Outcome of Plate and Screw Fixation in Femoral Shaft Fracture at Sanjiwani General Hospital Gianyar in 2021
Abstract, Introduction, Methods, Result, Discussion, Conclusion
DOI:
https://doi.org/10.29303/jku.v12i3.992Keywords:
Open reduction internal fixation; Femoral shaft fracture; Complication; Human and medicineAbstract
Background: Femoral shaft fracture that reported the one year mortality rate post trauma is still high around 10-20%and it is a challenged in orthopedics. Surgical therapy in the orthopedic field has been highly developed in the treatment of femoral shaft fractures. Gold standard therapies that have been used for femoral shaft fractures is intramedullary nail but the ORIF PS method is still often used especially in hospitals that have inadequate health facilities by considering several risk factors and complications that can occur during the perioperative.
Methods: This study is a retrosepctive descriptive study that aims to indentify the outcome of plate and screw fixation in femoral shaft fracture at Sanjiwani General Hospital Gianyar in 2021. Medical record, surgical procedure, and outpatient control reports were reviewed to colect pre-, intra-, and postoperative details by identifying data on complications that occur in patients with open and closed femoral shaft fractures who had performed ORIF PS at Sanjiwani General Hospital in January 2021 - December 2021.
Result: Major complication were represented by perioperative bleeding (33%), redisual pain (8%), no complication of implant failure, deep infection, minor infection such as superficial infection and impaired wound healing in this study.
Conclusion: In this study was concluded that the most common femoral shaft fracture complication that performed ORIF PS is perioperative bleeding pain and other complications are very rare due to several factors
Keywords: Open reduction internal fixation; Femoral shaft fracture; Complication; Human and medicine
References
Apley GA, Solomon L. System Of Orthopaedics and Trauma. 9th ed. Taylor and Francis Group.Florida.2018:897-907
Thomson JC. Netter’s Concise Orthopaedic Anatomy.Philadelphia.2010:12-249
Salter RB. Textbook of Disorder And Injuries of The Musculoskeletal System.3rd ed. Johnson EP,editor.Philadelphia:Lippincott;2008:107-109
Trompeter A, Newman K. Femoral Shaft Fracture In Adults. Orthopaedics and Trauma. 2013;27(5):322-331. Available from: https://www.researchgate.net/publication/259167493_Femoral_shaft_fractures_in_adults/link/5c5aa9a4299bf1d14caf6667/download
Gansslen A, Gosling T, Hildebrand F, Pape HC, Oestern HJ. Femoral Shaft Fractures in Adults: Treatment Options and Controversies. Acta Chirurfiae Orthopaedicae Et Traumatologiae Cechosl. 2014;(81)108-177. Available from: http://www.achot.cz/dwnld/achot_2014_2_108_117.pdf
Hamahashi K, Uchiyama Y, Kobayashi Y, Ebihara G, Ukai T, Watanabe M. Clinical Outcomes Og Intramedullary Nailing of Femoral Shaft Fractures With Third Fragments: a retrospective analysis of risk factors for delayed union. British Medcal Journal.2019;4: 1-7. Available from: https://pubmed.ncbi.nlm.nih.gov/31058233/
Intramedullary Nailing and Monoaxial External Fixation. Journal of Clinical Medicine. 2019;8:1-8. Available from: https://www.researchgate.net/publication/334736509_Clinical_Medicine_Definitive_Treatment_of_Femoral_Shaft_Fractures_Comparison_between_Anterograde_Intramedullary_Nailing_and_Monoaxial_External_Fixation
Shin WC, Jang JH, Jung SJ, Moon NH. Advantages and limitations of intramedullary nailing for the surgical treatment of ipsilateral intratrochanter and femoral shaft fractures: a retrospective comparative study based on propensity score matching. European Journal of Trauma and Emergency Surgery. 2020:1-8. Available from: https://pubmed.ncbi.nlm.nih.gov/32870324/
Testa G, Vascio A, Aloj DC, Papotto G, Ferrarotto L, Masse A, et al. Definitive Treatment of Femoral Shaft Fractures: Comparison Between Anterograde. Available from: https://europepmc.org/article/pmc/6723720
Neumann MV, Sudkamp NP, Strohm PC.Management of Femoral Shaft Fractures. Acta Chirurgiae Orthopaedicae Et Traumatologiae Chechosl. 2015;82:22-32. Available from: http://www.achot.cz/dwnld/achot_2015_1_22_32.pdf
Fan S, Yin M, Xu Y, Ren C, Ma T, Lu Y, et al. Locking Compression Plate Fixation of Femoral Intertrochanteric Fractures in Patients With Preexiting Proximal Femoral Deformity: a retrospective study. Journal of Orthopaedic Surgery and Research. 2022;16:2-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8082780/
Noorisa R, Apriliwati D, Aziz A, Bayusentono S. The Aharacteristic Of Patients With Femoral Fracture In Departement Of Orhopaedic And Traumatology RSUD Dr. Soetomo Surabaya 2013-2016. Journal of Orthopaedi & Traumatology Surabaya. 2017; 6(1):1-11. Available from: https://e-journal.unair.ac.id/JOINTS/article/view/9160
Tasya ES, Rahmadhany H. Characteristic Of Femoral Fracture Caused By Traffic Accident In Haji Adam Malik General Hospital Medan In 2016-2018. Jurnal Kedokteran dan Kesehatan Fakultas Kedokteran Universitas Islam Sumatera Utara. 2022; 21(1):123-128. Available from: https://jurnal.fk.uisu.ac.id/index.php/ibnusina/article/view/244
Nagra NS, Popta DV, Whiteside S, Holt EM. An analysis of postoperative hemoglobin levels in patients with fractured neck of femur. Turkish Association of Orthopaedics and Traumatology. 2016: 507-513. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197462/pdf/main.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Jurnal Kedokteran
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
