Severe open fracture tibia the relationship between external fixation and nonunion

Ab. Ghani, Sanusi Azni (2000) Severe open fracture tibia the relationship between external fixation and nonunion. Masters thesis, Universiti Sains Malaysia.

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    Abstract

    Satu kaj ian retrospektif telah dijalankan dari J anuari 1997 sehingga J anuari 1999 untuk mengkaji kadar ketidakcantuman fraktur terbuka yang teruk tulang tibia yang dirawat dengan fiksator ekstema. Kajian ini melibatkan 22 pesakit yang mengalami fraktur terbuka yang teruk tulang tibia iaitu gred 11, 111A dan lllB yang telah dirawat dalam masa setahun di Hospital Universiti Sains Malaysia (HUSM), Kubang Kerian, Kelantan. Julat umur pesakit adalah dari 19 tahun sehingga 73 tahun ( dengan umur purata pesakit adalah 38.2 tahun ). Terdapat 19 pesakit lelaki dan 3 pesakit wanita. Penyebab kecederaaan pada 19 pesakit adalah kemalangan motosikal, satu pesakit pejalan kaki-motosikal, satu kemalangan kereta dan satu kemalangan semasa pembalakan. 2 fraktur adalah dibahagian atas, 11 dibahagian tengah, 8 dibahagian bawah dan satu melibatkan dua paras iaitu bahagian tengah dan bawah. Pemeriksaan fizikal dan filem x-ray digunakan untuk menilai kadar penyembuhan fraktur. A retrospective study was carried out from January 1997 to January 1999 to look into the rate of nonunion of severe open tibial fractures treated with external fixators. This study included 22 patients with 22 severe open diaphyseal tibial fractures of grade 11, lilA and lllB seen within 1 years period in HUSM (Hospital Universiti Sains Malaysia), Kubang Kerian, Kelantan. The patients age ranged from 19 to 73 years (mean age of38.2 years). There were 19 males and 3 females. The mechanism of injury included 19 motorcycle accidents, one pedestrian-motorcycle accident, one motorvehicle accident and one logging injury. Two fractures were at the proximal third, eleven were middle third, eight were distal third and one was segmental. Clinical symptoms and plain radiographes were used to evaluate the union rate.

    Item Type: Thesis (Masters)
    Subjects: R Medicine > RD Surgery > RD701-811 Orthopedic surgery
    Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences)
    Depositing User: Mr Noorazilan Noordin
    Date Deposited: 21 Aug 2017 16:38
    Last Modified: 21 Aug 2017 16:38
    URI: http://eprints.usm.my/id/eprint/36224

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