AbstrakAngka kejadian patah tulang medial condyle anak tulang sekitar siku atau kurang dari 1% dari seluruh fraktur. Tinjauan sangat sedikit, tercatat hanya ada 13 kasus dalam literatur di Inggris. Penulis mengumpulkan pustaka, contoh kasus dan tatalaksana agar dapat digunakan sebagai bahan acuan saat menemukan kasus tersebut. Hasil akhir d tatalaksana operatif dan konservatif didapatkan bahwa presentase union pada operatif sebesar 92,5 % dan 49,2 % pada konservatif. Yang tidak kalah penting adalah penjelasan kepada pasien dan keluarga tentang prognosis dan kemungkinan komplikasi dikemudian hari akibat kerusakan lempeng pertumbuhan. Kata kunci: patah tulang medial condyle, anak Abstract The incidence of medial condyle fractures on children and adults is about 11% around the elbow or less than 1% of the overall fracture. Literature that discuss on this case very little, recorded there are only 13 cases in the literature in english. The author collect literature, case examples and management in order to be used as reference material when finding the case. The end result of operative and conservative management was obtained from the percentage union in the operative of 92.5% and 49.2% in the conservative. explanation to the patient and family about the prognosis and growth plate.
Angka kejadian patah tulang medial condyle anak-anak dan dewasa sekitar 11%-20% dari seluruh patah tulang sekitar siku atau kurang dari 1% dari seluruh fraktur. Tinjauan pustaka yang membahas tentang kasus ini sangat sedikit, tercatat hanya ada 13 kasus dalam literatur di Inggris. Penulis mengumpulkan pustaka, contoh kasus dan tatalaksana agar dapat digunakan sebagai bahan acuan saat menemukan kasus tersebut. Hasil akhir dari tatalaksana operatif dan konservatif didapatkan bahwa presentase union pada operatif sebesar 92,5 % dan 49,2 % pada konservatif. Yang tidak kalah penting adalah penjelasan kepada pasien dan keluarga tentang prognosis dan kemungkinan komplikasi dikemudian hari akibat kerusakan lempeng pertumbuhan.
Background: Genu varum is the condition of the legs that bend inward, leading to walking disruptions. However, data on genu varum are still lacking to prevent the disease. This study aimed to identify the epidemiology of patients with genu varum in preventing, managing and determining the prognosis and as a source for future research.Methods: This research is a descriptive study using a retrospective research design. The sampling technique used is a total sampling of genu varum patients gained from the Department of Orthopedics and Traumatology database, medical records from Dr. Soetomo General Academic Hospital Surabaya, and patients' home visits. The target population is all genu varum patients from 2010-2018.Results: The total sample was 31 patients, 21 patients were male (67%), and 10 patients were female (32%). The average age of patients was 4.3 years. The first complaint of the disease was, on average, realized at 1.8 years. The birth weight data obtained an average of 3.49 kg. The average body mass index is 26.3. Langenskiold stage I,II,III,IV,V,VI type; 2 (3%), 43 (70%), 2 (3%), 5 (8%), 2 (3%), 8 (13%). Eighteen patients (58%) had bilateral Blount disease and 7 patients (22%) had unilateral Blount disease, and only six patients (20%) had physiologic genu varum. Eighteen patients were carried out conservative methods, and 13 underwent operative methods.Conclusion: Blount disease is the commonest cause of genu varum in Dr. Soetomo General Academic Hospital, specifically infantile. The highest number of patients are male and those who underwent operative treatment.
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