Introduction

Good afternoon. How are you today? Let me introduce myself, my name Joko
Ivnu Santso, I work daily in the bougenville room at RSUD Ngudi Waluyo. Have you
had a fracture? If so what do you do? Now I'm going to present about fractures and
medical management. Work and traffic accidents are the main causes of injuries and
fractures. Transportation statistical data states that this accident caused state losses of
226 billion in 2017.

Outline

My presentation consists of 6 parts

1. First is definition
2. Second is fracture type
3. Next is etiology
4. Next is signs symptoms
5. Complication
6. Medical management
Body
Definition
A fracture is a break in the continuity of bone (Smeltzer et all, 2003)
Fracture type
According to the relationship between the fragments and the outside world of the
fracture there are 2
1. Open fracture  bone fragments penetrate the skin
2. Close fracture  the bone fragments are not related to the outside world
Etiology
 Traumatic Injury
Traumatic injury to the bones can be caused by:
 Direct blows  a direct blow to the bone so that it breaks
spontaneously .ex. traffic accident.
 Indirect blows  the direct hit is far from the impact site. ex. fall from a
height
 Pathological fractures
 Bone Tumor (Benign or Malignant): uncontrolled and progressive growth
of new tissue.
 Infections such as osteomyelitis
 Rickets: a bone disease caused by Vitamin D deficiency
Signs symptoms
The clinical signs and symptoms of fracture include

1) acute pain,

2) loss of function,  the fractured limb may not function properly

3) deformity  shifting of bone fragments

4) shortening of the extremities,

5) crepitus  the sound of scraping bone fragments when touched

6) Edema and local ecchymosis.

Complication

Early fracture complications

1) Shock  Shock occurs from losing a lot of blood

2) Artery damage  Rupture of an artery due to trauma

3) Compartment syndrome  hematoma pressing on muscles, nerves, and blood

vessels.

4) Infection

5) Avascular Necrosis  Occurs because blood flow to the bones is damaged

6) Fat embolism syndrome  occurs because the fat cells produced by the
yellow bone marrow enter the bloodstream

Old complications

7) Delayed union  fractures that do not heal after an interval of 3–5 months

8) Non union  the fracture does not heal in between 6-8 months

9) Mal union  A condition where the fracture heals in time but there is
deformity

Medical management

 Recognition  assess the cause and type of fracture to determine further

action

 Reduction  restores bone length and alignment

 Immobilization  External fixation methods include bandages, casts, splints,

continuous traction and external fixators

 Rehabilitation  Restore functional activities as much as possible to avoid

atrophy or contractures
Ending

So in conclusion, fracture is a break in the relationship of bone tissue, which can

be cured by means of 4R (Recognition, Reduction, retention or Immobilization and
Rehabilitation). I give a message that if you experience a fracture, immediately go to
the health service. I think enough of my presentation. Thanks for your attention. Any
question?

Can traditional medicine be an alternative step in healing fractures?

I will answer your question
Traditional medicine attempts can help with recovery, however, the best advice for
you is to still carry out an evaluation and direct examination to your doctor to
evaluate the condition of the fracture and evaluation of subsequent recovery.
is it aswering your question?