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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Medicina E-Jurnal Medika Udayana JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran JURNAL MUTIARA KESEHATAN MASYARAKAT Journal of Social Research JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Journal of Indonesia Vascular Access Folia Medica Indonesiana
Ketut Putu Yasa
Divisi Bedah Thoraks Kardiovaskular, Fakultas Kedokteran Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar, Bali, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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SUCCESSFUL INTERNAL RIB FIXATION USING SHAPP PLATE IN ADULT WOMEN WITH RIB FRACTURE AND CHRONIC PAIN: A CASE REPORT Indraharsana, Ida Bagus Yudharma; Yasa, Ketut Putu
Jurnal Mutiara Kesehatan Masyarakat Vol 10 No 2 (2025): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

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Abstract

Rib fractures are common injuries occur 10% of all traumatically injured patients. Initial management involves adequate analgesia, thoracostomy drainage if indicated, and respiratory care. Surgical rib stabilization become increasingly important but still no international clear consensus on indication is available regarding indications and patient selection. No method and/or technique was found to be superior compared to others. The aim of this study is to describe outcome of internal rib fixation using SHAPP plate. We report a 52-year-old woman, came to emergency room (ER) after motorbike accident, right chest hit handlebar. Presented with bad right chest pain and pain when inhale, VAS 7. Chest radiograph revealed fracture right posterior rib 8,9,10 medial. Chest CT showed linier fracture non displaced of right posterior rib 7. Initial treatment consists of pain management. Patient discharged after three days. Follow up at two weeks, patient still felt right chest pain when inhale and during activities with VAS 6. Second CT revealed not found fracture of right posterior rib 6-7. Patient planned to undergo internal rib fixation. Indication of surgery is prolonged and worsened pain. Internal rib fixation used SHAPP plate. Patient clinical condition significantly improved post operative with length of stay 4 days. Follow up at one month after surgery, confirmed a full return to daily activities without pain. This study reported that rib fracture treated through internal rib fixation, allows rapid recovery as well as eradicating chronic pain causes by rib fracture its self
Co-Authors Ade Sinyo Aristantrisna Adhitya Ginting Anak Agung Gede Agung Budhi Kesuma Aria, Anselmus Danus Aslesa Wangpathi Pagehgiri Dea Emmanuel Dillon, Jeffrey Jeswant Eka Gunawijaya Fernandi, Ryan Gede Budhitresna, Anak Agung Gede Wirya Kusuma Duarsa Golden, I Nyoman Harta, I Komang Adhi Parama I Gde Raka Widiana I Gusti Ayu Putu Eka Pratiwi I Ketut Widiana I Nyoman Semadi I Wayan Sudarma Ida Bagus Putra Manuaba Ida Bagus Putra Pramana Ida Bagus Subanada Indraharsana, Ida Bagus Yudharma Kadek Yudi Fajar Mahendra Katritama, Arinda Agung Mahayasa, I Made Maranatha, Maranatha Negoro, Sri Pramesthi Wisnu Bowo Ni Putu Siadi Purniti Nyoman Maharmaya Pertiwi, Putu Febry Krisna Puruhito, Ito Putra2, I Gusti Agung Made Adnyanya Satrio Ryandi Sembiring, Yan Efrata Soebroto, Heroe Sri Maliawan Sudartana, I Ketut Sueta, Made Agus Dwianthara Suryani Malik, Suryani Tidja, Yonatan Esli Alexander Tri Yuliantini Wibawa, I Gusti Agung Bagus Krisna Winarno, Dhihintia Jiwangga Suta Yutina Himawan