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FRACTURE IMPARED JOINT MOBILITY, MUSCLE PERFORMANCE ROM KLASISFIKASI • NORMAL – TERTUTUP – TERBUKA SOLITARY OR MULTIPLE • ABNORMAL – PATHOLOGICAL • DISEASE • OSTEOPOROSIS CAUSE • TRAUMATIC – DIRECT – INDIRECT • ROTATIONAL • ANGULATORY • COMPRESSION – MUSCULAR FORCE • AVULSION – STRESS FRACTURE • CRUSH CAUSE • PATHOLOGICAL – CONGENITAL • Osteogenesis imperfecta • Osteopetrosis – INFECTIVE • Pyogenic osteomyelitis • syphilis – METABOLIC • Osteo porosis • osteomalacea – DYSPLASIAS – TUMOR GENERAL COMPLICATION • VENOUS THROMBOSIS, • PULMONARY EMBOLISM • FAT EMBOLISM PENYEMBUHAN • • • • • hematoma proliferasi pembentukan tulang konsulidasi remodelling Faktor yang mempengaruhi penyembuhan tulang • • • • • • • • • Quality of fixation Closeness of the fragment Age State of the bone and underlying disorder Extent of injury Vascularisation Interposition of soft tissue Dissolution of haematoma by synovial fluid Tumors PATERN • • • • • • Transversal oblique spiral Comminuted compression Greenstick Displacement • • • • • Angulation Rotation Overlapping lateral displace Impaction Local Complication • Bone : Delayed, Non, Mal union, - avascular necrosis, Infection • Joints : Adhesion, ROM of mal union, myositis Ossificant, Sudeck’s Atrophy, late athritis • Nerve : Neuropraxia, Axonotmesis, neurotmesis • Artery : Disruption of the vesel, Thrombosis, Compression • Muscle & tendon : Ruptur, Avulsi, Tendinitis, Atrophy, myositis osificant Complication – Skin : Primer - contusion, laceration, Secunder decubitis, dll – Viseral : Brain & Spinal Cord, Abdominal organs, Thoracic viscera • GENERAL COMPLICATION – Venous thrombosis, Pulmonary Trombosos – Fat embolisme – Crush syndrome TREATMENT • First aid and reduction – Close Reduction – Open • Immobilization – Internal – External • Restoration of function – PT Physiotherapy • Principles of PT – Manintain Non Injured – Restore normal mopvement and function • PT Management – – – – – Assesment Diagnose Planning Implementation Re - Evaluation