Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Tibia/Fibula
Abstract number: 26614
TIBIAL PILON FRACTURES. ABOUT 47 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
Traumatology surgery service of the hospital Ibn Rochd (wing. 4, Casablanca
(MOROCCO)
A retrospective study has been done for 47 cases of tibial pilon fractures at the
department of orthopaedic and traumatologic surgery during 13 years, from January
1992 to December 2005 with a mean follow-up of 2 years.The fracture of the tibial
pilon represents 13,5% of ankle traumatism, it is the prerogative of the young person
as the mean age of our patients was 39 years old with a male predominance.We
noted a rate of associated disease at 31%.The etiologic circumstances are
dominated by the high energy traumatism as the fall of high height in 53% and the
road trafficaccidents in 40%.The radiological exploration consists in radiography of
the ankle from the face and the profile that permitted the diagnosis and the analysis
of the various anatomopathologic types. According to VIVES classification adopted
at the department, the complex fractures are the majority in 71% of cases.The
cutaneous wounds were present in 29% of cases.The surgical treatment by internal
osteosynthesis fractures was practiced in 72,5% of cases, the combined treatment in
19% of cases and the treatment by external fixation in 8,5%. The functional results
according to de la caffiniere have been good in 52% of cases, medium in 24% and
bad in 24%.We couldnt notice a correlation between the functional results and the
radiological results, the laters have been good in 24% of the cases, satisfactory in
38% and bad in 38% of the cases.
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