Abstract
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.
Highlights
They are often part of a context of polytrauma. They do not require urgent treatment [8]; the possibility of postponing their reduction to treat other more urgent lesions. It is in this context that we want, by this study, to bring our experience of the treatment of traumatic acetabular injuries (TAI) to the Orthopedics-Traumatology department of the University Hospital Center of Yalgado Ouedraogo, in order to identify the appropriate measures of their best care
Radiography of the front pelvis and 3/4 wing and obturator oblique X-rays allow the diagnosis of TAI; Computed tomography (CT) is sometimes a contributory factor in the lesional balance of acetabulum fractures
Reduction difficulties were found in two cases of obturator dislocation, which led us to perform the surgical reduction
Summary
These traumatic lesions mainly consist of rare fractures of the acetabulum and coxo-femoral dislocations. They do not require urgent treatment [8]; the possibility of postponing their reduction to treat other more urgent lesions It is in this context that we want, by this study, to bring our experience of the treatment of TAI to the Orthopedics-Traumatology department of the University Hospital Center of Yalgado Ouedraogo, in order to identify the appropriate measures of their best care. The management of traumatic acetabular injuries (TAI), which are often complex and diverse, is difficult and costly in the context of lowincome African countries. 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
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