KONSEP

POST ORIF
Oleh
Oleh ::Azkia
Azkia Mantasya
Mantasya
 FRAKTUR
Hilangnya kontinuitas tulang baik yang
bersifat total mupun sebagian, biasanya
disebabkan oleh trauma, tenga fisik,
tahanan dan keadaan tulang
 ORIFOpen Reduction Internal Fixation

Suatu jenis operasi dengan pemasangan internal fiksasi yg dilakukan ketika

terjadi faktur dan tidak dapat direduksi secara cukup dengan close reduction,
untuk mempertahankan posisi yang tepat pada fragmen fraktur
Mempertahankan posisi fragmen tulang agar
tetap menyatu dan tidak mengalami
pergerakan

FUNGSI
FUNGSI ORIF
ORIF
TUJUAN ORIF
11 22 33
Memperbaiki fungsi dgn
Melakukan ADL dengan
mengembalikan gerakan & Mengurangi nyeri bantuan yg minima
stabilitas

44 55

Sirkulasi yang adekuat Tidak ada kerusakan kulit

 INDIKASI & KONTRAINDIKASI
Fraktur Tulang
Tulang osteoporotik
osteoporotik terlalu
terlalu rapuh
Fraktur yg
yg tdk
tdk stabil
stabil dan
dan menerima implan
rapuh
menerima implan
jenis
jenis fraktur
fraktur yg
yg apabila
apabila
ditangani
ditangani dgn
dgn metode
metode lain
lain Jaringan lunak yg diatasnya
tidak
tidak memberi
memberi hasil
hasil yg
yg berkualitas buruk
memuaskan
memuaskan
Terdapat
Terdapat infeksi
infeksi

Fraktur leher femoalis,fraktur fraktur comminuted yg parah yg

lengan bawah distal, fraktur menghambat rekonstruksi
intraartikular disertai
pergeseran Pasien
Pasien dengan
dengan penurunan
penurunan kesadaran
kesadaran

Fraktur yg parah yg blum ada

Fraktur
Fraktur avulsi
avulsi mayor
mayor yg
yg penyatuan tulang
disertai oleh gangguan
disertai oleh gangguan
signifikan
signifikan pada
pada struktur
struktur otot
otot Pasien
Pasien yg
yg mengalami
mengalami kelelahan
kelelahan
tendon
tendon (malaise)
(malaise)
KEUNTUNGAN ORIF
1 2 3
Kesemapatan
Kesemapatan untuk
untuk
Mobilisasi
Mobilisasi dini
dini tanpa
tanpa Ketelitian
Ketelitian reposisi
reposisi memeriksa
memeriksa pembuluh
pembuluh darah
darah
fiksasi
fiksasi luar
luar fragmen2
fragmen2 fraktur
fraktur dan
dan saraf
saraf disekitarntya
disekitarntya

4 5 6
Perawatan
Perawatan di
di RS
RS relative
relative Potensi
Potensi untuk
untuk
Stabilitas
Stabilitas fiksasiyg
fiksasiyg cukup
cukup singkat
singkat pda
pda kasus
kasus tanpa
tanpa mempertahankan
mempertahankan fungsi
fungsi
memadaii
memadaii dapat
dapat dicapai
dicapai komplikasi sendi
komplikasi sendi yg
yg mendekati
mendekati normal
normal
KERUGIAN ORIF
Penanganan
Penanganan operatif
operatif Pembedahan
Pembedahan
Memperbesar kemungkinan
merupakan trauma
infeksi dibandingkan pemasangan
gips atau traksi Pada jaringan lunak

Penggunaan
Penggunaan stabilitas
stabilitas logam
logam
Setiap
Setiap anastesi
anastesi dan
dan operasi
operasi interna
interna

Mempunyai resiko Memungkinkan kegagalan

komplikasi bahkan kematian alat itu sendiri
akibat dari tindakan tersebut
...
PERAWATAN
POST ORIF
Open
Open Reduction
Reduction Internal
Internal Fixation
Fixation
Perawatan Post Orif
Mengkonsumsi
Mengkonsumsi obat
obat secara
secara teratur
teratur

