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    Underlying PROcess REV

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    Rahmatul Wahyu
    This document discusses open fractures of the distal radius. It mentions several key details: 1. It describes open fracture of the distal radius, joint involvement, Frykman type VII injury classification, and initial wound contamination as risk factors for infection. 2. Surgical treatment involving open reduction and internal fixation with a T-shaped plate with 7 holes and 8 screws plus 1 Kirschner wire is mentioned. 3. Post-surgical risks discussed include bone fragment damage, overcorrection of radial length, and increased pressure on articular cartilage leading to post-traumatic arthritis.

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    Underlying PROcess REV

    Uploaded by

    Rahmatul Wahyu
    15 views1 page
    This document discusses open fractures of the distal radius. It mentions several key details: 1. It describes open fracture of the distal radius, joint involvement, Frykman type VII injury classification, and initial wound contamination as risk factors for infection. 2. Surgical treatment involving open reduction and internal fixation with a T-shaped plate with 7 holes and 8 screws plus 1 Kirschner wire is mentioned. 3. Post-surgical risks discussed include bone fragment damage, overcorrection of radial length, and increased pressure on articular cartilage leading to post-traumatic arthritis.

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    This document discusses open fractures of the distal radius. It mentions several key details: 1. It describes open fracture of the distal radius, joint involvement, Frykman type VII injury classification, and initial wound contamination as risk factors for infection. 2. Surgical treatment involving open reduction and internal fixation with a T-shaped plate with 7 holes and 8 screws plus 1 Kirschner wire is mentioned. 3. Post-surgical risks discussed include bone fragment damage, overcorrection of radial length, and increased pressure on articular cartilage leading to post-traumatic arthritis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    15 views1 page

    Underlying PROcess REV

    Uploaded by

    Rahmatul Wahyu
    This document discusses open fractures of the distal radius. It mentions several key details: 1. It describes open fracture of the distal radius, joint involvement, Frykman type VII injury classification, and initial wound contamination as risk factors for infection. 2. Surgical treatment involving open reduction and internal fixation with a T-shaped plate with 7 holes and 8 screws plus 1 Kirschner wire is mentioned. 3. Post-surgical risks discussed include bone fragment damage, overcorrection of radial length, and increased pressure on articular cartilage leading to post-traumatic arthritis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Usia Penekanan high

    Trauma langsung energy axial load Open Fracture Distal Radius Hasil X-Ray

    Initial wound Gustillo-Anderson


    Osteomyelitis Resiko infeksi OF Classification Joint involvement Frykman Type VII
    Degenratif contamination grade II
    s (microorganisme)
    Bone Mineral
    Density

    Bony deficit Early removal Intra articular


    Fiksasi T shape plate with 7 holes, 8
    Pembedahan (ORIF) fracture
    screws + 1 kischner wire
    Porotik

    Mal union/ Instability of


    Non union Overcorrection of
    Bone fragment Luka insisi Henry volar approach Bone fragment damage radial length

    Re-surgery

    Kerusakan
    Soft tissue jaringan sekitar
    Peningkatan beban
    •
    Peningkatan tekanan
    irritation kapiler axial
    weight-bearing

    • flexibility
    exercise

    • strengthening
    VAS Peningkatan
    exercise CRPS Pelepasan
    •
    tekanan dan
    histamin
    postural exercise gesekan articular

    • balance exercise
    Gangguan Vaskular

    Vasodilatasi
    Kerusakan matriks
    Hematoma
    dari artikular
    Peningkatan kartilago dan
    Permeabilitas tulang subkondral
    Gangguan Perfusi
    pembuluh darah
    Jaringan Functional Limitation

    Spasme otot Protein dan plasma Joint effusion Post


    ADL Terganggu darah keluar dari
    Traumatic
    pembuluh darah
    Arthritis
    Penurunan Penurunan
    LGS fleksibilitas
    Peningkatan volume
    PFGD intraseluler
    Joint
    Imobilisasi
    stiffness • Active Assisted Isometric Resistance
    ROM Exc Exercise (minggu ke Edema
    • Active Rom Exc 4)
    Muscle Palpasi
    Weakness Pengukuran
    Lingkar Segmen

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