Suprakondylare extension einer pertrochantaren femurfraktur. Improving quality of care for patients with fractured neck. In our study 100 fractures of distal femur were treated. Comparative study of management of distal femoral fractures.
Definisi fraktur femur adalah terputusnya kontinuitas batang femur yang bisa terjadi akibat trauma langsung kecelakaan lalu lintas, jatuh dari ketinggian, dan biasanya lebih banyak dialami oleh lakilaki dewasa. Patahpada tulang femur dapat menimbulkan perdarahan cukup banyak serta mengakibatkan penderita mengalami syok sjamsuhidajat, 2004. The royal surrey county hospital 528 acute beds 2800 staff district general serving 320,000 population cancer centre serving 1. The incidence of osteonecrosis in ipsilateral femoral neck and shaft fractures is also less than that of isolated neck of femur fractures, 34% as compared 1035% 5,9.
Surgical management of fracture of distal end of femur in. Femurs mit vorgeformten lcp df platten ermoglicht eine anatomische reposition. Jan 06, 2015 how to get rid of muscle knots in your neck, traps, shoulders, and back duration. They represent fewer than 1% of all the paediatric fractures. Regardless of which solution you select, you need to understand that successfully converting from pdf to any other format relies heavily on the information that is stored inside the pdf document. Patah pada daerah ini dapat menimbulkan perdarahan yang. Unicondylar fractures of the distal femur are rare lesions, that often occur in combination with other posttraumatic injuries and may therefore fail to be recognised initially. Jan 10, 2016 operative treatment of acute distal femur fractures. This may be representative of lower energy injury pattern and supportive of the above postulate. Secara umum fraktur collum femur merupakan fraktur intrakapsular dimana suplai pembuluh darah arterial ke lokasi fraktur dan caput femur.
Operative treatment of acute distal femur fractures. In case of distal femoral locking compression plate, a lateral parapatellar approach was used in fracture patterns with significant intercondylar comminution, coronal plane fractures, or both. Laporan pendahuluan lp fraktur femur wellcome to share. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Broken femur hi, i have recently broken my femur in a horse riding accident, i had and operation to have a rod down the centre of my bone and 3 pins holding it in place. Bone mineral and geometric changes through the femur with. Fractured neck of femur does not only bear a high risk of mortality within the first 6 months after surgery, but often the patients independence is at risk as a result of the injury.
Fraktur femur adalah terputusnya kontinuitas batang femur yang bisa terjadi akibat trauma langsung kecelakaan lalu lintas, jatuh dari ketinggian. Ender nailing for peritrochanteric fractures of the femur. Describe and give examples of the six types of diarthroses or synovial joints. Nonunion of fractures of the femoral neck in children. Study comparing the advantages of proximal femoral nail. Study comparing the advantages of proximal femoral nail over. Type idescribes avalgus impaction of the head of femur. Systemic factors summary nonunion of a fracture can be caused by various.
Holloway queens medical centre, nottingham summary a detailed prospective study of 54 inpatients in nottingham with a radiologically proven diagnosis of a fracture of the proximal femur showed that only 29 55 per cent could give a definite reason for the fall. The articular system chapter objectives after studying this chapter, you should be able to. Fnof is primarily an injury of older people but may also occur in younger people with a history of violent trauma. Many times, people who have broken a bone have suffered a single fracture. Upaya peningkatan mobilitas fisik pada pasien post orif fraktur. Varus collapse of comminuted distal femur fractures after open reduction and internal fixation with a lateral condylar buttress plate. Femur fracture classification aoota femur diaphysis bone segment 32.
I landed on my knee, although i havent any bruising on my knee and no obvious injury i am finding it very painful to bend my knee, i keep moving it and although it is. Pdf fracture shaft of femur in children with newly designed. Angle formed between the neck of the femur and the shaft 15 20 degrees anterior angle the amount of angulation anteriorly that is formed by the head and neck in relation to the body of the femur. Anterioposterior radiograph of pelvis showing bilateral displaced fracture neck femur. Patient 2 fractured through a femoral stress fracture after a fall. Surgical treatment of pathologic fractures of the humerus and femur. A case report d dhar, ms ortho department of orthopaedics, regional referral hospital, nizwa, oman corresponding author.
