TRAITEMENT CHIRURGICAL DES PSEUDARTHROSES DU SCAPHOIDE CARPIEN PAR LA TECHNIQUE DE MATTI RUSSE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 8
Abstract
Les fractures du scapho?de repr?sentent 60% des fractures du carpe [1], elles surviennent essentiellement chez des hommes jeunes ? la suite d?une chute sur le poignet en hyper extension, 5 ? 10 % d?entre elles ne consolident pas de mani?re d?finitive et ?voluent ainsi vers la pseudarthrose [2]. La pseudarthrose du scapho?de constitue en fait, la complication la plus fr?quente et la plus redoutable des fractures de cet os carpien. Les facteurs reconnus de pseudarthrose du scapho?de sont la m?connaissance de la fracture initiale , la localisation de la fracture, son instabilit? potentielle li?e ? l?orientation du trait de fracture, son d?placement et la n?crose du p?le proximal. la technique de MATTI-RUSSE, est toujours consid?r?e comme la m?thode th?rapeutique de choix et a donn? de bons r?sultats. N?anmoins, le taux d??chec varie entre 15 ? 20 % dans toutes les s?ries publi?es [3-4-5]. Notre travail pr?sente les r?sultats d?une s?rie r?trospective de 20 cas de pseudarthroses du scapho?de carpien, trait?es chirurgicalement par greffe cortico-spongieuse non vascularis?e de MATTI-RUSSE, prises en charge au sein du service de chirurgie traumatologique et orthop?dique -A- du CHU HASSAN II de F?s sur une p?riode de 05 ans entre Janvier 2014 et Janvier 2019. L?int?r?t de cette ?tude r?trospective est d??valuer les r?sultats de cette s?rie et les comparer aux donn?es de la litt?rature. Nous discuterons le profil ?pid?miologique et radio-clinique de cette affection, des modalit?s du traitement chirurgical et montrer l?int?r?t de la technique de MATTI-RUSSE dans la prise en charge th?rapeutique de cette pathologie, des complications et des facteurs pronostiques.
Authors and Affiliations
O. Mamai , M. Tahar , N. El Berkani and F. Boutayeb.
Keywords
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- EP ID EP634245
- DOI 10.21474/IJAR01/9590
- Views 56
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