Objectives: To determine the epidemiological, therapeutic and evolutionary aspects. Methodology: This was a retrospective study, from January 1, 2016 to December 31, 2018, on the files of patients aged 16 and over, ad...Objectives: To determine the epidemiological, therapeutic and evolutionary aspects. Methodology: This was a retrospective study, from January 1, 2016 to December 31, 2018, on the files of patients aged 16 and over, admitted for patella fractures, treated surgically and followed up in our service. Results: The study involved 17 patients including 15 men (88.24%) and 02 women (11.76%) with an average age of 36.65 years. Workers were the most represented (29.42%);AVP were the leading cause of these fractures (52.94%). The fractures were open in 70.58% of cases. Associated lesions were dominated by femur fractures in 29.42%. Duparc type II was the most encountered bone lesion with 47.06% of cases. All our patients benefited from regional anesthesia. Bracing was the most used surgical treatment in 58.83%;the anterior approach was performed in all our patients. Four (04) cases of knee stiffness, two (02) postoperative infections and skin necrosis complicated the short and medium term consequences. After a two-year follow-up, radiologically one case of pseudarthrosis and one case of patellofemoral osteoarthritis were noted. According to the Bosman score, we found 17.65% excellent, 47.06% good and 35.29% poor functional results. Conclusion: Patella fractures are relatively rare. Treatment is primarily surgical for transverse and/or displaced fractures;Bracing is the osteosynthesis technique of choice. However, knee stiffness, pseudarthrosis and patellofemoral osteoarthritis are not uncommon.展开更多
Introduction: Corneal trauma can be defined as any impact on the cornea following direct or indirect trauma by a traumatic agent. Due to its anatomical position, the cornea is the superficial membrane most exposed to ...Introduction: Corneal trauma can be defined as any impact on the cornea following direct or indirect trauma by a traumatic agent. Due to its anatomical position, the cornea is the superficial membrane most exposed to ocular trauma. It is a frequent pathology in ophthalmology, especially in young active subjects. It is an important cause of poor vision or loss of the eyeball with a significant socio-economic impact. Material and Method: We conducted a prospective cross-sectional study of descriptive type with a duration of 5 months from November 01, 2020 to March 31, 2021 in order to study the epidemiological, clinical and therapeutic profile of corneal trauma. Results: During the study period, 179 patients consulted for corneal trauma, i.e. 64.9% of ocular trauma. The age group 20 to 29 years old was the most affected with a frequency of 29.1%. The average age of our patients was 26.6 years old, with extremes ranging from 1 to 75 years old. The majority of patients were male with a frequency of 68.2% and a sex ratio of 2.1. Decreased visual acuity was the most frequent reason for consultation in our patients with 93.2%. Perforation was the most frequent type of trauma with 80.3%. All of our patients were treated with medication (100%), 65.3% with physical treatment and 41.8% with surgery. Conclusion: Corneal trauma is a real public health problem. They are especially frequent in young active subjects. Prevention remains the most effective means of treatment.展开更多
文摘Objectives: To determine the epidemiological, therapeutic and evolutionary aspects. Methodology: This was a retrospective study, from January 1, 2016 to December 31, 2018, on the files of patients aged 16 and over, admitted for patella fractures, treated surgically and followed up in our service. Results: The study involved 17 patients including 15 men (88.24%) and 02 women (11.76%) with an average age of 36.65 years. Workers were the most represented (29.42%);AVP were the leading cause of these fractures (52.94%). The fractures were open in 70.58% of cases. Associated lesions were dominated by femur fractures in 29.42%. Duparc type II was the most encountered bone lesion with 47.06% of cases. All our patients benefited from regional anesthesia. Bracing was the most used surgical treatment in 58.83%;the anterior approach was performed in all our patients. Four (04) cases of knee stiffness, two (02) postoperative infections and skin necrosis complicated the short and medium term consequences. After a two-year follow-up, radiologically one case of pseudarthrosis and one case of patellofemoral osteoarthritis were noted. According to the Bosman score, we found 17.65% excellent, 47.06% good and 35.29% poor functional results. Conclusion: Patella fractures are relatively rare. Treatment is primarily surgical for transverse and/or displaced fractures;Bracing is the osteosynthesis technique of choice. However, knee stiffness, pseudarthrosis and patellofemoral osteoarthritis are not uncommon.
文摘Introduction: Corneal trauma can be defined as any impact on the cornea following direct or indirect trauma by a traumatic agent. Due to its anatomical position, the cornea is the superficial membrane most exposed to ocular trauma. It is a frequent pathology in ophthalmology, especially in young active subjects. It is an important cause of poor vision or loss of the eyeball with a significant socio-economic impact. Material and Method: We conducted a prospective cross-sectional study of descriptive type with a duration of 5 months from November 01, 2020 to March 31, 2021 in order to study the epidemiological, clinical and therapeutic profile of corneal trauma. Results: During the study period, 179 patients consulted for corneal trauma, i.e. 64.9% of ocular trauma. The age group 20 to 29 years old was the most affected with a frequency of 29.1%. The average age of our patients was 26.6 years old, with extremes ranging from 1 to 75 years old. The majority of patients were male with a frequency of 68.2% and a sex ratio of 2.1. Decreased visual acuity was the most frequent reason for consultation in our patients with 93.2%. Perforation was the most frequent type of trauma with 80.3%. All of our patients were treated with medication (100%), 65.3% with physical treatment and 41.8% with surgery. Conclusion: Corneal trauma is a real public health problem. They are especially frequent in young active subjects. Prevention remains the most effective means of treatment.
