Introduction: The pelvis fractures are frequent fractures in relation to generally violent traumas seen their frequencies. Thus, we undertook this work with the objective of determining the epidemiological, clinical and therapeutic profile of the pelvis fractures in Butembo town. Material and Methods: This was a retrospective descriptive study based on a literature review during 5 years. Results: During our study, we found a frequency of 5.29% of cases of pelvis fractures or 37 cases in a population of 699 patients with fractures. The male sex was the most affected with a proportion of 59.5%. Pelvis fractures are most common in young adults aged 21-40 (45.9%). Drivers, farmers and students were the most affected with a frequency of 21.6%. Road traffic accidents were the leading cause of pelvis fractures in 67.6% of cases followed by work’s accidents with 10.8%. Fractures of pubis are the most common with a frequency of 32.4%. Pelvis fractures were more associated with bone fractures of limbs, with a frequency of 48.7% followed by cranio encephalic trauma (CET) in 21.6%. Orthopedic treatment is most indicated in 62.9%. 1/3 of the patients had unstable hemodynamic. 83.8% of patients with pelvis fractures were discharged from hospital with an improved condition. Conclusion: Pelvis fractures remain a public health problem; the frequency of these fractures is increasing in Butembo town given the high number of road accidents; and the mortality associated with them is not negligible.

Objective: To make available epidemiological, clinical and therapeutic data on hand trauma at Matanda Hospital in Butembo. Methodology: It was a descriptive retrospective study that was carried out from 1st January 2013 to 31 December 2017. Results: Hand traumas were mostly seen among males with 87% of the cases. The most affected age group was from 20 to 29 years with 35.2% of cases. The most concerned socio professional layer was military with 27.8% and road traffic accidents were the first cause of the trauma with 33.3% of cases. Wounds were the most common lesions with 37.1% of cases. According to the injured side, the right hand was the most affected with 51.9% of cases and surgical treatment was the most used with 46,3% of cases. Conclusion: Hand trauma is a major public health problem because of its severity and the socio-professional consequences it engenders. An improvement in its care is essential to minimize the sequelae.

Introduction: The occurrence of pregnancy on a scar uterus is characterized by its high incidence, multiple complications, high rate of morbidity and maternal-fetal mortality. The aim of this work was to evaluate the maternal prognosis during delivery on scar uterus in a poorly equipped environment. Methodology: This is a retrospective and descriptive study with exhaustive sampling carried out in 2 years. Our study’s population was constituted by all pregnant women with previous caesarean section scarring uterus who gave birth in the obstetric department of Matanda Hospital in Butembo City. Results: Scarred uterus deliveries accounted for 20% of all deliveries; 26.8% of parturient had a antecedence of vaginal delivery; 39.6% of parturient had severe pelvic narrowing as an indication of anterior caesarean section; and 49.3% had uterus once scarred, 26.9% uterus twice scarred and 14.7% uterus thrice scarred. 72.8% of parturient had an inter-reproductive interval between 13 and 24 months; 98.1% had term pregnancies. Thirteen percent of parturient had a uterine test, among which 41.2% had given birth vaginally; 8.8% of cases of pre uterine rupture and 5.9% of cases had acute fetal distress. No maternal mortality were recorded. Early neonatal mortality was 1.5% of cases and half of the cause of death was acute fetal distress followed by respiratory distress and neonatal infections. Conclusion: The birth on scar uterus is common. The decision of the delivery modality to be proposed should take into account factors concerning the obstetrical antecedents, the data of the current pregnancy, but also the choice of the parturient after being informed of the risks and benefits of each delivery pathway. We propose here the application of the MOMAT score for the prediction of the failure of the uterine test.