Shaft Femur Fracture

Shaft Femur FractureMechanism of InjuryClassification 1. Transverse2. Oblique3. Spiral4. Comminutive

Clinical manifestationRadiologic finding

Penatalaksanaan10Emergency:Shock managementUsing splint transportAt hospital:A. Conservative: - Traction cast/ brace - Acceptable if : - LLD < 2 cm - Angulasi < 10o - Anterior bowing < 15o

children: - < 12 kg : - Overhead (Gallows) traction (2 kg) 2 weeks - Spica cast for 3-4 weeks, angulation < 30o - > 12 kg (2-10 years) : - Russells traction 2-4 weeks - Hip spica 4-8 weeks, angulation < 20o Adult: - Sceletal traction Tuberantia Tibia (< 10 kg) by using Thomas splint for 6 weeks - Cast/ brace for 6 weeks

B. Operatif: ORIF K-Nail : PWB after 7-10 days FWB after 4-6 weeks Plating : PWB/FWB

Gallows tractionrussel traction

Thomas splinthip spica cast

ComplicationEarly:ShockFat emboliVascular injuryDeep Vein ThrombosisInfection (open fracture/ORIF)Late:Delayed union (100 hari +/- 20 hari)Non-unionMalunionJoint stiffness

Distal Femur FractureMechanism of InjuryClassification Supracondyler fracture classification (AO classification):Type AType BType C

Condylus fracture classificationType IType IIType III

Clinical manifestationRadiologic findingsTreatment Supracondyler fractureMinimal displaced skeletal traction 4-6 weeks cast-braceReposition failed (young age) ORIF (Screw/ABP/DCS)

Condylus fractureMinimal displaced skeletal traction 4-6 weeks cast-braceReposition failed (young age) ORIF (condylus blade plate)

Complication supracondylar fracturecondylus fractureepifisiolisis fracture