PERBANDINGAN FUNGSI EKSTREMITAS ATAS PASCA TATALAKSANA FRAKTUR DISTAL RADIUS INTRAARTIKULER USIA PRODUKTIF ANTARA TINDAKAN OPERATIF DAN NON OPERATIF DENGAN PENILAIAN KLINIS SKOR QUICKDASH DI RSUP DR. MOHAMMAD HOESIN PALEMBANG

ISTIQOMAH, RIDNIA NUR and Aryanta, Wiria (2024) PERBANDINGAN FUNGSI EKSTREMITAS ATAS PASCA TATALAKSANA FRAKTUR DISTAL RADIUS INTRAARTIKULER USIA PRODUKTIF ANTARA TINDAKAN OPERATIF DAN NON OPERATIF DENGAN PENILAIAN KLINIS SKOR QUICKDASH DI RSUP DR. MOHAMMAD HOESIN PALEMBANG. Undergraduate thesis, Sriwijaya University.

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Abstract

Latar Belakang: Fraktur distal radius adalah salah satu fraktur ekstremitas atas yang paling umum ditemukan di kegawatdaruratan ortopedik. Penatalaksanaan fraktur radius distal terdiri dari perawatan operatif atau nonoperatif. Namun, belum ada konsensus mengenai metode pengobatan yang optimal Penelitian ini bertujuan untuk mengetahui perbandingan fungsi ekstremitas atas pada fraktur distal radius intraartikuler usia produktif antara tindakan operatif dan non operatif dengan penilaian klinis skor QuickDASH di RSUP Dr. Mohammad Hoesin Palembang. Metode: Penelitian analitik observasional dengan desain kohort retrospektif telah dilakukan di Instalasi Rawat Jalan Bedah Divisi Bedah Orthopaedi dan Traumatologi RSUP Dr. Mohammad Hoesin Palembang sejak September 2023 hingga Januari 2024. Didapatkan 80 sampel pasien fraktur distal radius intraartikuler yang memenuhi kriteria inklusi yang terdiri dari 60 pasien yang ditatalaksana operatif dan 20 pasien yang ditatalaksana non-operatif. Perbandingan skor Quick DASH antara tindakan operatif dan non operatif dianalisis menggunakan uji Mann Whitney, sedangkan hubungan antara tatalaksana dengan skor Quick DASH dianalisis menggunakan uji Chi Square. Semua data dianalisis dengan SPPS versi 22.0. Hasil: Pada penelitian ini didapatkan hasil terdapat perbedaan skor QuickDASH antara pasien dengan tatalaksana operatif dan non-operatif (p = 0,012). Selain itu, didapatkan hasil bahwa pasien fraktur radius distal yang ditatalaksana operatif memiliki kemungkinan 4 kali memiliki fungsi ekstremitas atas normal dibandingkan pasien fraktur radius distal yang ditatalaksana non-operatif (RR = 4,091 (IK95% 1,345 – 12,441); p = 0,023) Simpulan: Skor QuickDASH kelompok operatif secara bermakna lebih kecil dibandingkan kelompok non-operatif. Kata Kunci: Fraktur Distal Radius, Operatif, Quick DASH, Usia Produktif COMPARISON OF UPPER EXTREMITY FUNCTION OF INTRA-ARTICULAR DISTAL RADIUS FRACTURES IN PRODUCTIVE AGE BETWEEN OPERATIVE AND NON-OPERATIVE PROCEDURES WITH QUICK DASH SCORE CLINICAL ASSESSMENT AT DR. MOHAMMAD HOESIN HOSPITAL PALEMBANG ABSTRACT Background: Distal radius fractures are one of the most common upper extremity fractures encountered in orthopedic emergencies. Management of distal radius fractures consists of operative or nonoperative treatment. However, there is no consensus regarding the optimal treatment method. This study aims to determine the comparison of upper extremity function in intra-articular distal radius fractures of productive age between operative and non-operative procedures with clinical assessment of the QuickDASH score at Dr. Mohammad Hoesin General Hospital Palembang. Method: An observational analytical study with a retrospective cohort design was undertaken at the Surgical Outpatient Installation of the Division of Orthopedic Surgery and Traumatology, Dr. Mohammad Hoesin General Hospital Palembang Palembang since September 2023 to January 2024. There were 80 samples of intra-articular distal radius fracture patients who met the inclusion criteria, consisting of 60 patients who were managed operatively and 20 patients managed non-operatively. Comparison of Quick DASH scores between operative and non-operative procedures was analyzed using the Mann Whitney test, while the relationship between treatment and Quick DASH scores was analyzed using the Chi Square test. All data were analyzed with SPPS version 22.0. Results: In this study, the results showed that there was a difference in QuickDASH scores between patients with operative and non-operative treatment (p = 0.012). In addition, the results showed that distal radius fracture patients who were treated operatively were 4 times more likely to have normal upper extremity function compared to distal radius fracture patients who were treated non-operatively (RR = 4.091 (95% CI 1.345 – 12.441); p = 0.023) Conclusion: The QuickDASH score of the operative group was significantly lower than that of the non-operative group. Keywords: Distal Radius Fracture, Operative, Productive Age, Quick DASH

Item Type: Thesis (Undergraduate)
Uncontrolled Keywords: Fraktur Distal Radius, Operatif, Quick DASH, Usia Produktif
Subjects: R Medicine > RD Surgery > RD701-811 Orthopedic surgery
Divisions: 04-Faculty of Medicine > 11707-Surgery (Sp
Depositing User: Ridnia Nur Istiqomah
Date Deposited: 11 Mar 2025 04:34
Last Modified: 11 Mar 2025 04:34
URI: http://repository.unsri.ac.id/id/eprint/168220

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