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Ditemukan 7 dokumen yang sesuai dengan query
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Ehrenfeld, Michael
Principles of internal fixation of the craniomaxillofacial skeleton trauma and orthognathic surgery
Switzerland: AO Foundation, 2012
617.52 EHR p
Buku Teks SO  Universitas Indonesia Library
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Oryza Satria
Fiksasi interna sekrup iliosakral pada S1-S3 dan sekrup pubis sebagai konfigurasi terbaik untuk fraktur pelvis tidak stabil dengan fraktur vertikal sakrum unilateral (AO tipe C1.3) suatu (studi biomekanik) = Internal fixation of S1-S3 iliosacral screws and pubic screw as the best configuration for unstable pelvic fracture with unilateral vertical sacral fracture ao type C1.3 biomechanical study / Oryza Satria
"[ABSTRAK
Pada fraktur pelvis tidak stabil yang disertai dengan fraktur vertikal sakrum (AO Tipe C1.3) terdapat instabilitas terhadap gaya shearing aksial yang besar. Fiksasi pada fraktur tersebut harus memberikan kekuatan biomekanik yang baik dan minimal invasif. Penempatan sekrup iliosakral (SIS) di S1-S3 secara divergen dapat meningkatkan kekuatan biomekanik terutama kekakuan translasi. Tujuan penelitian ini adalah mengevaluasi kekuatan biomekanik SIS S1-S3 dan sekrup pubis (PS) dibandingkan konfigurasi fiksasi lain untuk memberikan solusi konfigurasi fiksasi baru pada fraktur pelvis AO Tipe C1.3.
Simulasi fraktur pelvis dibuat dengan fraktur ramus pubis superior, inferior, dan fraktur vertikal sakrum ipsilateral (AO tipe C1.3) pada tulang sintetik Synbone®. Enam kombinasi fikasi yaitu Tension Band Plate (TBP)+PS, TBP+plat symphysis (SP), SIS S1-S2+PS, SIS S1-S2+SP, SIS S1-S3+PS, SIS S1-S3+SP diuji dengan diberikan beban aksial menggunakan mesin kompresi Tensilon® sampai titik kegagalan fiksasi sebesar ≥2 mm atau ≥20, kemudian dievaluasi kekakuan translasi, kekakuan rotasi, dan titik kegagalan fiksasi. Analisis statistik dilakukan dengan uji ANOVA dilanjutkan dengan uji post-hoc Bonferroni
Dari hasil uji biomekanik didapatkan kelompok fiksasi SIS S1-S3+PS memiliki kekakuan translasi, kekakuan rotasi, dan titik kegagalan fiksasi tertinggi (830,36 N/mm, 599,68 N/°, dan 1522,20 N) terhadap beban aksial.
Fiksasi SIS di S1-S3 dan sekrup pubis merupakan fiksasi terbaik untuk fraktur pelvis tidak stabil dengan fraktur vertikal sakrum karena mempunyai properti biomekanik yang baik dan secara klinis fiksasi ini memberikan keuntungan prosedur yang minimal invasif dan pasien dapat mobilisasi segera sehingga mengurangi komplikasi postoperatif.
ABSTRACT
In unstable pelvic fracture with vertical sacral fracture (AO Type C1.3), there are tremendous instability towards axial shearing load. Ideally, the fixation should provide good biomechanical properties and minimal invasive. Divergent Iliosacral screw (ISS) placement on S1-S3 could enhance biomechanical strength. The purpose of this research was to evaluate the biomechanical properties of ISS S1-S3 and pubic screw (PS) compared to other configuration to provide solution for new configuration of fixation in AO Type C1.3 pelvic fracture.
A simulation of pelvic fracture was created on superior and inferior pubic rami, and ipsilateral vertical sacral fracture (AO Type C1.3) on a synthetic bone (Synbone®). Six fixation combination including tension band plate (TBP)+PS, TBP+symphyseal plate (SP), ISS S1-S2+PS, ISS S1-S2+SP, ISS S1-S3+PS, ISS S1-S3+SP were tested using compression machine Tensilon® until failure point defined by ≥2 mm or ≥20 displacement was met. Translational stiffness, rotational stiffness and load to failure were evaluated. Statistical analysis was performed with ANOVA test followed by Bonferroni post hoc-test.
From biomechanical test, fixation using ISS S1-S3+PS had the highest translational stiffness, rotational stiffness, and load to failure (830,36 N/mm, 599,68 N/°, and 1522,20 N respectively) toward axial load.
