Ronde Jalan

Bangsal
- ROW, Mawar, Mata


Penyaji: Tony Hardian
ROW
1. Tri Oktarina/pr/26 thn /14018380/830981
MRS 8-7-14
DPJP ZK

Post ORIF + Bone graft post release soft tissue
+skeletal traksi a.i. Nonunion fraktur femur
dextra 1/3 tengah
Post skeletal traksi 21-7-14
Beban 8 kg
Post skeletal traksi

Beban 10 kg
Post skeletal traksi
tgl 08-08-2014
Beban 12 kg
Post ORIF
tgl 13-08-2014
2. Aan Saputra/lk/14 thn/833374/14019235
17-7-14
Dr. NR
Fraktur Tibia dextra 1/3 distal wedge displaced
terbuka gr IIA + fraktur fibula dextra 1/3 distal
wedge displaced terbuka gr IIIA + post
debridement + Post ORIF
Rawat Jalan

Klinis dan rontgen
Post ORIF
tgl 11-08-2014
3. Alpiah/pr/33 thn
MRS 19-6-14
Alih rawat bedah orthopedi tgl 18-07-14
Dr. RL
Dx Paravetebre Abses e.c susp spondilitis TB
Pro debridement

klinis
Radiologis
Ro thorax AP/Lat
Radiologis
Ro torakolumbal AP/Lat tgl 03-07-2014
Kesan : soft tissue massa pada regio Lumbal
Radiologis
Ro torakolumbal AP/Lat tgl 15-08-2014
Radiologis
CT Scan Abdomen+pelvis tgl 14-06-2014

Laboratorium
LED tgl 09-07-2014 : 70 mm/jam

BTA 1,2,3 tgl 10-07-2014 : negatif
4. Astri Ananta/pr/7 thn
29-7-14
Dr. ZK
Jatuh saat mengendarai sepeda 1 jam SMRS
Fraktur Supracondyler os Humerus sinistra
post ORIF
Usul rawat jalan

Radiologi
rontgen
Radiologi
Post ORIF 13-8-14
5. M. Rafiq/lk/14 thn
25-7-14
Dr. DK
Motor yang dikendarai penderita bertabrakan
dengan mobil dari arah berlawanan 20 jam SMRS
Efipisial plate injury distal Femur dextra Salter
harris type 3 tertutup post ORIF + fraktur tibia
dextra 1/3 tengah transverse displaced tertutup
Rencana ORIF fraktur tibia

Radiologi
ro Genu dextra AP/Lat+ Cruris dextra AP/lat (RS.
Charitas, Palembang tgl 25-07-2014)
Radiologi
Post ORIF Ro Genu dextra AP/Lat (15-08-2014)
6. Tn. Odong/lk/43 thn
04-08-14
Dr. RL
KLL 7 bulan yang lalu, os menolak operasi
Non Union Fraktur Femur dextra 1/3
proksimal + Post ORIF (K-nail)
Usul Rawat jalan

Klinis
Radiologi
Ro femur dextra AP/Lat tgl 23-07-2014
Radiologi
Post ORIF 12-07-2014
7. Hasan Shahab / / 62 th
MRS 14-8-14
Dr. IS

Dx : CKS GCS 13 + cerebral edema + fraktur
humerus sinistra 1/3 tengah oblique displaced tertutup
(S42.3) + fraktur femur dextra 1/3 tengah comminutive
undisplaced tertutup (S72.3)+ fraktur femur sinistra
segmental displaced (S72.3)+


Terapi

- Immobilization of humeral fracture using U-Slab
- Immobilization of femoral fracture using skin traction
- Tranfusi
Rencana ORIF
Foto Klinis
RADIOLOGICAL FINDING
Ro Brachii sinistra AP/lateral
Fraktur humerus 1/3 tengah oblique displaced.


Ro Femur dextra AP/lateral
Fraktur femur 1/3 tengah cominutive undisplaced.

Ro Femur sinistra AP/lateral
Fraktur femur segmental displaced.


8. Novita sari/P/14 thn
MRS 7-8-14
Dr. RL
Union Fraktur humerus sinistra 1/3 proximal
Post ORIF
Remove ORIF Operasi tgl 12-08-2014
Rawat Jalan

9. Radha/P/15 thn
MRS 12-8-14
Dr. IS
Dx : Fraktur supracondiler femur sinistra post
ORIF
Pro debdridement + Remove plate and screw
+ Fiksasi Ekternal cross joint

Klinis
Radiologi
8. Mulkan / / 15 thn
MRS 13-8-14
Dr. IS
Fraktur metatarsal III dextra terbuka (S90.511)
Konservatif dengan boot slab



Klinis
I : There was lacerated wound about 5 x 4
cm in size, muscle based
P : NVD was good, ROM active passive Were
limited

RADIOLOGICAL FINDINGS

Right foot X-Ray :
Fracture of third metatarsal bone


Bangsal
- MAWAR


Penyaji: Tony Hardian









1. Doni/lk/8 thn
04-08-14
Dr. RL
KLL 7 bulan yang lalu, os menolak operasi
Kiphosis deformity e.c Spondilitis TB V Lumbal
2-3
LED 38 mm/jam

Klinis
Radiologi
Ro torakolumbal PA/Lat tgl 26-06-2014
Radiologi
Ro torakolumbal PA/Lat post ORIF tgl 12-08-
2014
Status Neurologis
Motorik superior Dx sin 5 : 5
inferior Dx sin 3 : 4
Sensorik superior Dx sin + : +
inferior Dx sin + : +


2. Risma / / 20 th

MRS : 14-8-14

DPJP : IS

Dx : fraktur femur dextra 1/3 tengah oblique
displaced tertutup (S72.3)


Terapi
- Immobilization using skin traction.
- Plan to perform ORIF

Pasien Pulang Paksa


Foto Klinis
RADIOLOGI
Ro Femur dextra AP/lateral
Fraktur femur 1/3 tengah oblique displaced

Ronde jalan
Bangsal
- Mata


Penyaji: Tony H
1. Tn. Jempono/lk/72 thn
04-08-14
Dr. DK
Motor yang dikendarai penderita terelincir, 8
jam SMRS.
Post ORIF a.i Fraktur metatarsal 2, 3 sinistra
terbuka
Op tgl 05-08-2014

Radiologi
Ro Pedis sinistra AP/Oblique tgl 04-08-2014
Radiologi post operasi
Ro Pedis sinistra AP/Oblique tgl 04-08-2014
Klinis
2. WOTO/L/ 34 thn
MRS 08-08-14
Dr. NR
Dx :Necrotic tissue reg pedis dextra

Pro debridement senin 18-8-14

Klinis
Radiologi
3. Wanjelina/P/13 thn
13-08-14
Dr. IS
Dx : nonunion + lost of reduction post ORIF K-
wire ai fraktur tibia dextra + local osteoporosis

Rencana Osteotomi + Remove wire + ORIF

Klinis
Radiologi
4. Bayani/P/52 thn
14-08-14
Dr. NR
Dx : CKD ON HD

Rencana Cimino senin 18-8-14


TERIMA KASIH