Amputasi Ekstremitas Atas Akibat Luka Bakar Listrik : Laporan Kasus

  • Rahadi Arie Hartoko Program Studi Pendidikan Dokter Universitas Islam Negeri Alauddin Makassar
    (ID)
  • Andi Amirah Shaleha Junaedi Departemen Kedokteran Fisik dan Rehabilitasi, Universitas Hasanuddin
    (ID)
Kata Kunci: Amputasi Transradial, Trauma Bakar Listrik, Program Rehabilitasi, Prostesis

Abstrak

Amputasi adalah pembedahan yang melibatkan pemotongan sebagian atau seluruh anggota badan atau beberapa hasil pertumbuhan abnormal dari tubuh. Prevalensi amputasi sekitar 1,6 juta pada tahun 2005 di Amerika Serikat dan akan meningkat dua kali lipat sebesar 3,6 juta pada tahun 2050. Penyebab utama amputasi ekstremitas atas adalah trauma yaitu sekitar 80% terutama pada orang dewasa muda dengan insiden amputasi akibat trauma luka bakar listrik sekitar 2% (terutama transradial dan transhumeral). Efek arus listrik bergantung pada jenis arus, voltase, daya tahan jaringan, kekuatan arus, jalur yang dilalui arus melalui tubuh, durasi kontak, dan kerentanan individu. Individu yang menjalani amputasi ekstremitas atas membutuhkan rehabilitasi secara komprehensif oleh dokter, fisioterapis, terapis okupasi, ahli prostesis, dan psikolog. Program rehabilitasi yang tepat dan prostesis yang nyaman (termasuk pemeliharaan panjang ekstremitas) bertujuan pada rekonstruksi prostesis. Selain program rehabilitasi, teknik amputasi yang tepat juga dapat memfasilitasi individu pada proses pemulihan secara fungsional.

Referensi

Maduri, P. and Akhondi, H. Upper Limb Amputation - StatPearls - NCBI Bookshelf, StatPearls Publishing.2022.

Asokan, A. and Saber, A.Y. Forearm Amputation in StatPearls - NCBI Bookshelf, StatPearls Publishing. 2023.

Bartley, C.N. et al. Amputation Following Burn Injury. Journal of Burn Care and Research, 2019; 40(4): 430–6.

Inkellis, E. et al. Incidence and Characterization of Major Upper-Extremity Amputations in the National Trauma Data Bank. JBJS Open Access, 2018; 3(2).

Begum, N. et al. Upper Limb Amputations Following Electric Burn: Experience Sharing from Tertiary Hospitals in Bangladesh. Journal of Bangladesh College of Physicians and Surgeons, 2022;40(4):279–86.

Sheehan, T.P. Rehabilitation and Prosthetic Restoration in Upper Limb Amputation’, in B.C. Eapen et al. (eds.) Braddom.s Physical Medicine and Rehablitation. Sixth. Philadelphia: Elsevier, 2021: 153–73.

Carrougher, G.J. et al. National Estimates from Healthcare Utilization Project (HCUP), Nationwide Inpatient Sample (NIS), Agency for Healthcare Research and Quality (AHRQ). Journal of Burn Care & Research. 2019.

O’Brien, E. et al. (2021) ‘Prosthetic management of unilateral transradial amputation and limb deficiency: Consensus clinical standards of care’. Journal of Rehabilitation and Assistive Technologies Engineering, 2021; 8.

Salminger, S., Stino, H., Pichler, L.H., Gstoettner, C., Sturma, A., Mayer, J.A., Szivak, M. dan Aszmann, O.C. Current rates of prosthetic usage in upper-limb amputees – have innovations had an impact on device acceptance?. Disability and Rehabilitation, 2022; 44(14), 3708-13.

Spaulding, S. and Chen, T. Prosthetic Options for Persons With Upper Extremity Amputation in Orthotics and Prosthetics in Rehabilitation. Fourth. Missouri: Elsevier, 2020: 336–46.

Ustal, H. et al. Prosthetics and Orthotics’, in S.J. Cuccurullo, J. Lee, and L. agay (eds) Physical Medicine and Rehabilitation Board Review. Fourth.United State of America: Springer US, 2020: 469–72.

Nawijn, F. et al. (2020) ‘Factors Associated with Mortality and Amputation Caused by Necrotizing Soft Tissue Infections of the Upper Extremity: A Retrospective Cohort Study’. World Journal of Surgery, 2020; 44(3) : 730–40.

Braza, D.W. and Martin, J.N.Y. (2019) ‘Upper Limb Amputations’, in W.R. Frontera, J.K. Silver, and T.D. Rizzo (eds) Essentials of Physical Medicine and Rehabilitation: Musckuloskeletal Disorders, pain, and rehabilitation. Fourth. Philadelphia: Elsevier,2019: 651–6.

Melton, D.H. Physiatrist Perspective on Upper-Limb Prosthetic Options: Using Practice Guidelines to Promote Patient Education in the Selection and the Prescription Process. JPO Journal of Prosthetics and Orthotics, 2017;29(4) : 40–4.

Kashizadeh, A., Peñan, K., Belford, A., Razmjou, dan Asadnia, M. Myoelectric Control of a Biomimetic Robotic Hand Using Deep Learning Artificial Neural Network for Gesture Classification. IEEE Sensors Journal, 2022; 22(19) : 18914-21.

Touillet, A., Gouzien, A., Badin, M., Herbe, P., Martinet, N., Jarrassé, N., dan Roby-Brami, A. Kinematic analysis of impairments and compensatory motor behavior during prosthetic grasping in below-elbow amputees. PLOS ONE, 2022; 17(11).

Diterbitkan
2023-07-31
Bagian
Case Report
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