Fixation by ISS S1-S3+PS was the best configuration in unstable pelvic fracture with vertical sacral fracture due to its good biomechanical strength, minimal invasiveness which renders early immobilization for patients hence decreasing postoperative complications., In unstable pelvic fracture with vertical sacral fracture (AO Type C1.3), there are tremendous instability towards axial shearing load. Ideally, the fixation should provide good biomechanical properties and minimal invasive. Divergent Iliosacral screw (ISS) placement on S1-S3 could enhance biomechanical strength. The purpose of this research was to evaluate the biomechanical properties of ISS S1-S3 and pubic screw (PS) compared to other configuration to provide solution for new configuration of fixation in AO Type C1.3 pelvic fracture.
A simulation of pelvic fracture was created on superior and inferior pubic rami, and ipsilateral vertical sacral fracture (AO Type C1.3) on a synthetic bone (Synbone®). Six fixation combination including tension band plate (TBP)+PS, TBP+symphyseal plate (SP), ISS S1-S2+PS, ISS S1-S2+SP, ISS S1-S3+PS, ISS S1-S3+SP were tested using compression machine Tensilon® until failure point defined by ≥2 mm or ≥20 displacement was met. Translational stiffness, rotational stiffness and load to failure were evaluated. Statistical analysis was performed with ANOVA test followed by Bonferroni post hoc-test.
From biomechanical test, fixation using ISS S1-S3+PS had the highest translational stiffness, rotational stiffness, and load to failure (830,36 N/mm, 599,68 N/°, and 1522,20 N respectively) toward axial load.
Fixation by ISS S1-S3+PS was the best configuration in unstable pelvic fracture with vertical sacral fracture due to its good biomechanical strength, minimal invasiveness which renders early immobilization for patients hence decreasing postoperative complications.]"
2015
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Made Yashinta Maharani
Analisis Faktor-Faktor yang Mempengaruhi Kualitas Tidur Pasien Fraktur Ekstremitas Bawah Pasca Pembedahan Open Reduction Internal Fixation yang Menjalani Rawat Inap = Factor Affecting Sleep Quality in Patients with Lower Limb Fractures Post Open Reduction Internal Fixation Surgery Undergoing Hospitalization
"Tidur sangat diperlukan untuk proses penyembuhan, dimana gangguan tidur pasca pembedahan merupakan masalah yang penting untuk dipertimbangkan dalam program peningkatan pemulihan nyeri dan status fungsional pasca operasi. Penelitian ini bertujuan untuk mengidentifikasi faktor yang mempengaruhi kualitas tidur pasien fraktur ekstremitas bawah pasca pembedahan Open Reduction Internal Fixation (ORIF) yang menjalani rawat inap. Faktor-faktor yang diteliti dalam penelitian ini meliputi nyeri, penggunaan obat-obatan, stress dan kecemasan, fatigue, dan lingkungan ruang perawatan. Penelitian ini menggunakan desain penelitian analitik asosiatif dengan pendekatan Cross Sectional. Penelitian dilakukan pada 55 responden menggunakan metode consecutive sampling di ruang rawat inap bedah. Hasil penelitian menunjukkan faktor yang mempengaruhi kualitas tidur pasien fraktur ekstremitas bawah pasca pembedahan O RIF yang menjalani rawat inap adalah nyeri (p=0.002) dan lingkungan ruang perawatan (p=0.032), dimana nyeri merupakan faktor yang paling mempengaruhi kualitas tidur pasien (p) 0.004; Odd Ratio (OR) 28,482 (95% CI: 2,842-285,491). Penelitian ini merekomendasikan penggunaan manajemen nyeri yang efektif sehingga kualitas tidur pasien dapat terpenuhi.
Sleep is indispensable for the healing process, where postoperative sleep disturbance are an important issue to consider in programs to improve patients postoperative pain and functional status. This study aims to identify factors that affecting sleep quality in patients with lower limb fractures post Open Reduction Internal Fixation surgery undergoing hospitalization. Those factors are pain, medications used, stress and anxiety, fatigue, and ward environment. This study using analitic assosiative design with Cross Sectional approach. 55 respondents were selected with consecutive sampling from surgical ward. The Results showed, factors that affecting sleep quality in patients with post-surgical lower limb fractures undergoing hospitalization are pain (p=0.002) and ward environment (p=0.032), where pain was considered as the most significant factor that affecting patients sleep quality with (p) 0.004; Odd Ratio (OR) 28,482 (95% CI: 2,842-285,491). This study recommends that the use of effective pain management are needed to improve patients sleep quality."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Edi Rohendi
Faktor-faktor yang mempengaruhi pengetahuan perawat tentang mobilisasi dini pada pasien post operasi orif ekstremitas bawah di RSAL dr. Mintohardjo Jakarta. = Factors affecting the nurse s knowledge about early mobilization in patients post surgery in the lower extremities orif at RSAL dr. Mintohardjo Jakarta
"ABSTRAK
Open reduction internal fixation (ORIF) pada fraktur ekstremitas bawah jumlahnya terus meningkat. Tingkat pengetahuan perawat yang baik dalam melakukan tindakan mobilisasi dini post ORIF sangat diperlukan. Penelitian ini bertujuan mengetahui faktor-faktor yang mempengaruhi pengetahuan perawat tentang mobilisasi dini pada pasien post ORIF ekstremitas bawah di RSAL Dr. Mintohardjo. Penelitian menggunakan metode cross sectional, jumlah responden 54 orang dengan metode total sampling. Hasil penelitian menunjukan responden mayoritas memiliki pengetahuan kurang. Ditemukan adanya hubungan yang bermakna antara tingkat pendidikan dengan tingkat pengetahuan mobilisasi dini (p=0,000; =0,05) dan hubungan yang bermakna antara pelatihan dengan tingkat pengetahuan tentang mobilisasi dini (p=0,008; =0,05). Penelitian ini diharapkan dapat dijadikan landasan untuk memperkuat faktor-faktor yang mempengaruhi pengetahuan perawat.
