Karakteristik Pasien Fraktur Ekstremitas Bawah Di Rumah Sakit Aloei Saboe Kota Gorontalo
DOI:
https://doi.org/10.31004/joecy.v6i1.6756Keywords:
Fraktur Ekstremitas Bawah, Karakteristik Pasien, Kecelakaan Lalu Lintas, Mekanisme TraumaAbstract
Latar Belakang: Fraktur ekstremitas bawah merupakan masalah muskuloskeletal signifikan dengan morbiditas tinggi, terutama pada kelompok usia produktif akibat kecelakaan lalu lintas di Indonesia.
Tujuan: Mendeskripsikan karakteristik demografi, klinis, dan radiologis pasien fraktur ekstremitas bawah di RSUD Prof. Dr. Aloei Saboe Gorontalo tahun 2024. Metode: Studi kuantitatif deskriptif retrospektif menggunakan data rekam medis elektronik. Populasi seluruh pasien fraktur ekstremitas bawah tahun 2024; sampel 67 pasien via total sampling. Instrumen lembar observasi terstruktur; analisis univariat frekuensi dan persentase dengan Excel dan SPSS 26. Hasil: Mayoritas laki-laki (62,7%), usia 18-39 tahun (32,8%), pekerjaan PNS/TNI/Polri/BUMN/BUMD (40,3%). Trauma energi tinggi (70,1%) didominasi kecelakaan lalu lintas (55,2%), femur tersering (32,8%), traumatik (83,6%), tertutup (56,7%), komplit (89,6%). Kesimpulan: Pola fraktur mencerminkan trauma produktif; diperlukan pencegahan keselamatan berkendara dan rekam medis lengkap.
References
Almigdad, A., Mustafa, A., Alazaydeh, S., Alshawish, M., Bani Mustafa, M., & Alfukaha, H. (2022). Bone fracture patterns and distributions according to trauma energy. Advances in Orthopedics, 2022, Article 9945216. https://doi.org/10.1155/2022/9945216
Andi Kencana Batara, K., Syahril, E., Bausat, A., Mula Putra, F., & Irsandy Syahruddin, F. (2024). Karakteristik penderita fraktur femur di RS Ibnu Sina pada tahun Januari 2023-Desember 2024. Fakumi Medical Journal.
Apley, A. G., & Solomon, L. (2018). Apley's system of orthopaedics and fractures (10th ed.). CRC Press. https://archive.org/details/45999130054703972879
Chen, S., et al. (2023). Global burden of musculoskeletal disorders: A systematic analysis from the Global Burden of Disease Study 2019. The Lancet Rheumatology, 5(11), e651-e663. https://doi.org/10.1016/S2665-9913(23)00218-5
Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE Publications.
Desiartama, A., & Aryana, W. (2021). Gambaran karakteristik pasien fraktur femur akibat kecelakaan lalu lintas pada orang dewasa di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2013. Jurnal Harian Regional. https://jurnal.harianregional.com/eum/full-30486
Drake, R. L., Vogl, A. W., & Mitchell, A. W. (2019). Gray's atlas of anatomy (2nd ed.). Elsevier.
Emzir. (2021). Metodologi penelitian kualitatif kuantitatif. Pustaka Pelajar.
Gaga, S. W., Kasim, V. N. A., & Suleman, I. (2025). Hubungan indeks massa tubuh dengan risiko cedera pada pemain badminton di Trisaka Sport Kota Gorontalo. Jurnal Kesehatan, 8(7). https://www.jurnal.unismuhpalu.ac.id/index.php/JKS/article/view/7710/5697
Gebre, R. K., Hirvasniemi, J., Lantto, I., Saarakkala, S., Leppilahti, J., & Jämsä, T. (2019). Structural risk factors for low-energy acetabular fractures. Bone, 127, 334-342. https://doi.org/10.1016/j.bone.2019.06.012
González-Sánchez, G., Olmo-Sánchez, M. I., Maeso-González, E., Gutiérrez-Bedmar, M., & García-Rodríguez, A. (2021). Traffic injury risk based on mobility patterns by gender, age, mode of transport and type of road. Sustainability, 13(18), 10112. https://doi.org/10.3390/su131810112
Guibert, N., Martin, J. L., Gadegbeku, B., Lagarde, E., & Charbotel, B. (2024). The risk of road traffic crashes for occupational drivers: A responsibility study with comparison to the general population. Work, 77(2), 511-522. https://doi.org/10.3233/WOR-230456
Haffiz, M. A., et al. (2022). Epidemiology of lower extremity fractures in Indonesia: A retrospective study. Journal of Orthopaedic Surgery, 30(2_suppl). https://doi.org/10.1177/23094990221105789
