Treatment of Traumatic Acetabulum Lesions in an African Orthopaedic Trauma Department

• 作者: Aji Ouedraogo C. Darga D. Denné H. Kafando L. Ouédraogo M. O. Somé M. Sawadogo S. A. Korsaga S. C. Da S. Tinto
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: Hip ACETABULUM DISLOCATION Fracture TREATMENT
• 年，卷（期）: 2019,（10）
• 页码范围: 197-211
• 页数: 15页
• 分类号: R65

摘要

Background: The management of traumatic acetabular injuries (TAI), which are often complex and diverse, is difficult and costly in the context of low-income African countries. Objective: To evaluate the treatment of traumatic acetabular lesions in the Orthopedics and Traumatology Department of the Yalgado Ouedraogo University Hospital, for their better management. Patients and Methods: This was a retrospective study, conducted in our department from January 2012 to December 2016. Sixty-three patients with TAI and complete records were selected. The mean age of patients with coxofemoral dislocations was 34.2 years and 36.4 years for acetabulum fractures with male predominance in both injury types. The injuries were mainly caused by a violent road traffic accident (RTA) (90.5%). Forty hip dislocations and 41 acetabular fractures were reported, with a prevalence of iliac dislocations (52.5%) and posterior wall fractures of the acetabulum (24.4%). Results: The average time to manage TAI was 15.9 hours (range 2 - 100). Medical treatment was performed in all patients. Thirty-eight coxofemoral dislocations and 34 acetabular fractures were treated by orthopedic methods. Seven complex acetabular fractures and two coxo-femoral dislocations were performed by surgical method. Two patients died (3.2%), one in a hemorrhagic shock table and the other in a septic shock table. Immediate and late complications were identified. Conclusion: Early and adequate management of our TAI, requires a modern technical platform and a sufficient number of qualified medical personnel to improve their functional outcomes.