lack of social security for all, are risk factors for morbidity. The induced membrane technique described by Masquelet starts to be applied and showed satisfactory results. We report the results of a case of reconstruction of the proximal humerus by using a non-vascularized fibula and supplemental bone substitute in a boy of 2 years with sickle cell. No scarring occurred at the sampling site. The process of bone consolidation is underway.

Introduction: Knee trauma is very common and sometimes compromises its stability. The treatment of these lesions is more and more surgical, but nonsurgical treatment remain having an importance in the management. The purpose of this study was to determine the results of nonsurgical treatment of ligamentous knee injuries in soldiers deployed in northern Mali during a stabilization mission. Materials and methods: It was a prospective study concerning ligamentous lesions of the knee, treated by orthopedic means in Togo's level 2 hospital and followed for a period of at least 6 months. The International Knee Score (IKS) was used to determine our results. Patient satisfaction was determined by taking into account pain, knee stability and resumption of previous activities.Results: Twenty-one (21) patients were treated. They were 18 men (85.7%) and 3 women (14.3%). The average age of the patients was 32.43 years old. We found 7 cases (33.4%) of benign sprain, 9 cases (42.8%) of medium severity sprain and 5 cases (23.8%) of severe sprain. After administration of the analgesic, immobilization was made by a knee brace and sometimes a plaster splint. Rehabilitation was started at the end of immobilization. The control after 6 months of follow-up allowed to find 57,1% of excellent result and 9,5% of bad result Conclusion: Nonsurgical treatment of ligamentous lesions gives good results when properly conducted. When a surgical treatment is decided for these lesions, it is recommended to make the rehabilitation of the knee before the operation to improve the results.

No abstract