ABSTRAK
Open reduction internal fixation ( ORIF ) in the lower extremity fractures is steadily increasing. The level of knowledge of good nurses in action early mobilization post ORIF indispensable. This study aims to determine the factors that affect the nurse's knowledge about early mobilization in patients post ORIF lower extremities in RSAL Dr. Mintohardjo. Research using cross sectional method, the number of respondents 54 people with a total sampling method. The results showed a majority of respondents have less knowledge. Found a significant relationship between the level of education and level of knowledge of early mobilization (p= 0.000 ; = 0.05) and significant relationship between training and the level of knowledge about early mobilization (p = 0.008 ; = 0.05). This study is expected to be the basis for strengthening the factors that affect the nurse's knowledge.
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2016
S64989
UI - Skripsi Membership  Universitas Indonesia Library
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Mirta Hediyati Reksodiputro
Management in Symphisis Mandibular Fracture (article on The 1st Annual Congress of the Royal College of Otolaryngologists-Head and Neck Surgeons of Thailand)
"Madible fracture, also known as fractures of jaws are breaks through the mandible
bone. Fractures of mandible account for 36 -70% of all maxillofacial injuries (1,2,3)
the symphysis and parasymphysis account for 17%of mandible fracture (4) 75 % to
85 % of mandible fracture occurs in males with majority occuring in their twenties &
thirties (5,6,7). 43% of the patients had an associated injury. Of these patients, head
injuries occurred in 39% of patients, head and neck lacerations in 30%, midface
fractures in 28%, ocular injuries in 16%, nasal fractures in 12%, and cervical spine
fractures in 11% - 53% of patients had unilateral fractures, 37% of the patients had
2 fractures, and 9% had 3 or more fractures."
2017
MK-Pdf
UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
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Eni Purwanty
Pengaruh Elevasi 20 Derajat Terhadap Pembengkakan dan Tingkat Nyeri Pada Pasien Pascabedah Open Reduction and Internal Fixation Ekstremitas Bawah = Effect of 20 Degrees Elevation on Swelling and Pain Levels in Postoperative Patients with Open Reduction and Internal Fixation in Lower Extremity
"Pembedahan Open Reduction and Internal Fixation menimbulkan pembengkakan jaringan dan nyeri hebat pada area pembedahan. Salah satu upaya nonfarmakologis mengurangi pembengkakan dan nyeri adalah melakukan elevasi bagian distal yang dilakukan pembedahan. Tujuan penelitian untuk mengetahui pengaruh elevasi 20 derajat terhadap pembengkakan dan tingkat nyeri pada pasien pascabedah Open Reduction and Internal Fixation ekstremitas bawah. Penelitian dilakukan dengan desain quasi eksperimental rancangan two group pretest-posttest with control group dengan subyek penelitian sebanyak 34 responden yang dibagi menjadi kelompok intervensi dan kelompok kontrol. Pengukuran circumference pembengkakan menggunakan pita meter dan tingkat nyeri dengan skala Numeric Rating Scale. Penggunaan uji statistik dengan uji T dependen, uji T independent dan korelasi Pearson. Hasil penelitian terdapat perbedaan yang signifikan selisih rerata penurunan circumference pembengkakan sebesar 1,93 cm dan tingkat nyeri sebesar 1,29 antara kelompok intervensi dan kelompok kontrol. Elevasi 20 derajat ekstremitas bawah dapat menjadi alternatif tindakan keperawatan mandiri dalam menurunkan pembengkakan dan nyeri.