Jaga kebersihan luka operasi

Asupan
Asupan nutrisi
nutrisi yg
yg adekuat
adekuat

Melakukan latihan fisik

Mengenali
Mengenali tanda
tanda kompatemen
kompatemen sindrom
sindrom

Memotivasi klien untuk aktivitas secara bertahap &

menyarankan keluarga untuk mendukung
Contents of this template
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Study groups

Them
Them Us
Venus has a beautiful
Mercury is the smallest
name, but also high
planet in the Solar System
temperatures
A picture always
reinforces the
concept
Images reveal large amounts of data, so
remember: use an image instead of a long
text. Your audience will appreciate it, for
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A picture is worth a thousand
words
Environmental study group
Student’s name
Venus is the second planet
from the Sun

Student’s name Student’s

Student’s name
name
Mercury is the closest Mars is actually a very
planet to the Sun cold place
Classroom memories

Do you know what helps you make your point

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● They’re simple
● You can organize your ideas clearly
● You’ll never forget to buy milk!

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Outstanding students in language
Students Average Projects Comments
Student's name 95% 95% “Mercury is small”

Student's name 90% 90% “Mars is a cold place”

Student's name 87% 87% “The Moon is a satellite“

Student's name 80% 80% “Jupiter is big”

Awesome
words
Memorable dates
Birthday
Birthday
Mercury is a small planet Week Jan Feb Mar Apr May June

Week 1 05 04 01 03
Holidays
Holidays Week 2 13 11
Jupiter is a big planet
Week 3 17 20

Events Week 4 27 25
Events
Saturn has rings
About the students
Hobbies

60%
33%
33% 33% 33%
33%
50%
Age
13-14 30% 15%

15-16 65%
90%
17-18 05%
School excursions
Name
Name of
of place
place Name of place
Despite being red, Saturn is a gas giant
Mars is a cold place and has rings

Name
Name of
of place
place Name of place
Venus is the second Jupiter is the biggest
planet from the Sun planet
Favorite subjects
Maths History
History

23% 30%

Language

47%
Personal profile
Student's name Interests
Interests

Venus has a beautiful 60%

name and is the second
planet from the Sun. It
has very high 50%
temperatures
15%

15
15 years
years old
old 90%
Artist
 02.
Our sports teams
You
You can
can enter
enter aa subtitle
subtitle here
here ifif you
you need
need itit
Sports teams
Student's
Student's name
name Student's name
Mercury is the smallest Mars is actually a very
planet cold place

Student's
Student's name
name Student's name
Jupiter is the biggest Neptune is very far away
planet of them all from us
Sports events
08/15
08/15 09/11
09/11 10/30
10/30

17 3 21
Total
Total goals
goals Trophies
Trophies won
won Tournaments
Tournaments played
played
Sports teams
Student's name Student's
Student's name Student's name
Mercury is the smallest Neptune is very far away Mars is actually a very
planet from Earth cold place

Student's name Student's

Student's name Student's name
Jupiter is the biggest Saturn is a gas giant and Earth is the planet that
planet of them all has rings harbors life
150,000
Big
Big numbers
numbers catch
catch your
your audience’s
audience’s attention
attention
12 goals
Mercury
Mercury is
is the
the smallest
smallest planet
planet

15 games
Jupiter
Jupiter is
is the
the biggest
biggest planet
planet

1 medal
Mars
Mars is
is actually
actually aa very
very cold
cold place
place
Mockup
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Comments

“Saturn is a gas giant and “Jupiter is the biggest

has rings” planet of them all”

Student's name Student's name

“Neptune is very far away “Mars is actually a very

from us” cold place”

Student's name Student's name

Our teachers
Timmy Jimmy
You can talk a bit about
this person here

Jenna
Jenna Doe
Doe Susan
Susan Bones
Bones
You can talk a bit about You can talk a bit about
this person here this person here
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 JANUARY FEBRUARY MARCH APRIL MAY JUNE

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JANUARY FEBRUARY MARCH APRIL

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