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Case Discussion trauma orthopaedic .pptx

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Case Presentation
• Tn Rifky / 21 th • MOI : Kecelakaan berangkat kerja, sepeda motor vs bemo • Keluhan : nyeri lengan bawah dan pergelangan tangan bawah , tidak bias digerakkan, bengkak • Penjamin : BPJS - Tenaga Kerja
• St. Lokalis R. wrist : • Look : deformitas , swelling, hematoma • Fell : nyeri tekan , krepitasi, piano tuts sign +, AVN distal normal • Move : ROM terbatas ok. Nyeri • Dx : Galeazzi Fracture + DRUJ dislocation • Tx : ORIF Radius + Rekontruksi DRUJ dislocation dg tendon PL graft • Implant : small DCP locking titanium6 hole 6 screw, Etibon, Anchor screw ( Y Knot RC ), arthroscopy set
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx
Hook plate • The Hook Plate was originally designed for lateral end clavicle fractures. • This application has been extended to AC joint dislocations. • It has been associated with numerous complications including Acromial Fractures, plate bending, and AC arthritis as high as 41 %, and a definite second surgery for hardware removal [14]. • Hook plate eroding through acromion has been noted as early as 32 days after surgery.
AC joint dislocation shoulder s Pre op Post op
Pre op Post op
Case Discussion trauma orthopaedic .pptx
MINAR
MINAR Pre op Post op
Pre op Post op
Crush Injury Manus D
Post op
OF Radius 1/3 distal segmental communitive + OF Ulna 1/3 distal communitive
Post ope
OF Femur S segmental communitive
Case Discussion trauma orthopaedic .pptx
OF Metacarpal 2,3,4 + OF Phalang Proximal digiti 2 Manus S
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx
Anchoring implantation
Crush injury ankle D , rupture Achilles tendon, OF calcaneus, rupture arteri tibialis posterior
CF Proximal Humerus D communitive
Crush injury genu, rupture arteri femoralis, rupture MPFL
Case Discussion trauma orthopaedic .pptx
Case Discussion trauma orthopaedic .pptx

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Case Discussion trauma orthopaedic .pptx

  • 2. • Tn Rifky / 21 th • MOI : Kecelakaan berangkat kerja, sepeda motor vs bemo • Keluhan : nyeri lengan bawah dan pergelangan tangan bawah , tidak bias digerakkan, bengkak • Penjamin : BPJS - Tenaga Kerja
  • 3. • St. Lokalis R. wrist : • Look : deformitas , swelling, hematoma • Fell : nyeri tekan , krepitasi, piano tuts sign +, AVN distal normal • Move : ROM terbatas ok. Nyeri • Dx : Galeazzi Fracture + DRUJ dislocation • Tx : ORIF Radius + Rekontruksi DRUJ dislocation dg tendon PL graft • Implant : small DCP locking titanium6 hole 6 screw, Etibon, Anchor screw ( Y Knot RC ), arthroscopy set
  • 6. Hook plate • The Hook Plate was originally designed for lateral end clavicle fractures. • This application has been extended to AC joint dislocations. • It has been associated with numerous complications including Acromial Fractures, plate bending, and AC arthritis as high as 41 %, and a definite second surgery for hardware removal [14]. • Hook plate eroding through acromion has been noted as early as 32 days after surgery.
  • 7. AC joint dislocation shoulder s Pre op Post op
  • 10. MINAR
  • 15. OF Radius 1/3 distal segmental communitive + OF Ulna 1/3 distal communitive
  • 17. OF Femur S segmental communitive
  • 19. OF Metacarpal 2,3,4 + OF Phalang Proximal digiti 2 Manus S
  • 27. Crush injury ankle D , rupture Achilles tendon, OF calcaneus, rupture arteri tibialis posterior
  • 28. CF Proximal Humerus D communitive
  • 29. Crush injury genu, rupture arteri femoralis, rupture MPFL