The pauwels classification is primarily based on the stability of the fracture. They are caused by a direct impact on the flexed knee during weight bearing 4. Standard dxa assessment of the cancellous femoral neck uses a 15mm section, so we defined an equivalent size region at the cancellous distal femur. Another common classification is the one by pauwels originating from 1951 image 2. Pdf fracture shaft of femur in children with newly. Alle operationstechniken sind als pdf dateien abrufbar unter. Overall final outcome of the surgical management of fracture lower end of femur using locking compression plate was assessed in terms of regaining the lost knee function using neers score. They are very common, with an incidence of 75,000 in the uk, set to rise to 100,000 by 2020. Management of fractures of distal femur journal of. Fractures of the subtrochanteric region of the femur provide several challenges to the operating surgeon due to anatomic and biomechanical peculiarities inherent to this region. Patient 1 sustained bilateral sequential femur fractures during separate falls after a prodrome of groin and femur pain. Dangle sit in a chair or on the edge of your bed and let your operated leg just hang downwards with gravity.
Dinesh dhar, senior specialist, department of orthopaedics, regional referral hospital, nizwa email. Yang dimaksud dengan fraktur ekstrimitas adalah fraktur yang terjadi pada komponen ekstrimitas atas radius, ulna, dll dan ekstrimitas bawah femur, tibia. Femoral shaft fractures are an emergency indication and should be promptly stabilized as delayed stabilization is associated with increased morbidity, particularly in the lungs and a longer hospital stay 9. Treatment of femoral fracture nonunion after longterm. The fracture line starts in the lateral or medial intercondylartrochlear groove.
Upaya peningkatan mobilitas fisik pada pasien post orif fraktur femur di. A bone scan shows increased uptake around the metaphysis of the left femur. Shaft of femur definition of shaft of femur by medical. Kelompok otot yang besar dapat menciptakan spasme yang kuat bahkan mampu menggeser tulang besar, seperti femur. His left femur is tender to palpation 3 cm above the left knee, and there is marked soft tissue swelling. Operative treatment for femoral shaft nonunions, a. A comprehensive literature search was performed with the assistance of a clinical librarian, using the following mesh search terms. Personal exercise program hospital for special surgery hospital for special surgery 535 east 70th street, 10021, new york, new york, united states provided by hss rehab and llcrs provided for llcrs. Use of the garden and pauwels classification systems has remained the practical mainstay of femoral neck fracture characterization that help dictate appropriate treatment. If you enjoyed it please like, favorite and subscribe. The search was limited to adult humans in the following databases.
Dari balutan yang ada pada back slab merembes darah cukup banyak, pasien mengeluh nyeri berat. How to get rid of muscle knots in your neck, traps, shoulders, and back duration. Operative options include in situ fixation, closed or open reduction and internal fixation, hemiarthroplasty, and total hip arthroplasty. Pdf asuhan keperawatan fraktur femur anggita agustina. Once a fracture does occur, this same protective musculature usually is the cause of displacement, which commonly occurs with femoral shaft fractures.
Therapeutic possibilities in trochanteric fractures orthopaedics 2000. Management of fractures of distal femur journal of medical. A smaller blunt, conical eminence that projects medially and posteriorly from the junction of the neck and shaft of the femur adductor tubercle a slightly raised between the medial and lateral condyles that receives the tendon of the tendon of an adductor muscle. Afklemningsredskab middel til blokering pa muskler muskeltr. Jun 01, 2012 patient 1 sustained bilateral sequential femur fractures during separate falls after a prodrome of groin and femur pain. However, complications accompanying these fractures are frequentspecifically avascular necrosis, pseudoarthrosis and early closure of the proximal physis of the femurresulting in decrease of growth and coxa vara. Pdf surgical treatment of pathologic fractures of the. After proper exposure temporary fixation was done by 2mm k wires which. They are caused by a direct impact on the flexed knee during weight bearing. Unstable intertrochanteric fracture of the femur is one of the most commonly encountered orthopaedic injuries in the united states. Otherwise known as the femoral head, it fits into the socket, a. The femur is the largest and strongest bone and has a good blood supply. Improving quality of care for patients with fractured neck of. It is the longest and largest bone in the human body.
