Management of fracture of distal end of femur by of different. Segala puji dan syukur kehadirat allah swt, yang telah memberikan rahmat dan hidayahnya sehingga kami dapat menyelesaikan tugas makalah dengan judul keperawatan medikal bedah fraktur femur ini dengan waktu yang telah ditentukan. A case report harish kempegowda, ms, akhil tawari, ms, michael suk, md, jd, mph, facs, and daniel s. My doctor kept me under observation for 3 days and after that they operated me on 4aug, they inserted a titanium rod and 4 screws in it. Dec 01, 20 they are rare and account for less than 1% of distal femoral fractures. Deze gratis online tool maakt het mogelijk om meerdere pdf bestanden of afbeeldingen te combineren in een pdf document. Dinesh dhar, senior specialist, department of orthopaedics, regional referral hospital, nizwa email. The missing femur at the mitla fortress and its implications set of customs best aligns with each archaeological case. Absence of cambium layer of periosteum intracapsular vascular anatomy inaccurate reduction loss of fixation. Pathologische fraktur des distalen femurs bei knietep. Follow these steps to quickly combine and arrange documents. Horwitz, md unstable intertrochanteric fracture of the femur is one of the most commonly encountered orthopaedic injuries in the united states.
Fnof is primarily an injury of older people but may also occur in younger people with a history of violent trauma. This could be a hairline fracture, a complete break, or something in between. Fraktur adalah terputusnya kontinuitas jaringan tulang. Ipsilateral fractures of the femoral neck, shaft and distal.
Roberts department of orthopaedic surgery, university of louisville school of medicine, 210 east gray street. A 63yearold female sustained a highly unstable intertrochanteric. Fragmen tulang dan bahan diskus dapat bergeser ke dalam kanalis spinalis. Ebscohost serves thousands of libraries with premium essays, articles and other content including prehospital femoral neck fracture management. 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. Jun 08, 2018 distal femur supracondylar fracture everything you need to know dr. Split pdf files into individual pages, delete or rotate pages, easily merge pdf files together or edit and modify pdf files. Afklemningsredskab middel til blokering pa muskler muskeltr. Many times, people who have broken a bone have suffered a single fracture.
Current understanding of epidemiology, pathophysiology, and management of atypical femur fractures. Mortality is estimated at 24% up to 12 months after the hip fracture. The results were retrospectively analyzed of 47 subtrochanteric fractures of the femur treated with a 95 degrees condylar bladeplate to establish whether two different surgical techniques yielded. They are very common, with an incidence of 75,000 in the uk, set to rise to 100,000 by 2020. Trauma to endosteal blood supply has shown to be responsible for the negative effects of intramedullary reaming. But the lack of reproducibility concludes inaccuracy and reliability in use, as they are mainly descriptive with little bearing on management and outcome see table 1. A fractured neck of femur fnof involves a fracture occurring in the location of the femoral neck the weakest area of the femur. Makalah ini disusun untuk memenuhi tugas mata kuliah komputerisasi keperawatan. Pdf asuhan keperawatan fraktur femur anggita agustina. Bosse jj, mackenzie ej, riemer bl, brumback rj, mccarthy ml, burgess ar, et al 1997 adult respiratory distress syndrome, pneumonia, and mortality following thoracic injury and a femoral fracture treated either with im nailing or with a plate. With long forceps, hold the radiographic ruler 357.
Nail dynamization for delayed union and nonunion in femur and. For example, regarding the cacaxtla murals, the femur has been interpreted as coming from a slain captive miller 2007. For this reason unreamed intramedullary nailing has experienced widespread clinical application in open and closed tibial shaft fractures 32. Surgical technique standard locking spiral blade locking. Patah pada daerah ini dapat menimbulkan perdarahan yang cukup banyak, mengakibatkan penderita jatuh. Bone mineral and geometric changes through the femur with. To appreciate the medical and surgical management of such injuries. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. Fraktur is a folk art form practiced by pennsylvania germans principally from the mideighteenth to the midnineteenth centuries. Scribd is the worlds largest social reading and publishing site. Learn how to combine files into a single pdf file using adobe acrobat dc.
