ABSTRAK Kecelakaan lalu lintas menjadi penyebab yang paling banyak dilaporkan pada kasus fraktur terbuka. Penelitian ini untuk mengetahui karakteristik fraktur terbuka ekstremitas bawah di RSUD. Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan data sekunder dari rekam medis. Semua data demografi, faktor risiko, mekanisme cedera, lokasi fraktur, klasifikasi Gustilo dan Anderson, metode operasi, dan komplikasi dikumpulkan dan disajikan dalam bentuk table frekuensi. Total sampel sebanyak 48 orang yang didominasi oleh pria (20 orang). 24 orang sampel ditemukan dalam pengaruh alkohol. Mekanisme cedera didominasi oleh tabrakan sepeda motor dengan 38 kasus , dan tungkai bawah menjadi yang paling sering terluka dengan 18 orang. Bedah debridemen dan casting adalah tatalaksana yang paling sering dilakukan yaitu pada 30 orang. Komplikasi yang paling banyak ditemukan adalah infeksi luka pada 26 orang. Kesimpulan: karakteristik fraktur terbuka ekstremitas bawah di RSUD lebih sering didapatkan pada pria usia dewasa muda, memiliki riwayat merokok, berada dalam pengaruh alkohol, disebabkan oleh kecelakaan kendaraan bermotor, memiliki klasifikasi luka derajat 3A, dilakukan tatalaksana debridement dan casting dan komplikasi terbanyak adalah infeksi pada luka.

Introduction Traditional bone setter's gangrene is a devastating complication arising from the practice of TBS with a prevalence of 4.29%, and most cases require amputation, which led to permanent disability. This case demonstrates a catastrophic presentation of the lower limb gangrene secondary to traditional bone setter's treatment. Case presentation A 39-year-old man with history of treatment by traditional bone setter presented with generalized pain with loss of the skin throughout the entire right lower leg, leaving soft and hard tissue exposed to the environment. His vital signs showed tachycardia and fever. Pulses were absent on the entire lower leg except for the femoral artery. The radiograph revealed gas density around the soft tissue suggestive of gas gangrene. After stabilization, an above-knee amputation was performed by the orthopedic surgeon. Discussion Traditional bone setter's gangrene is a significant contributor to amputations in many developing countries. The practice of scarification, massage with herbal concoctions and creams, and a tight splint may lead to infection, vascular compromise, compartment syndrome that may terminate in gangrene or death of the limb. This progressive limb-threatening infection emphasizing the importance of early recognition of compartment syndrome, adequate resuscitation or stabilization, and prompt and aggressive treatment. Conclusion This case highlights the menace of TBS activities and the dangers inherent in their practice. People who are misguided by false beliefs should be educated by public enlightenment. Appropriate legislation should be supplemented by the government to integrate traditional bone settings with the new orthopedic care services.

Highlight: Healthcare professionals have a higher risk of suffering LBP than other industrial workers. Adult women who have a high body mass index are likely to experience LBP. Healthcare professional should maintain a healthy lifestyle to increase productivity and decrase mortality   ABSTRACT Introduction: Low back pain (LBP) is musculoskeletal pain, tension, or stiffness that occurs below the costal margin and above the inferior gluteal folds, with or without sciatica. It has been found that healthcare professionals are more likely to experience LBP than other industrial workers. Many factors contribute to higher rates of LBP, including occupation, age, obesity, family history, lack of exercise, and psychosocial condition. Objective: To determine LBP’s prevalence and risk factors among healthcare professionals at John Piet Wanane General Hospital. Methods: This is a cross-sectional study that included 158 healthcare professionals. The data was collected using questionnaires and analyzed using univariate and multivariate logistic regression. Results: The overall prevalence of LBP in this study was 62.7%. Descriptive statistics showed that LBP was most common in the female group (71.7%), age group 35-50 years (52.5%), overweight group (61.6%), married group (80.8%), never or rarely exercise group (84.8%), non-smoking group (85.9%), non-drinkers group (84.8%), and moderate perceived stress group (63.6%). Multivariate logistic regression analysis showed that BMI was significantly associated with LBP. Compared with underweight participants, overweight participants were four times more likely to experience LBP (OR = 4.344, 95% CI: 1.297-14.552). Conclusion: This study demonstrates a high prevalence of LBP among healthcare professionals. High BMI, especially being overweight, increases the risk of developing LBP. Overweight and obesity among healthcare professionals may affect their credibility in providing patients with healthy nutrition and exercise advice. Healthcare professionals should maintain a healthy lifestyle to increase productivity and decrease mortality.