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Open Fracture

Mar 10, 2016

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Nizwan Sham

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Case ReportOPEN FRACTURE 1/3 MIDDLE LEFT TIBIA GRADE I ANDOPEN FRACTURE1/3 MIDDLE LEFT FIBULA GRADE I

Mohamad Nizwan ShamC111 10 839

ADVISOR: dr. Nur Rahmansyahdr. Shandy Limansyahputra

SUPERVISOR:dr. W Supriyadi, Sp.OT

Orthopaedic and Traumatology DepartmentMedical Faculty of Hasanuddin UniversityMakassar 2015

PATIENTS IDENTITYName: Mr. ARegister no.: 73 55 97Sex: MaleAge: 30 years oldDate of admission: 4th December 2015

HISTORY TAKINGChief complain: pain at the left leg

Anamnesis: Suffered since 2 hours before admission. History of loss consciousness (-), vomiting (-)

Mechanism of trauma: The patient was working on the waterway when one of the concrete water pipe accidentally slipped and hit the patient left lower leg

PRIMARY SURVEYSECONDARY SURVEYLEFT LEG REGIONLookPin point wound at anteromedial aspect at 1/3 middle left cruris. Deformity (+), Hematoma (+), Swelling (+)FeelTendernes (+)MoveActive and passive movement of knee joint can not be evaluated due to painActive and passive movement of ankle joint can not be evaluated due to painNVDSensibility is good,Pulsation of the dorsalis pedis artery and tibialis posterior artery are palpable.CRT