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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Hatim Abid Mohammed Lahsika Mohammed El Idrissi Seddik Benchekroun Abdelhalim El Ibrahimi Abdelmajid El Mrini |
| Abstract | Lors de la mise en place d´une prothèse totale du genou (PTG), une des principales problématiques de la technique chirurgicale est le choix à faire entre la conservation de la patella ou son resurfaçage avec remplacement du cartilage patellaire par une prothèse. Cette problématique continue à faire l´objet d´une controverse au sein de la communauté orthopédique. Il n'y a pas de consensus clair sur la gestion optimale de la rotule pendant arthroplastie totale du genou (PTG). Ce travail est une étude rétrospective concernant 60 arthroplasties totales du genou sans resurfaçage de la rotule, implantées au Service de Chirurgie Traumatologique et Orthopédique (B) du CHU Hassan II de Fès, depuis janvier 2009 à décembre 2015. L´âge moyen de nos patients était de 58 ans avec des extrêmes allant de 20 ans à 80 ans. La prédominance féminine est nette avec 41 femmes soit (72%) et 16 hommes soit (28%). Cliniquement, nos malades se plaignaient de douleurs de type mécanique dans la majorité des cas et tous nos patients ont bénéficié d´un examen clinique et radiologique. Le score IKS a été utilisé pour évaluer l´état du genou avant et après l´intervention. L´acte opératoire a consisté en une arthroplastie totale du genou par prothèse totale du genou sans resurfaçage de la rotule. Les complications post-opératoires étaient marquées par 7 cas de douleur antérieur de genou, 2 cas d´infections cutanées superficielles traitées par une antibiothérapie adéquate et 3 cas de raideur. Aucun cas d´hématome ou de phlébite ou de sepsis n´a été signalé. Les résultats cliniques après un recul de 18 mois ont été satisfaisants. À la lumière de ces résultats, la conservation de la patella a permis d´obtenir des résultats très satisfaisants à moyen terme concernant la douleur et la fonction. De plus, les complications potentielles des prothèses patellaires ont été évitées. Une seule contrainte demeure concernant l´avenir de ces prothèses implantées sans resurfaçage est l´apparition ou parfois la persistance de la douleur antérieur du genou d´où la nécessité d´un resurfaçage secondaire. |
| File Format | |
| e-ISSN | 19378688 |
| Journal | Pan African Medical Journal |
| Issue Number | 1 |
| Volume Number | 36 |
| Language | English French |
| Publisher Date | 2021-08-18 |
| Access Restriction | Open |
| Subject Keyword | General Science Humanities Health Prothèse totale du genou resurfaçage de la rotule cartilage patellaire |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Decision Sciences |
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