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    Closed Fracture 1/3 Distal Left Tibia Et Fibula

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    Haidir Muhammad
    This case report summarizes the treatment of a 55-year-old female patient who presented with pain in her left leg after suffering an injury. Physical examination revealed deformity, hematoma, swelling and tenderness in the left leg region. X-rays showed a closed fracture at the 1/3 distal region of the left tibia and fibula. The patient's treatment plan included intravenous fluids, antibiotics, analgesics, and plans for an open reduction and internal fixation surgery.

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    Closed Fracture 1/3 Distal Left Tibia Et Fibula

    Uploaded by

    Haidir Muhammad
    61 views21 pages
    This case report summarizes the treatment of a 55-year-old female patient who presented with pain in her left leg after suffering an injury. Physical examination revealed deformity, hematoma, swelling and tenderness in the left leg region. X-rays showed a closed fracture at the 1/3 distal region of the left tibia and fibula. The patient's treatment plan included intravenous fluids, antibiotics, analgesics, and plans for an open reduction and internal fixation surgery.

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    This case report summarizes the treatment of a 55-year-old female patient who presented with pain in her left leg after suffering an injury. Physical examination revealed deformity, hematoma, swelling and tenderness in the left leg region. X-rays showed a closed fracture at the 1/3 distal region of the left tibia and fibula. The patient's treatment plan included intravenous fluids, antibiotics, analgesics, and plans for an open reduction and internal fixation surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    61 views21 pages

    Closed Fracture 1/3 Distal Left Tibia Et Fibula

    Uploaded by

    Haidir Muhammad
    This case report summarizes the treatment of a 55-year-old female patient who presented with pain in her left leg after suffering an injury. Physical examination revealed deformity, hematoma, swelling and tenderness in the left leg region. X-rays showed a closed fracture at the 1/3 distal region of the left tibia and fibula. The patient's treatment plan included intravenous fluids, antibiotics, analgesics, and plans for an open reduction and internal fixation surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 21

    Case Report

    August 2017

    Closed Fracture 1/3 Distal


    Left Tibia Et Fibula
    BY
    Musyarrafah Sukman 111 211 0071

    SUPERVISOR:
    dr. MUH. ALI HASTI SP.OT

    P R E S E N T I N G A S A TA S K O N C L E R K S H I P
    D E PA R T M E N T O F O R T H O P E D I A N D T R A U M AT O L O G Y
    M E D I C A L FA C U LT Y
    MUSLIM UNIVERSITY OF INDONESIA
    MAKASSAR
    2017
    Patient Identity

    Name : NI
    Age : 55 years old
    Gender : Female
    Admission : August 4th 2017
    Registration : 133751
    HISTORY TAKING

    Chief Complain : Pain at the left Leg

    Suffered since 5 days before admitted to Andi Makassau


    Hospital due to the flagpole. She fell to the ground and than it
    rolls to her legs. Prior treatment at Enrekang Hospital History
    of unconciousness (-), history of vomit (-)
    Physical Examination

    General Status
    General condition : Conscious, well nourished
    GCS : 15 (E4M6V5)
    Blood pressure : 130/80 mmHg
    Pulse rate : 90 times / minute
    Respiratory rate : 18 times / minute
    Temperature : 36,8oC
    Localized Status
    Left Leg Region
    Inspection : deformity (+), hematom (+), swelling (+) wound (-)

    Palpation : Tenderness (+)

    NVD : Sensibility is good, posterior tibialis artery is palpable, dorsalis


    pedis artery is palpable, CRT <2

    Move : Active and passive motions of ankle joint is difficult to evaluated


    due to pain
    Clinical Pictures
    Clinical Pictures
    Clinical Pictures
    Laboratory

    WBC 9500/ul
    RBC 3.790.000uL
    HBG 10.9 gr/dl
    HCT 34.1%
    PLT 205.000 ul
    CT 1000
    BT 300
    HBsAG Non-Reactive
    Radiology Findings

    X-Ray Cruris AP LATERAL


    RESUME
    Woman 55 years old came to emergency unit with
    chief complain pain at the left leg suffered since 5
    days ago due to the flagpole. She fell to the ground
    and than it rolls to her legs. At left leg region, there
    are deformity (+) hematom (+), swelling (+)
    tenderness (+), NVD within normal limits, ROM of
    ankle and knee joint difficult to evaluated due to
    pain. Left femur AP/Lat X-Ray show fracture at 1/3
    distal left femur.
    Assesment

    Closed Fracture 1/3 Distal Left Tibia Et


    Fibula

    Planning

    IVFD
    Antibiotic
    Analgesic
    Plan for ORIF
    Discussion
    ANATOMY
    ANATOMY
    Tscherne Classification

    Grade 0 Injury from indirect forces with negligible soft tissue damage
    Grade I Closed fracture caused by low-moderate energy mechanisms,
    with superficial abrasions or contusions of soft tissues
    overlying the fracture

    Grade II Closed fracture with significant muscle contusion, with


    possible deep, contaminated skin abrasions associated with
    moderate to severe energy mechanisms and skeletal injury;

    Grade III Extensive crushing of soft tissues, with subcutaneous


    degloving or avulsion, with arterial disruption or established
    compartment syndrome, high risk of compartemen syndrom.
    MECHANISM OF INJURY

    Direct

    High energy Bending


    Penetrating
    Low energy Bending

    Indirect

    Stress Fracture
    TREATMENT

    Non Operative

    Operative
    Fracture Complications

    Immediate Early Late

    Haemorrhage Compartment Mal-union


    (Shock)
    syndrome
    Infection Delayed and non-
    Vascular injury union
    Avascular necrosis
    Neurological injury
    Visceral injury Joint stiffness
    THANK YOU

    Wassalamu Alaikum
    Warahmatullah Warabakatuh

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