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FUAD IQBAL ELKA PUTRA
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Karakteristik Neglected Fractures di Rumah Sakit Dompet Dhuafa, Bogor January 2019 - December 2020 : Studi Retrospektif FUAD IQBAL ELKA PUTRA; Basuki Adam
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.310

Abstract

The neglected/late  state  is  when  the  patients  seek  treatment  more  than 2 days or more than 14 days after the fractures occurred and objectively the callus appears in the X-ray, meanwhile the fracture lines are still exist. Fractures are a common condition in musculoskeletal trauma, according to the Riskesdas (2018) fracture 5.5% of all injury cases in Indonesia. Complications can occur in the form of malunion or non-union fracture, to most severe symptoms such as gangrene or death. This research method was taken from medical records of surgical patients at the Dompet Dhuafa Hospital, Bogor from January 2019 - December 2020. The purpose of this study was to provide an overview of the characteristics of Neglected fractures cases at Dompet Dhuafa Hospital. Then we analyzed using SPSS in the form of descriptions of gender, age, mechanism of injury, characteristics of neglected fracture, health insurance nad complications. The results we obtained of the sex of 9 males (56.2%) and 7 females (43.8%), the mean age was ± 38.7 years with an age range of 9 - 68 years old and the most group is 41-50 years old with 6 cases. Injuries caused by traffic accidents only 3 cases (18.8%) the remaining 13 cases (81.2%) were caused by other mechanisms such as falls or collisioned by blunt objects. The mean time of injury is ± 12.7 weeks with a range of 2-52 weeks. The incidence of neglected radial fractures 7 cases (43.8%) was the highest in our study followed by neglected tibia fibula fractures 4 cases (25%), neglected humerus fracture 2 cases (12.5%), neglected tibia fracture, neglected femur fracture, neglected radius ulna fracture 1 case each (6.3%). Complications that occurred in the form of malunion fractures were 4 cases (25%).
Kompartemen Sindrom Ekstremitas Bawah : Diagnosis, Anatomi dan Tatalaksana Fuad Iqbal Elka Putra; Hanifah Hanum
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.839

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Abstract Acute compartment syndrome (ACS) is an orthopaedic emergency that can threaten life and limb. A comprehensive understanding of anatomy, along with proper diagnosis and treatment, plays a crucial role in preventing lower limb ischemia. We conducted an updated review of the literature using digital databases such as PubMed, Springer Link, and Science Direct. A clinical diagnosis of compartment syndrome must be followed by surgical decompression. Clinical signs of ACS include the 6 P’s: pain, poikilothermia, pallor, paresthesia, pulselessness, and paralysis. This literature review revealed that some studies showed fasciotomy is an emergency surgical procedure performed to decompress a compartment. The most common and validated method to measure limb intracompartment pressure (ICP) is by using the handheld Stryker Intra-Compartmental Pressure (STIC) Monitor System. Lower leg compartment divided into anterior, lateral, superficial posterior and deep posterior compartment, inside of compartment there are muscle, nerve, artery and vein. After diagnosis compartment syndrome we should continue to surgical decompression by fasciotomy in two methode medial incision (deep and superficial posterior compartment) and lateral incision (anterior and lateral compartments). As a conclusion early recognition and diagnosis of conditions of compartment syndrome are essential in preventing lower limb ischemia. Keywords: acute compartment syndrome, intracompartmental pressure, lower extremity
Co-Authors Basuki Adam Hanifah Hanum