open fracture

Define as fracture which communicate with external environment, usually involve soft tissues injury usually because of high energy trauma

open # usually associated with contamination.

5 general rules in management of open fracture:
1. Classification of injury
2. Initial mx of soft tissue wound and prevent infection and further damage.
3. Selection of appropriate method of skeletal stabilization
4. Early soft tissue cover
5. early rehab.

Gustilo classification of open fracture
- base on 2 factor
1. The degree of soft tissue injury
2. The degree of contamination.

grade I.
- clean wound <1cm

grade II
- > 1cm but not A/W extensive tissue damage, little contamination.

grade III
- > 10cm, extensive soft tissue damage, severe contamination, fracture usually comminuted, segmental or bone lossirrespective of size of wound.

IIIA - extensive soft tissue but adequate soft tissue to cover fracture bone.
IIIB - extensive soft tissue damage + periosteal stripping, bone exposed.
IIIC - with vascular injury regarless of size of wound.

adopted from basic fracture mx by Mr Yusof etc.

cont...

The 500 Most Influential Muslims 2009 : 42th - Tok Guru Nik Aziz

The 500 Most Influential Muslims 2009 : 42th - Tok Guru Nik Aziz

No. 42

Country: Malaysia

Date of Birth: 1931

Source of Influence:Administrative, Political,Scholarly

Influence: Spiritual leader of largest Islamic political party in Malaysia

School of Thought: Traditional Sunni

Dato ' Haji Nik Abdul Aziz Nik Mat

Religious Guide of the Islamic Party of Malaysia

Dato' Haji Nik Abdul Aziz Nik Mat is a Malaysian politician, an Islamic scholar and the current chief minister of the State of Kelantan. He holds the position of Mursyidul Am—the religious guide—within the Pan-Malaysian Islamic Party (PAS).

Scholarly Influence over Malaysian Politics As the religious guide of the Pan-Malaysian Islamic Party, Nik Mat is the spiritual leader of Malaysian Islamic politics and holds very important sway over the tenor of politics in the nation.

His advocacy of sharia law to be applied to all Malay Muslims has, however, drawn criticism, especially his suggestion that women would be at a lower risk of being raped if they abandoned wearing lipstick.

Political Importance in Malaysia

Nik Abdul Aziz's fundamentalist party has close to one million members and enjoys strong support from the northern rural and conservative states such as Kelantan and Terengganu. Nik Mat is the chief minister of the Kelantan state, the only one of Malaysia's thirteen states that is not ruled by the governing coalition.

Download The 500 Most Influential Muslim 2009 PDF here

salam pengenalan

Assalamualaikum, salam sejahtera
started to become one of the "cybertrooper"
hopefully can contribute to a good source of information regarding whatever i think
InsayAAllah