Hosseini, H., Heydari, S., Domari, A. A., Raesi, R., Hushmandi, K., & Faryabi, R. (2024). Comparison of treatment results of femoral shaft fracture with two methods of intramedullary nail (IMN) and plate. BMC Surgery, 24(1), 318. https://doi.org/10.1186/s12893-024-02590-1
James, S. L., et al. (2021). Global, regional, and national burden of bone fractures in 204 countries and territories, 1990-2019. The Lancet Healthy Longevity, 2(9), e580-e592. https://doi.org/10.1016/S2666-7568(21)00172-0
KEMENKES. (2023). Pedoman nasional pelayanan kedokteran (PNPK) tatalaksana osteoporosis. Kementerian Kesehatan RI. https://kemkes.go.id/id/pnpk-2023---tata-laksana-osteoporosis
Makaram, N. S., Param, A., Clement, N. D., & Scott, C. E. H. (2024). Primary versus secondary total knee arthroplasty for tibial plateau fractures in patients aged 55 or over—A systematic review and meta-analysis. Journal of Arthroplasty, 39(2), 559-567. https://doi.org/10.1016/j.arth.2023.08.024
Mwaungulu, M., Noah, P., Head, P., Sama Philipo, G., Clara Mpanga, C., & Tr, M. M. (2024). Patterns of orthopedic injuries among motorcycle trauma patients in Malawi. East and Central African Journal of Surgery, 29(4), 24-35. https://doi.org/10.4314/ecajs.v29i4.4
Putra, A. P., et al. (2024). Trauma patterns in motor vehicle accidents: Indonesian perspective. BMC Public Health, 24, 1234. https://doi.org/10.1186/s12889-024-18765-2
Ramadhani, R., Romadhona, N., Djojosugito, M., Dyana, E., & Rukanta, H. (2019). Hubungan jenis kecelakaan dengan tipe fraktur pada fraktur tulang panjang ekstremitas bawah. Universitas Islam Bandung.
RISKESDAS. (2018). Laporan nasional RISKESDAS 2018. Badan Penelitian dan Pengembangan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
RISKESDAS Gorontalo. (2018). Laporan Provinsi Gorontalo RISKESDAS 2018. Kementerian Kesehatan RI. https://www.litbang.depkes.go.id
Sari, D. K., et al. (2023). Risk factors for lower limb fractures in traffic accidents. Injury, 54(5), 1456-1463. https://doi.org/10.1016/j.injury.2023.02.015
Schundler, S. F., Jackson, G. R., McCormick, J. R., Tuthill, T., Lee, J. S., Batra, A., et al. (2023). Nonoperative management of tibial stress fractures result in higher return to sport rates despite increased failure versus operative management: A systematic review. Arthroscopy, Sports Medicine, and Rehabilitation, 5(3), e881-e890. https://doi.org/10.1016/j.asmr.2022.12.007
Setyowati, D. L., Setyaningsih, Y., Suryawati, C., Lestantyo, D., Denny, H. M., & Kurniawan, B. (2025). Global disparities in road safety: Trends, knowledge gaps, and strategic intervention. Indonesian Journal of Occupational Safety and Health, 14(1), 119-132. https://doi.org/10.20473/ijosh.v14i1.2025.XXX
Sugiyono. (2021). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Sulistyaningtyas, N. (2021). Analisis faktor-faktor penyebab kecelakaan akibat kerja pada pekerja konstruksi: Literature review. Journal of Health Quality Development, 1(1), 51-59.
Sudaryono. (2022). Metodologi penelitian pendidikan & aplikasi. Pustaka Pelajar.
Utari, N., Ridwan, A. M. P., & Prita, A. M. S. (2019). Karakteristik kasus fraktur ekstremitas bawah di Rumah Sakit Umum Daerah DR H Chasan Boesoerie Ternate tahun 2018. Kieraha Medical Journal.
Viganò, M., Pennestrì, F., Listorti, E., & Banfi, G. (2023). Proximal hip fractures in 71,920 elderly patients: Incidence, epidemiology, mortality and costs from a retrospective observational study. BMC Public Health, 23, 2356. https://doi.org/10.1186/s12889-023-17358-1
WHO. (2022). Musculoskeletal health. World Health Organization.
WHO. (2023). Global status report on road safety 2023. World Health Organization. https://www.who.int/teams/social-determinants-of-health/safety-and-mobility/global-status-report-on-road-safety-2023
Yilmaz, E. T., Kamaci, S., Bingol, I., Oral, M., Kolac, U. C., & Yasar, N. E. (2025). Fracture analysis of working-age adults in Turkey: A 7-year national registry study. BMC Musculoskeletal Disorders, 26(1), 359. https://doi.org/10.1186/s12891-025-08616-w
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