Multiple Fractures with Ruptured Brachial Arteries and Veins

Authors

  • Nabila Ulfiani Fakultas Kedokteran Universitas Lampung
  • Mohamad Bayu Sahadewa universitas lampung

Keywords:

Artery Bypass, Fractures, ORIF, Vascular Trauma

Abstract

Trauma is another word injury that can injure. Trauma is another word injury that can injure. Injury to the bones results in fractures (fractures) and dislocations. Fracture is a condition of bone discontinuity. Fractures are divided according to the contact of the outside world, which includes closed and open fractures. The classic symptoms of fracture are a history of trauma, pain and swelling in the fractured bone, eformity (angulation, rotation, discrepancy), tenderness, crepitus, impaired musculoskeletal function due to pain, broken bone continuity and neurovascular disorders. Fracture is one of the causes of trauma to the blood vessels (vascular). Vascular trauma should be suspected in the case of trauma occurring in areas anatomically traversed by large blood vessels. This case report is a man aged 23 years, having difficulty moving his right and left hands, and right lower leg since ± 12 hours of SMRS. Post traffic accident patients ± 10 hours SMRS. From the examination of the localis status of the right brachii region, it was obtained swelling, hematoma ± 5x4 cm, vulnus laceratum ± 2x0.5 cm; there is tenderness, wick pain and increased pain; Pain-limited ROM. The status of the left brachii localist was obtained by swelling, hematoma in the left brachii region ± 6x3 cm, vulnus laceratum ± 2 cm, pulsation A. Radialis not palpable, cold acral from 1/3 distal to the brachial region to the manus, hypoaesthesias and anesthesia present, limited ROM. Localis status of the femoral region until the right cruris is rotated, vulnus laceratum ± 30 cm, pain-limited ROM. In emergency ward, we treated the patient with oxygen administration through no re-breathing mask with 10 ml of oxygen per-minute, infusion with crystaloid solution, wound irrigation,  broad spectrum antibiotic, analgetic and fracture stabilisation with posterior slab. The patient underwent urgent surgery to treat his fracture and neurovascular trauma.

References

Suhardi. Prefensi peminum akohol di Indonesia menurut Riskesdas 2007. Buletin Penelitian Kesehatan. 2011; 39(4):154-64

Depkes RI tahun 2005. http://www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-kesja.pdf

Riyadina W, Suhardi & Meda P, 2009, Pola dan Determinan Sosiodemografi Cedera Akibat Kecelakaan Lalu Lintas di Indonesia, (pdf), (diakses tanggal 22 November 2012); Diunduh dari jurnal.pdii.lipi.go.id/admin/jurnal/591009464472.pdf

Rinaldi AA. Closed fracture 1/3 middle femur dextra. Jurnal Medula Kedokteran Unila. 2014; 3(2):94-100

Suhardi. Tatalaksana trauma vascular. Nasional Symposium & Workshop “Aceh Surgery Update 2”. 2017; 2(1):34-49

Black MM, Jacob ME. Medical surgical nursing Ed.3. Philadelphia: W.B. Sounders; 1997

Long BC. Perawatan medikal bedah Edisi 3. Jakarta : Penerbit Buku Kedokteran EGC; 1996

Patel M dkk. Open Tibial Fracture. (diakses tanggal 23 Mei 2011) Tersedia di http://emedicine.medscape.com/article/1249761-overview .

Kementerian Kesehatan RI Peraturan Menteri Kesehatan Nomor 2406/ Menkes/ Per/XII/2011 tentang pedoman umum penggunaan antibiotik. Jakarta : Kementerian Kesehatan RI; 2011

American College of Surgeons Comittee on Trauma. Advanced Trauma Life Supportfor Doctors (ATLS) Student Course Manual. 8th ed. Chicago IL : American College of Surgeons; 2008

Fonseca MCR, Mazzer N, Barbieri CH, Elui VMC. Hand trauma: retrospective study. Rev Bras Ortop. 2006; 41(1):181-86

Published

2021-02-08

How to Cite

Nabila Ulfiani, & Mohamad Bayu Sahadewa. (2021). Multiple Fractures with Ruptured Brachial Arteries and Veins. Medical Profession Journal of Lampung, 11(1), 13-19. Retrieved from http://journalofmedula.com/index.php/medula/article/view/139