Surgery for Open Reduction and Internal Fixation causes tissue swelling and severe pain in the surgical area. One nonpharmacological effort to reduce swelling and pain is to perform distal elevation in the area of surgical. The purpose of this study was to determine the effect of a 20 degrees elevation on swelling and the level of pain in patients after surgery for Open Reduction and Internal Fixation of the lower extremities. The study with a quasi-experimental design of two group pre-test and post-test with control group with 34 subjects was divided into intervention and control groups. Swelling circumference measurements using tape meters and the level of pain with the scale of the Numeric Rating Scale. This study used dependent T test, independent T test and Pearson correlation. The results of the study showed that there were significant differences in the mean difference in the swelling circumference of 1.93 cm and the pain level of 1.29 between the intervention group and the control group. Elevation of 20 degrees of lower extremity can be an alternative for nursing intervention in reducing swelling and pain."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
T53041
UI - Tesis Membership  Universitas Indonesia Library
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Ziad Alaztha
Perbandingan angka infeksi luka operasi superfisial pada Pemberian antibiotik profilaksis intravena dengan dan tanpa antibiotik oral pasca operasi elektif reposisi terbuka fiksasi interna fraktur tertutup tulang panjang: studi multicenter = Comparison of infection rate in 24 hours of intravenous antibiotics with and without seven days of oral antibiotics in elective open reduction internal fixation surgery of closed fractures of long bone: a multicenter study
"Pendahuluan: Infeksi luka operasi superfisial merupakan komplikasi yang sering muncul pada tatalaksana operatif fraktur tulang panjang. Untuk mencegah terjadinya infeksi tersebut, diberikan antibiotik profilaksis sebelum operasi, yang kemudian dilanjutkan dengan antibiotik terapeutik. Penelitian ini bertujuan untuk membandingkan angka kejadian infeksi luka operasi superfisial antara pemberian antibiotik profilaksis intravena saja dan yang diteruskan dengan pemberian antibiotik oral selama 7 hari pasca operasi.
Metode: Penelitian ini menggunakan desain studi klinis non-inferioritas terkontrol tersamar ganda. Sampel penelitian adalah pasien dewasa yang menjalani operasi elektif reposisi terbuka fiksasi interna untuk kasus fraktur tertutup tulang panjang di RSUPN Dr. Cipto Mangunkusumo Jakarta dan RSU Siaga Medika Banyumas pada bulan Juli 2022 hingga Maret 2023. Subjek penelitian dibagi secara acak menjadi dua kelompok, yakni kelompok tanpa pemberian antibiotik oral selama 7 hari pasca operasi (perlakuan) dan kelompok dengan pemberian antibiotik oral selama 7 hari pasca operasi (kontrol). Hasil: Penelitian ini melibatkan 80 subjek yang memenuhi kriteria inklusi dan eksklusi, yang terdiri dari 47 (58,75%) subjek laki-laki dan 33 (41,25%) subjek perempuan. Angka kejadian infeksi luka operasi superfisial baik pada kelompok perlakuan dan kontrol adalah 2,5%. Pada hari ke-30 pasca operasi, terdapat 1 (2,5%) kejadian infeksi baik di kelompok perlakuan maupun kontrol. Hasil tersebut secara statistik tidak berbeda bermakna (p = 1.000).
Kesimpulan: Tidak terdapat perbedaan yang bermakna dalam kejadian infeksi luka operasi superfisial antara kelompok dengan maupun tanpa pemberian antibiotik oral selama 7 hari pasca operasi.
Introduction: Superficial surgical site infection is a common complication in the operative management of long bone fractures. To prevent the infection, prophylactic antibiotics are given prior to surgery, followed by therapeutic antibiotics. This study aimed to compare the superficial surgical site infection rate between subjects who was given intravenous prophylactic antibiotic only and those with continued oral antibiotic for 7 days postoperatively.
Method: This study was a double-blind, controlled, non-inferiority clinical study. The sample was adult patients who underwent open reduction internal fixation surgery for closed long bone fractures at Dr Cipto Mangunkusumo Central Hospital Jakarta and Siaga Medika Hospital Banyumas from July 2022 to March 2023. The subjects of the study were randomized into two groups, namely the group without oral antibiotics for 7 days postoperatively (treatment) and the group with oral antibiotics for 7 days postoperatively (control).
Result: This study involved 80 subjects who met the inclusion and exclusion criteria, consisting of 47 (58.75%) male and 33 (41.25%) female subjects. The superficial surgical site infection rate in both treatment and control groups were 2,5%. At day 30 post- operation, there was one case of infection both on the treatment and control groups. The results showed no statistically significant difference (p = 1.000).
Conclusion: There was no significant difference in the superficial surgical site infection rate between the groups with and without oral antibiotics for 7 days postoperatively."
2023
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library