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All Journal GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh
Athaya, Alya
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Education Health Professions Immunology & microbiology Public Health Veterinary

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Impant Failure Post ORIF Femur Bayu Rizaldy, Muhammad; Athaya, Alya
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 4 No. 5 (2025): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Oktober 20
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v4i5.23334

Abstract

A femur fracture is a break or loss of continuity of femur, clinically this condition can present as an open or closed femur fracture. Adequate management of fractures is important to prevent short-term and long-term complications. Management of femur fractures can be performed through open or closed reduction. Open reduction is achieved through surgical intervention, with bone fragments reduced using internal fixation (ORIF).ORIF failure can happen due to several factors, such as poor bone quality, biomechanical failure of the fixation device, infection, and poor rehabilitation. This failure can lead to nonunion, implant loosening, and even other serious complications. A 20-year-old male patient came with complaints of persistent pain in his left leg after vehicle accident four months ago. ORIF was performed on the patient four months ago, and the patient had improved. After the procedure, the patient accidentally put his weight on the wrong side while walking and fell, causing the left leg become painful again. Physical examination showed deformity, tenderness, and limited range of motion, with good sensation, detectable dorsalis pedis artery pulsation, and CRT < 2 seconds. X-ray of the left femur revealed a left femur fracture fixed with a plate and screws. The patient was subjected to surgical intervention specifically Re-ORIF and provided with antibiotics and analgesics. The patient  also provided with education  post-operative care and how to properly rehabilitation to prevent re-failure.
Co-Authors Bayu Rizaldy, Muhammad