Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Infections
Abstract number: 26620
INTEREST OF THE METHOD OF ILIZAROV IN THE TREATMENT OF SEPTIC
PSEUDARTHROSE OF LEG AT THE ADULT. ABOUT 32 CASES.
Anis ACHARGUI 1 , Amine EL RHAZI 1 , A. ESSAROUALI 2 , A. DIAKITE 2 , A.
BELMOUBARIK 2 , D. BENNOUNA 2 , M. FADILI 2 , M. OUARAB 2
1 Traumatology Surgery Service of the Hospital Ibn Rochd, Casablanca (MOROCCO),
Used, as a last resort and after several therapeutic protocols, Ilizarov's method
permitted to rescue quite a lot of limbs that risked the amputation.In our study, we
report a series of 32 cases who suffer from infected leg pseudarthrosis, it is about 29
mean and 3 women that the mean age is 35,5 years old. The patients presented pain
(16 cases), fistulas (6 cases) limbs inequality (6 cases) 02 soft parts amyotrophy (6
cases). The preoperative radiography confirmed the diagnosis with 19 cases of
hypertrophic pseudarthrosis and 13 cases of atrophic pseudarthrosis. The treatment
based on Ilizarov's technique carrying out alternately distraction compression:
monofocal (11 cases), bifocal (10 cases), trifocal (11 cases). The consolidation of
bones has been noticed in almost all the patients in a delay of 7,4 months on
average. The complications caused by pains (7 cases) were treated by
analgesics.Oedemas are noticed in almost all the patients at the beginning of the
treatment, diminished particularly in 8 patients, articular stiffness is noticed 5 patients
who benefited from rehabilitation, osseous sequester (3 cases), a sequesterectomy
has been practiced in 1 case. The neurovascular complications are noticed in 1 case.
Generally, our global results are good in 60% of the cases, medium in 33% of the
cases and bad in 7% of the cases.
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