NAVIGATING THE CHALLENGES OF SEVERE OPEN FRACTURES BETWEEN OREF AND ORIF IN COMPLEX TRAUMA MANAGEMENT : A CASE REPORT
DOI:
https://doi.org/10.31004/prepotif.v8i3.33130Keywords:
manajemen trauma kompleks, OREF, ORIF, fraktur terbuka, pengambilan keputusan bedahAbstract
Fraktur terbuka dengan kerusakan jaringan lunak yang parah menghadirkan tantangan yang signifikan dalam perawatan trauma ortopedi, khususnya dalam memilih intervensi bedah yang tepat. Laporan kasus ini membahas seorang laki-laki berusia 32 tahun yang menderita beberapa luka parah, termasuk luka remuk pada femur distal kanan, amputasi ruas proksimal jari keempat kanan, patah tulang acetabulum, dan patah tulang kompleks temporo-zygomatik setelah serangan jantung. kecelakaan sepeda motor. Meskipun pada kasus tersebut lebih disukai Open Reduction External Fixation (OREF) untuk meminimalkan kerusakan jaringan lebih lanjut dan mengurangi risiko infeksi, Open Reduction Internal Fixation (ORIF) dipilih untuk mencapai keselarasan anatomi yang tepat dan mobilisasi dini. Perjalanan pasien pasca operasi stabil, dengan penyembuhan luka yang berhasil dan fungsi anggota tubuh pulih. Kasus ini menggarisbawahi perlunya evaluasi yang cermat dalam pengambilan keputusan bedah, terutama ketika menangani patah tulang terbuka, dan menyarankan pertimbangan ulang praktik standar untuk memastikan hasil yang optimal bagi pasien dengan cedera ortopedi yang kompleksReferences
Amin TK, Patel I, Patel MJ, Kazi MM, Kachhad K, Modi DR. Evaluation of Results of Open Reduction and Internal Fixation (ORIF) of Fracture of Distal End of Femur with Intra-Articular Extension. Malaysian Orthop J. 2021 Nov;15(3):78–83.
Chitnis AS, Vanderkarr M, Sparks C, McGlohorn J, Holy CE. Complications in type III open tibial shaft fractures treated with open reduction and internal fixation. J Comp Eff Res. 2019 Aug;8(11):907–15
Coombs J, Billow D, Cereijo C, Patterson B, Pinney S. Current Concept Review: Risk Factors for Infection Following Open Fractures. Orthop Res Rev. 2022;14:383–91.
Dheenadhayalan J, Nagashree V, Devendra A, Velmurugesan PS, Rajasekaran S. Management of open fractures: A narrative review. J Clin Orthop Trauma. 2023 Sep;44:102246.
Eccles S. Standards for the Management of Open Fractures. Eccles S, Handley B, Khan U, Nanchahal J, Nayagam S, McFadyen I, editors. Oxford University PressOxford; 2020.
Hadeed A, Werntz R, Varacallo M. External Fixation Principles and Overview. StatPearls Publ. 2023;
Han X, Chu F, Jia D, Gao M, Zhang R, Zhang X, et al. Wound complication risk factors following open reduction and internal fixation of ankle fractures. Int Wound J. 2024 Apr;21(4).
Kim SI, Lee S, Jeong CW, Kim HS. Robot-assisted anterior pelvic exenteration in vulvovaginal malignant melanoma. Gynecol Oncol. 2018 Feb 1;148(2):430–1.
Minehara H, Maruo A, Amadei R, Contini A, Braile A, Kelly M, et al. Open fractures: Current treatment perspective. OTA Int open access J Orthop trauma. 2023 Jun;6(3 Suppl):e240.
Putra DP, Mustamsir E, Phatama KY, Pradana AS, Pratama YA. The effectiveness ORIF for neglected periprosthetic femoral fractures after hemiarthroplasty: A case report. Int J Surg Case Rep. 2024 Feb;115:109285.
Sop J, Sop A. Open Fracture Management. StatPearls Publ. 2023;
SooHoo NF, Krenek L, Eagan MJ, Gurbani B, Ko CY, Zingmond DS. Complication Rates Following Open Reduction and Internal Fixation of Ankle Fractures. J Bone Jt Surgery-American Vol. 2009 May;91(5):1042–9.
Sun Y, Wang H, Tang Y, Zhao H, Qin S, Xu L, et al. Incidence and risk factors for surgical site infection after open reduction and internal fixation of ankle fracture: A retrospective multicenter study. Medicine (Baltimore). 2018 Feb;97(7):e9901.
Tian H, Zhang C. Postoperation of preauricular fistula cellulitis caused by methicillin-resistant staphylococcus aureus infection. J Otol. 2018;13(3):111–3.
Tripathy SK, Varghese P, Panigrahi S, Panda BB, Srinivasan A, Sen RK. External fixation versus open reduction and internal fixation in the treatment of Complex Tibial Plateau Fractures: A systematic review and meta-analysis. Acta Orthop Traumatol Turc. 2021 Sep;55(5):444–56.
Vaishya R, Vijay V, Jha GK, Agarwal AK. Open reduction and internal fixation of capitellar fracture through anterolateral approach with headless double-threaded compression screws: a series of 16 patients. J Shoulder Elb Surg. 2016 Jul;25(7):1182–8.
Whiting PS, Obremskey W, Johal H, Shearer D, Volgas D, Balogh ZJ. Open fractures: evidence- based best practices. OTA Int open access J Orthop trauma. 2024 May;7(3 Suppl):e313.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jeffry Luwito, Johan Dwi Murtanto
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
