Introduction: A fracture is a solution in the continuity of a bone. Pelvic limb fractures may involve one or more of the bones. They constitute a real public health problem, which requires the identification of the factors inherent to this phenomenon for better prevention, but also for quality management of fractures and sequelae. Objectives: Were to describe the epidemiological, clinical and therapeutic profile of pelvic limb fractures in Timbuktu Hospital. Patients and Method: We conducted a prospective, descriptive study in the Surgery Department of Timbuktu Hospital, covering a period of one year from January 1 to December 31, 2017. We collected 39 patients who presented with fractures of the pelvic limbs, who were hospitalized and monitored throughout our study. Results: We obtained a hospital frequency of 2.86% limb fractures. Among the 39 patients included in our study, the male sex was predominant in 69.2% of cases, the average age of our patients was 20.5 years. Pupils and students were in the majority in 48.7% of cases. Road traffic accidents were the most common cause of fracture with 59.0% of cases. The tibia was the most affected segment in 38.5% of cases. Surgical treatment was predominant in 64.0% of cases. We obtained very good results in 94.87% of cases. Conclusion: Limb fractures remain frequent due to road traffic accidents. Osteosynthesis treatment provides a good result with fewer complications.

Introduction: Subtalar or peritalian dislocation is rare; it represents 15% of peritalian injuries. The aim of this study was to describe the radioclinical and therapeutic characteristics and to assess the functional result. Patients and Methods: This study is about a continuous descriptive and prospective study over a period of 5 years. It has been conducted from March 2013 to February 2018 at the Ségou Hospital, a second referral hospital in Mali. The functional results were evaluated by the score of the American Orthopedic Foot and Ankle Society (AOFAS). Results: Seven cases of subtalar dislocation fractures were diagnosed in six male patients with an average age of 38 years (36 to 47 years old). In five cases the etiology of the trauma was a motorcycle accident and a fall from height. The lesion was bilateral in one case. The average time to care was 3 hours (1 to 9 hours). There was one case of open dislocation fracture with talus enucleation. The dislocation was medial in 6 cases and lateral in one case. It was pure in three cases. The treatment was orthopedic in 2 cases and surgical in 5 cases. The post-operative complications were complicated by an infection of the operative site in one case. The average length of hospital stay was 4 days. The functional result was excellent in 2 cases; good in 2 cases, fair in 2 cases and poor for 1 case. Conclusion: Subtalar dislocation is a rare and serious lesion of the posterior tarsus. The long-term prognosis depends on the earliness of treatment and the severity of the associated injuries.

Résumé Objectif L'objectif de cette étude était de décrire les aspects épidémiologiques, cliniques et thérapeutiques des mycétomes. Matériel et méthodes Il s'agit d'une étude rétrospective incluant les patients traités pour mycétome de janvier 2016 à décembre 2018 dont deux ans de recrutement et un an de suivi (2019) à l'hôpital de deuxième niveau (Sominé Dolo de Mopti). Elle a concerné 19 patients hospitalisés et traités dans le service de chirurgie. Résultats L’étude portait sur 11 hommes et huit femmes. L’âge moyen de nos patients était de 38 ans, avec des extrêmes de 15 - 70 ans. Le délai médian de consultation était de dix ans après le début des symptômes (1 - 40 ans). Les éleveurs et les cultivateurs étaient concernés dans huit et sept cas respectivement’ avec la notion de traumatisme dans 14 cas. Le pied était la zone de prédilection dans 13 cas. Une atteinte osseuse et ostéoarticulaire était notée chez 12 des patients. Des grains noirs étaient présents dans 16 cas attribués à Madurella sp. Nous avons réalisé 12 amputations, six exérèses carcinologiques et des soins locaux pour un patient. Conclusion Les mycétomes doivent être évoqués et diagnostiqués à un stade précoce chez les sujets prédisposés particulièrement les agriculteurs et les éleveurs. La prévention est d'une grande importance, elle repose sur la désinfection des plaies et le port de chaussures protectrices.