Background: Supracondylar fractures are one of the most frequent pediatric bone fractures. There are well-known treatments for this fracture. The most commonly used procedure is closed percutaneous reduction pinning, and open reduction internal fixation is for irreducible fractures. This study aims to evaluate and review those two procedures in treating a supracondylar humeral fracture in children by evaluating the clinical and functional outcomes.Methods: Systematic review and meta-analysis (PRISMA) were conducted. Using Boolean operators, literature was searched through PubMed, Google Scholar, Science Direct, and Cochrane Library. The outcomes assessed by Flynn's criteria include functional aspects, cosmetic factors, and other outcomes.Results: From 130 studies obtained, after a full-text review, four studies were included in the systematic review. The total sample size was around 268 patients with a mean age of 4-14. Male patients were higher than females. There is no significant difference in satisfactory outcomes measured by Flynn’s Criteria.Discussion: Flynn's criteria was found to be different in the result of the studies. Insignificant loss of carrying degree and Baumann's angle between two procedures. Some complications, like nerve injury, infection, and scar, were also seen after surgery.Conclusion: The two approaches have an insignificant difference in their functional outcome. The choice of which procedure to perform relies on the surgeon’s preference and the situation of the fractures.

Background: Fracture is a discontinuity of bone which is often followed by damage to the surrounding soft tissue, such as blood vessels, muscles, and nerves. World health organization (WHO) stated that there are 5.6 million people died due to fractures and 1.3 million people suffering fractures due to traffic accidents in 2011-2012. One of the most common fractures on lower extremities due to severe trauma is femur fracture. Femur fracture is usually caused by trauma due to pressure that exceeds the capacity of the femur. Femur fracture today is still common and remains one of the major challenges for orthopaedists. Although management in orthopaedic had been growing rapidly, the one-year mortality rate post-trauma is still high, about 10-20%. This study aims to determine the characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019.Methods: This study is a retrospective descriptive study that aims to identify the characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019. The samples of this study were collected using total sampling technique. The data was obtained from medical record of patients diagnosed with femur fracture at Sanjiwani hospital Gianyar during January-December 2019. Variables in this study including age, sex, cause of femur fractures, type of fractures, and location of the fractures. All obtained data will be analysed using SPSS statistics 22 software.Results The result of this study showed that most of samples are male with 26 peoples (61.9%) and age group is 21-30 years old is the most common age group with 11 peoples (26.2%). Close fracture is the most common fracture type with 38 peoples (90.5%) and located in the middle shaft of femur with 20 peoples (47.6%).Conclusions: In conclusion, the most common characteristic of femur fracture patients at Sanjiwani hospital Gianyar in 2019 is male, age 21-30 years old, closed fracture and located in the middle shaft of the femur.

Objective: Our study aimed to learn the phenomenon of facial skin injuries related to PPE use, their characteristics, as well as risk and protective factors. Methods: We conducted a single-center crosssectional study. Samples was collected consecutively by disseminating self-filled questionnaire to all departments in Sanjiwani General Hospital, Gianyar, Bali, Indonesia. Variables studied included demographic, characteristics of PPE usage, characteristics of facial skin injuries suffered, and preventive measures practiced by healthcare workers. We conducted multivariate analysis for independent determinants of more severe skin injuries and any injuries located on the nasal bridge, cheekbones, and behind the ears. Results: Final analysis included 161 respondents. Male make up 26.7% of respondents, mean age was 35.00 (± 8.91). The majority was nurses (78.3%). Prevalence of skin injury was 90.7%, 39.1% of them being partial or full thickness skin injuries. Only 27.4% respondents practiced preventive measures, including application of polyester tape layering and emollient. The most frequently reported location of skin injury was nasal bridge (77%), followed by behind the ears (57.1%), and on the cheekbones (47.2%). Multivariate analyses discovered that KN95 respirator poses less risk for more severe injuries compared to N95. Protective measures were found effective to prevent skin injuries in all locations, including for more severe injuries. Conclusions: We found high prevalence of facial skin injuries among healthcare workers accompanied by inadequate practice of preventive behaviors. These preventive behaviors have been found effective in other study as well and existing evidence support its promotion for more widespread practice.

Buku ini disusun sesuai dengan Standar Kompetensi Dokter Indonesia Edisi Tahun 2012 yang dikeluarkan oleh KKI. Materi dari buku ini merupakan terjemahan dari buku standar/dasar Apley & Solomon’s System of Orthopaedics and Trauma dan buku penunjang lain yang dipergunakan didalam pendidikan sistem muskuloskeletal. Buku ini diterjemahkan karena ujian UKMPPD dilaksanakan dalam bahasa Indonesia baik untuk mahasiswa dari Indonesia maupun dari luar negeri karena mereka harus mengikuti ujian UKMPPD sebagai tanda telah menyelesaikan pendidikan dokter di Fakultas.