Aug 14, 2010 ipsilateral fractures of the diaphysis and both ends of femur are extremely rare injuries, with the diaphyseal trauma dominating the clinical picture. Maakt het mogelijk om pdfbestanden samen te voegen met een simpele drag anddrop interface. The name derives from that of a distinctive german script marked by fractured pen strokes and the form has clear roots in european folk culture. Anteroposterior radiograph of the proximal femur a and lateral b and anteroposterior c radiographs of the distal femur showing femur fracture without evidence of healing in a 30yearold man with continued pain with weight bearing 7 months after his leg was crushed by a forklift. In one study on supracondylar intercondylar fractures of distal femur, 38% had a coronal fracture.
To understand why the physiotherapeutic management of these injuries is a slow process. Femoral shaft fractures in emergency medicine clinical. Secara umum fraktur collum femur merupakan fraktur intrakapsular dimana suplai pembuluh darah arterial ke lokasi fraktur dan caput femur. Femoral neck fractures are a commonly encountered injury in orthopaedic practice and result in significant morbidity and mortality. A case report d dhar, ms ortho department of orthopaedics, regional referral hospital, nizwa, oman corresponding author. Berbeda dengan fraktur kompresi murni, keadaan ini merupakan cedera tak stabil dengan risiko progresi yang tinggi. How to combine files into a pdf adobe acrobat xi prozelfstudies.
Proximal fracture of the femur is the main cause of morbidity, institutionalization and mortality in the elderly. Move the image intensifier to the proximal femur position 2, place the distal end of the ruler on the skin mark. It is essential that surgeons are able to recognize specific fracture patterns and patient characteristics that indicate the use of particular implants and methods to effectively manage these injuries. Labronici pj, santos filho fcd, diamantino ylo, loureiro e, ezequiel mcdg, alves sd. Therefore, it is imperative to purposely look for signs of fractures to the proximal and distal femur on radiographs, especially when injuries are associated with highenergy trauma. Adjust the ruler until the distal end is at the desired nail insertion depth. Inspired by anatomy inspired by simplicity fracturespecific solutions proximal femur six points of multiplanar fixation for rotational stability increased plate thickness in neck region to counteract varus stress thoughout the healing process1 plate shaft designed with an anatomic bow. Below we show how to combine multiple pdf files into a single document. Operative treatment for femoral shaft nonunions, a systematic. Kami menyadari bahwa terselesaikannya makalah ini tidak terlepas dari bantuan. The nail design has been well proven in over 450 000 cases performed with the pfn and pfna.
Fractures of the neck of femur to identify the common fractures of the femoral neck and shaft. Management of fracture of distal end of femur by of different methods journal of chalmeda anand rao institute of medical sciences vol 10 issue 2 july december 2015 108 discussion the distal femoral fractures should be limited to those fractures with extension into or distal to the metaphyseal flare of the femur. Tibial shaft fractures management and treatment options. Bilateral traumatic fracture of neck of femur in a child. 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. Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. Patta indral fraktur femur free download as powerpoint presentation. Now after 4 months my femur fracture is united, i went thru a mri test, it revealed that there are serious acl and pcl ligament injury as well.
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. Pfna nail optimal fit the anatomical design guarantees an optimal fit in the femur. The missing femur at the mitla fortress and its implications. Report makalah fraktur femur pdf please fill this form, we will try to respond as soon as possible. Graphic demonstration of the ao definition of femoral shaft fractures 17. The thing is, since the main part of its history was print, there is no golden standard of fraktur, no one way to do it, its more of a style than just a number of strokes, but well get back to this later on. This enables the patient to be ambulant and start early weight bearing.
Of these 76% were unicondylar and rest were bicondylar. Pdf merge combinejoin pdf files online for free soda pdf. Proximal femur fracture and vascular injury in adultscase report. Proximal femoral nail antirotation technique guide pfna. Several distal locking options static or dynamic locking can. Now, fraktur is both a style of writing or lettering, but also a style of this art, which you correctly point out are birth and marriage and death certificates. Management of fractures of distal femur journal of medical.
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