Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center

Fraktur merupakan salah satu penyebab cacat diantaranya akibat kecelakaan. Fraktur ekstremitas bawah sering terjadi terkait dengan morbiditas yang cukup besar dan meenyebabkan perawatan panjang di rumah sakit. Gangguan akibat fraktur berdampak pada toleransi aktivitas sehingga mengurangi produktivitas. Selama ini karakteristik penderita fraktur ektermitas bawah belum diketahui, sehingga jika tidak dilakukan tidak dapat diketahui pencegahan resiko fraktur. Penelitian ini bertujuan untuk mengetahui karakteristik pasien fraktur ektermitas bawah. Metode penelitian ini merupakan penelitian deskriptif kuantitatif dengan observasional. Tekhnik sampling yang digunakan yaitu total sampling, sehingga didapatkan responden sebanyak 40 orang. Analisa hasil yaitu menggunakan analisis statistik distribusi frekeunsi. Hasil dari penelitian ini yaitu semua responden berjenis kelamin laki-laki (100%), sebagian besar responden berusia 36-45 (42,5%), untuk jenis fraktur sebagian besar yaitu fraktur terbuka sebanyak 25 (62,5%) dan lokasi fraktur terbanyak yaitu pada tibia sebanyak 26 responden (62,5%). Fraktur dapat mempengaruhi produktivitas penderita akibat adanya gangguan ektermitas akibat cedera yang menganggu fungsi tubuh. Dengan mengetahui karakteristik pasien fraktur ektermitas bawah, maka perawat dapat melakukan intervensi keperawatan yang sesuai. Diperlukan penelitian lebih lanjut mengenai faktor resiko yang mempengaruhi fraktur ektermitas bawah yang dikaitkan dengan karakteristik

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“…yang tinggi. Fraktur terbuka dikaitkan dengan trauma yang lebih parah, diekspresikan dalam rawat inap yang lebih lama (Santos et al, 2018).…”

Section: Pendahuluanunclassified

“…Penelitian lain yang menunjukan hal yang sama dengan penelitian ini, yaitu kasus fraktur terbanyak terjadi pada area tibia (Santos et al, 2018).…”

Section: Dampakunclassified

Karakteristik Pasien Fraktur Ekstermitas Bawah

Platini¹,

Chaidir

Rahayu

2020

j.keperawatan aisyiyah

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“…Experiencing an open fracture had no significant effect on a participant’s likelihood of employment at 18 months (p = 0.450); however, it did reduce a participant’s likelihood of employment 6 months post-injury (p = 0.005). This may be because of prolonged initial hospitalizations and higher readmission rates within 6 months, with no significant impact on longer-term recovery 42,43 . The open-fracture grade had no significant association with the participants’ ability to return to work at either time point.…”

Section: Discussionmentioning

confidence: 99%

Return to Work Following Intramedullary Nailing of Lower-Limb Long-Bone Fractures in South Africa

Masterson

Laubscher

Maqungo

et al. 2023

Journal of Bone and Joint Surgery

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Background: Injuries are one of the leading causes of global death and disability and commonly have substantial economic implications. The economic impact of injuries is particularly pronounced in low-and middle-income countries, where 90% of injuries occur. In this study, we aimed to assess return-to-work rates of individuals who sustained a lowerlimb long-bone fracture in South Africa and to identify factors that influence the ability to return to employment.Methods: This prospective cohort study was conducted across 2 tertiary trauma centers in Cape Town, South Africa.Adults who received intramedullary nail fixation for a lower-limb fracture between September 2017 and December 2018 were recruited and followed for 18 months postoperatively. The participants' return to employment was assessed at 6 and 18 months post-injury. Multivariate logistic regression was used to identify factors that influence post-injury employment.Results: Of the 194 participants enrolled, 192 completed follow-up. The study population had a median age of 33.0 years, and most of the participants (76.6%) were male. Seventy-five percent of the participants were employed before their injury. At 6 and 18 months post-injury, 34.4% and 56.3% of participants, respectively, were employed. Of those employed pre-injury, 70.1% had returned to work at 18 months. Multivariate regression identified increasing age, unemployment prior to injury, and working in the informal employment sector as factors that impede an individual's likelihood of working 18 months post-injury. For those in employment prior to injury, increasing age was the only factor found to impede the likelihood of returning to work following an injury.Conclusions: This study highlights the profound effect that lower-limb long-bone fractures may have on an individual's ability to return to work in South Africa, with the potential to cause substantial economic impact on an individual's livelihood and that of their dependents.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/H427).

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To the question of establishing the severity of bodily injuries in open fractures of the lower limbs

2020

Actual Problems of Modern Medicine

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Summary: Currently existing "Rules for determining the severity of bodily injuries" do not correspond to the modern classification, the level of knowledge about clinical course and outcomes of open fractures of the lower extremities. Purpose - to conduct a comparative retrospective analysis of forensic medical examinations results to determine the severity of bodily injuries in victims with open and closed fractures of the lower extremities. Material and methods. Research material - 425 acts (170 primary, 185 commissions, 70 complex) forensic medical examinations of victims with fractures of the femur and / or tibia, performed in the Kharkiv Regional Bureau of Forensic Medicine for the period February - June 2018. Research methods - retrospective analysis, descriptive statistics. Results. It was found that both at the time of injury and in the event of its (injury) consequences in victims with a leading injury of the lower extremities, open fractures of the femur and tibia are assessed as severe bodily injuries without taking into account the nature of the fracture and the degree of damage to soft tissues (according to generally accepted classifications), although these data determine the features of treatment measures and the prognosis of trauma at the prehospital and hospital stages. Conclusions. Open fractures of long bones of the lower extremities of type I and II in clinical course, treatment approaches, a risk of complications differ significantly from open fractures of type III. Acute blood loss and hemorrhagic shock, which develop in fractures of long tubular bones as a result of damage of intraosseous, periosteal and muscle vessels, are characteristic of both open and closed fractures. The complicated consequences of open fractures of the lower extremities described in the literature are not life-threatening. The severe bodily injuries revealed as a result of this study were mainly the result of non-union periarticular and intra-articular fractures with persistent joint contracture. The above facts indicate the need to correct the "Rules for determining the severity of injuries" in the case of open fractures of long tubular bones and their differentiated use in fractures of varying complexity with varying degrees of soft tissue damage.

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Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center

Cited by 4 publications

References 11 publications

Karakteristik Pasien Fraktur Ekstermitas Bawah

Karakteristik Pasien Fraktur Ekstermitas Bawah

Return to Work Following Intramedullary Nailing of Lower-Limb Long-Bone Fractures in South Africa

To the question of establishing the severity of bodily injuries in open fractures of the lower limbs

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