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      Studi Kasus Fraktur Terbuka Salter-Harris Tipe I Kronis pada Kucing Domestic Short Hair

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      Date
      2024
      Author
      Maharani, Monica Briliana
      Pamungkas, Joko
      Siswandi, Riki
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      Abstract
      Salter-Harris merupakan suatu sistem klasifikasi cedera pada daerah physis. Studi kasus ini bertujuan mempelajari kejadian kasus Salter-Harris kronis tipe I pada kucing domestik dan mengevaluasi persembuhan luka pasca operasi. Anamnesis pasien dengan ras domestic short hair berumur 8 bulan dengan keadaan kaki pincang dan memperlihatkan tulang menyembul keluar yang telah berlangsung selama 2 minggu. Luka terbuka kronis mengakibatkan jaringan mengalami infeksi dan nekrosis. Penanganan kasus dengan terapi lintah sebelum dilakukan operasi dan metode Open Reduction Internal Fixation (ORIF) yang merupakan prosedur pembedahan untuk menstabilkan fraktur dengan memasang pin dengan tujuan mempertahankan posisi fragmen tulang. Hasil pemeriksaan radiografi hari ke-60 pasca operasi menunjukkan os tibia sudah kembali normal, tidak ada perubahan ukuran, bentuk, jumlah, lokasi, dan marginasi. Studi kasus menunjukkan pasien yang mengalami patah tulang dan luka kronis dapat dilakukan operasi sehingga tidak memerlukan amputasi serta dapat menumpu dan berjalan dengan baik meskipun otot mengalami atrofi dan fleksibilitas sendi tidak sempurna.
       
      Salter-Harris is a classification system for injuries in the physis area. This case study aimed to study the occurrence of fracture cases in domestic cats and evaluate wound healing post-surgery. The patient’s anamnesis, an 8-month-old domestic short hair, had presented with a limp and a protruding bone that had persisted for two weeks. The chronic open wound had led to infection and necrosis of the tissue. Case management had included leech therapy before performing surgery and the Open Reduction Internal Fixation (ORIF) method, a surgical procedure to stabilize fractures by placing wires to maintain the position of bone fragments. Radiographic examination results on the 60th day post-operation had shown the tibia bone had returned to normal, with no changes in size, shape, number, location, and margins compared to the healthy leg. This case study indicates that patients with fractures and chronic wounds can undergo surgery without needing amputation and could bear weight well, although the muscle had experienced atrophy and joint flexibility had not been perfect.
       
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      http://repository.ipb.ac.id/handle/123456789/156915
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      • UT - Anatomy, Phisiology and Pharmacology [1009]

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