MAKLUMAT PESAKIT
NAMA PESAKIT :
AZMIE BIN ADRIS
IC NUMBER
:
700811-08-5997 700811-08-5997
UMUR
:
42 TAHUN
BANGSA
:
MELAYU
ALAMAT ALAMAT
DIAG DIAGN! N!SI SIS S
:
24, TAMAN TAMAN INDAH, INDAH, 1250 1250 ULU KINTA KINTA ,PERAK
:
CLOSED # MIDDLE SHAFT OF RIGHT FEMUR
PENGENALAN
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PENYATAAN MASALAH
S"*$' #"/$+% "*((* 42 %$&(', "$+, M"$6( AZMIE BIN ADRIS %"$& .$%$' +" +'+ *%&#".+ IP!H #$.$ 2 A#* 2012 ('%(+ "'.$#$%+$' *$;$%$'
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LITERATURE REVIEW A complete review of the literature revealed 487 patients in 26 published reports with ipsilateral femur fractures occurring about the femoral prosthetic stem. This review included general surveys, multicenter studies, and case reports. ased on these studies, the authors divided the fractures into si! types" type #, intertrochanteric$ type 2, pro!imal femur$ type %, spanning the prosthesis tip$ type 4, distal to the prosthesis tip$ type &, comminuted blowout$ and type 6, supracondylar. Type #'& fractures were stratified into the following treatment groups" traction, casting and partial weight bearing, cerclage wiring, screw(plate fi!ation, long)stem revision with plus(minus supplementation fi!ation or bone) graft, and other less fre*uently reported techni*ues. A statistical analysis of each type of fracture in terms of the various treatments used and the clinical outcome was performed. The best results based on the literature would be cerclage wiring or long)stem revision for types 2, %, and & fractures + - .2/. 0or type 4 fractures, traction and long)stem revisions were about e*ually successful +at 77 and 741, respectively/, and were both superior to screw(plate fi!ation or cerclage fi!ation + - .#/. ther factors, such as cemented versus cementless prostheses, stable versus unstable prostheses, overall medical condition of the patient, and other parameters, should be analy3ed and considered when choosing a treatment course. ased on the authors results, suggestions for the treatment of each fracture type are offered. +5ichael A. 5ont, 5, 24/
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RUMUSAN
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RU+UKAN
BUKU
CURRENT
DIAGN!SIS
TREATMENT
!RTH!PEDICS,
H$**6
BS+''"*
BUKU RUUKAN TE!RI P!ST BASIK !RTH!PEDIK S($. H3 K$$*(..' 2001
H($ H($% S, L"" G' L$(, $'. P"' H' C&";, FS$*$;$+ H$'.+ ) E"*"'"/, S"'. E.%', CE P(/&', S$*$;$+, M$$6/$
L6'' SB+"6, $'. P"%"* GS>$6, FP+"% G(." % P&6/$ E@$'$%' $'. H/%*6 T$+', ))%& ".%', L##'%% $/ +'/, USA
M&$" A M'%, MD, T&" G. S$$*%$' H/#%$, P*)"//'$ B(.', 501 L& R$"' B("$*., B$%*", MD 2129
KOLE+ SAINS KESIHATAN *ERSEKUTU SULTAN A,LAN SHAH -./01 TAN+ONG RAM*UTAN PERAK DARUL RID,UAN KURSUS DIPLOMA PEM*ANTU PERU*ATAN
TAHUN - SEMESTER .
CASE STUDY TUGASAN KLINIK OTHORPEDIK IPOH
TA+UK2
CLOSED # MIDDLE SHAFT OF RIGHT FEMUR
MAKLUMAT PELATIH :
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