Friday, January 29, 2010

supracondylar fracture of humerus..


sape??? sape???

sy dpt fracture ke????????

patient right limb
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ish, takla.. sebenarnye entry kali ni nak share sumthing yg ilmiah sket..alhamdulillah, dpt scrub in/ assist in orthopedic surgery.. smlm pagi , after TBL session ngn Dr Azlan (orthopedic surgeon), die ade ajak dtg an-nur hosp.. die ckp ade interesting case after maghrib, kalo nak assist dtgla..so memule cam mls je nak dtg..konon2 rase nak study je kat rumah...

but then,bile pk2 balik, dpt assist n tgk surgical procedure lg best kot..yela,maybe this is
the only chance to witness that surgery..so, after study circle/ usrah (kol 6.30 baru abis) ,then bergegas balik rumah, mandi, bersiap and smbhyg magrib and pecut gi an-nur plak..so, pergi sane 4 org...2 org assist (me and eda) and lagi 2 org observe...alhamdulillah..Allah gerakkan hati ni utk pergi dan belajar during the surgery

so, rase nye xsume org tau pasal that fracture..supracondylar tu ialah bahagian anatomi yg terdapat pada tulang lengan(humerus)..Fracture of the supracondylar humerus is the most common elbow fracture in children..so, patient akan dtg present usually with history of falling..complaint of pain, swelling, and tenderness at the fracture site.

mesti korg tertanye2 ape yg bahaye nye fracture kat bahagian tulang tersebut...terdapat saraf-saraf yg penting (ulnar nerve, radial nerve, medial nerve) yg lalu berdekatan dgn kawasan fracture tersebut (ade ke saraf yg tak penting...?)..ade jugak vessels (brachial artery) yg penting melalui berdekatan dgn kawasan tersebut..so risk of bleeding and blood loss might happened.

so just now, dr azlan has done reduction and stabel fixation with K-wires ( kirs
chner wire)..All of the fracture fragments should be identified initially. Hematoma should be removed, and the fracture planes should be identified and restored. K-wires is used to used to stabilize bone fragments. These wires can be drilled through the bone to hold the fragments in place.

so basically, the operation is to restore back the fragment fracture into places and the aim is to make sure that the patient can restore the normal function of the arm back.. besides that, the patient td had fracture of distal end of radius jugak..so cast (plaster of paris) has been wrapped to his hand..kesian adek tu, dhla tangan kanan..cmne la die nak menulis kat skolah nnt...maybe he's left handed kot...

over all, i really enjoy the surgery tonite.. mungkin setakat duk umah sambil lagha layan fb and study textbook je, sy xkan dpt pengisian sbyk mlm ni...so, operation yg bermule pada jam 8.45 mlm akhirnya selamat selesai pada jam 10.00 mlm...dan dgn gembiranye dr azlan blanje mkn western food after the surgery...hoorey..perut pun dah kenyang..so balik rumah leh la tido terus...

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ok, korg leh enjoy some pic during surgery ...
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cutting layer by layer


reaching the bone

i'm holding the retractor.. (me wearing white tudung)


where's the fracture bone..tgk cam senang je dlm xray film

this is what i mean the K-wire..is a pin like metal (keras cam besi..xdela lembut cam wire pun)..K-wire is to hold the fragment in the bone..(sorry this is not patient x-ray..sgt lupe nak snap his xray pic)


ok, till now~







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