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Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study Pulungan, Ndilalah; Thoriq, Yusa Muhammad; Hartono, Felix Giovanni; Adnan, Muhammad Luthfi; Sasetyo, Dadang Rona
Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 2 (2024): October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i2.2024.61-68

Abstract

Background: Although hip fractures are common among the elderly population, there are still limited studies on neck-trochanteric fractures, one of the less common types of hip fractures. This study aims to describe the characteristics of patients and their management in patients with neck trochanteric fractures. Methods: This retrospective cross-sectional study analyzed medical records of patients aged >18 years with trochanteric fractures from a tertiary hospital in Central Java, Indonesia, between January and December 2021. Fracture types were identified and classified using the Garden, Pauwels, and AO/OTA classifications.  Demographic data, risk factors, fracture locations, and treatment types were also collected.  Statistical analysis was performed using SPSS 21.0 to describe patient characteristics. Results: The total sample was 77 patients, most were female (n = 55 (71.4%)) and aged > 60 years. More than a third of diagnosed fractures were neck of the femur fractures in 33 patients (42.9%). Among the most common classification types of fractures were Garden Type 3, Pauwels Type 3, and AO/OTA type A1.1. A total of 33 patients (42.9%) underwent open reduction of the fracture with internal fixation. Conclusions: Our findings show that the prevalence of neck-trochanteric fractures mostly occurs in patients > 60 years of age and in females. Although open reduction with internal fixation is generally performed, there are several cases of fractures that are not classifiable due to limited imaging examinations. Further research on a wider population is needed to confirm the findings of this study.
Dislokasi Patella Lateral Pada Anak Perempuan Usia 15 Tahun : Laporan Studi Kasus Pulungan, Ndilalah; Hidayatullah, Rona; Ramadan, Mohamad Alif
MJS Medical Journal of Soeradji Vol 2 No 1 (2025): MJS (Juli)
Publisher : RSUP dr.Soeradji Tirtonegoro Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70605/sc2fna29

Abstract

Latar Belakang : Dislokasi patella merupakan bagian dari subluksasi intermiten hingga dislokasi yang ditandai dengan deformitas dan keterbatasan gerak pada lutut. Prevalensi dari dislokasi patella sebesar 2% hingga 3% dari keselurahan kasus cedera lutut yang berpotensi mengarah ke dislokasi patella, kasus ini sering kali terjadi pada perempuan usia muda. Penyebab tersering dari kasus ini adalah cedera ligament Vastus Medial Oblique (VMO) dan Medial Patellofemoral (MPFL). Tujuan dari laporan kasus ini adalah untuk memaparkan terkait kasus dislokasi patella yang cukup langka dan manajemen operatif pada pasien Deskripsi Kasus : Seorang Perempuan usia 15 tahun jatuh bertumpu pada kaki kanan dan jatuh hingga ke lantai. Segera setelah kejadian, pasien merasakan nyeri pada lutut kanan. Pada pemeriksaan fisik lokalis didapatkan adanya beberapa tanda dislokasi. Pada pemeriksaan rontgen genu dextra posisi antero-posterior, didapatkan adanya dislokasi patella mengarah ke bagian lateral dari genu dextra. Selanjutnya dilakukan tindakan operatif oleh dokter ortopedi. Tindakan operatif yang dilakukan yakni reposisi patella dan repair VMO ligament. Kesimpulan : Pemilihan tindakan operatif berupa repair VMO ligament dapat menurunkan morbiditas dislokasi berulang pada patella dan mempercepat penyembuhan dengan bantuan rehabilitasi post operatif  Kata Kunci : Dislokasi, Patella, Operatif, VMO Ligament