The topmost part of the femur bone is called the head of the femur, it is round like a ball. Management of fracture of distal end of femur by of different. Cannulated screw fixation for femoral neck fractures. It includes the metaphyseal fractures supra condylar fractures and the fractures of the joint surface intraarticular fractures. Saat ini pasien masih menggunakan back slab sambil menunggu jadwal operasi untuk tandur cangkok tulang dan pemasangan eksterna traksi.
Jul 27, 20 in two large retrospective series of femoral shaft nonunions, the wave plate led to union after a single surgery in the vast majority of cases e. Bilateral traumatic fracture of neck of femur in a child. Management of fracture of distal end of femur by of. Berikut ini adalah download jurnal gratis yang merupakan kumpulan file dari berbagi sumber tentang jurnal penelitian fraktur femur pdf yang bisa bapakibu gunakan dan diunduh secara gratis dengan menekan tombol download biru dibawah ini. Fracture of shaft of femur 1 fracture of shaft of femur 2. A fracture through the intra articular part of the femoral neck is usually referred to by the term femoral neck fracture.
Name examples of the two types of synarthroses joints. Etiologi penyebab fraktur secara fisiologis merupakan suatu. Roberts department of orthopaedic surgery, university of louisville school of medicine, 210 east gray street, suite 1003, louisville, ky 40202, usa keywords nonunion. The annual incidence of traumatic femoral shaft fractures is approximately 10 per 100,000. It is a fracture of femoral diaphysis occurring between 5cm distal to lesser trochanter and 5cm proximal to adductor tubercle. In the proximal part of the plate seven screws can be locked at different angles, providing maximum stability to the humeral head, granting excellent grip in the osteoporotic bone and in multi fragmentary fractures. Roberts department of orthopaedic surgery, university of louisville school of medicine, 210 east gray street. A 63yearold female sustained a highly unstable intertrochanteric fracture of the femur ota 31a 3. A fractured neck of femur fnof involves a fracture occurring in the location of the femoral neck the weakest area of the femur.
Whether they are transverse, oblique, or comminuted, supracondylar or intercondylar in a t, y or v fashion their management still evokes much controversy because of the consistently poor results obtained. Berdasarkan hubungan tulang dengan jaringan disekitar fraktur dapat dibagi menjadi. Fractures of the femoral neck in children and adolescents are not common. The onil plate for proximal humerus is an optimal solution for the treatment of fractures of humeral head.
Aug 28, 2016 largest and strongest bone in the body femur has an anterior bow linea aspera rough crest of bone running down middle third of posterior femur attachment site for various muscles and fascia acts as a compressive strut to accommodate anterior bow to femur 36. Twenty five cases were managed by surgery with dynamic condylar screw, so they were placed in group a i. A 5year experience in a single institution khoo cch, mbbs, amber haseeb, mbbs, vivek ajit singh, frcs abstract cannulated screw fixation is a widely accepted surgical method for management of fractures of the neck of femur especially in patients with poor premorbid conditions. Anatomy of the proximal femur, hips, and pelvis flashcards.
Operative treatment for femoral shaft nonunions, a systematic. Name examples of the two types of amphiarthroses joints. Because of this and its protective surrounding muscle, the femoral shaft requires a large amount of force to fracture. Feb 03, 2015 if you enjoyed it please like, favorite and subscribe. Anterioposterior radiograph of pelvis after internal fixation of femoral neck fractures with cancellous screws. Fraktur dapat dibedakan jenisnya berdasarkan hubungan tulang dengan jaringan disekitar, bentuk patahan tulang, dan lokasi pada tulangfisis. Fraktur adalah terputusnya kontinuitas jaringan tulang dan atau tulang rawan yang umumnya disebabkan. Unicondylar fractures of the distal femur sciencedirect. Ppt fracture of shaft of femur powerpoint presentation. Fraktur is a calligraphic hand of the latin alphabet and any of several blackletter typefaces. Another term is intracapsular proximal femoral fracture.
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