Download FRACTURE

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
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hematoma
proliferasi
pembentukan tulang
konsulidasi
remodelling
Faktor yang mempengaruhi penyembuhan tulang
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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
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Transversal
oblique
spiral
Comminuted
compression
Greenstick
Displacement
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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
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Assesment
Diagnose
Planning
Implementation
Re - Evaluation