PPT multipel fraktur

7/25/2019 PPT multipel fraktur

1/22

LAPORAN KASUS

MULTIPEL FRAKTUROLEH :

Fahrin Husain (1102100050)

PEMBIMBING :

dr. Jufri Latief, Sp.B, Sp.OT (K) NIFACS

I!A"AKAN ALAM RAN#KA KEPANITERAAN KLINIK!A#IAN ILMU ORTHOPEIFAKULTAS KEOKTERAN

UNI$ERSITAS MUSLIM INONESIA


2/22

I%&n'i'as Pasi&n

Naa : TnMuh A*%i Ruh+a%i

,&nis -&*ain : La-i.*a-i

Uur : 1/ 'ahunA*aa' : ,*n !LK PassaranMa&n&

K&3ansaan : In%4n&sia

Aaa : Is*aMRS : Tana* 2/ ,uni 2015


3/22

Anan&sis

Keu!a" uta#a : N$eri pada %ee#pat a"&&'ta&era%

Ria+a' 6&ra*anan 6&n+a-i':

ia*ai s&'&*ah &na*ai -&7&*a-aan *a*u *in'as s&a- 1

hari +an *a*u P&n%&ri'a nai- 4'4r 3&r'a3ra-an %&nan43i* %ari arah +an 3&r*aanan Pasi&n -&u%ian'&r*&6ar %an a'uh -& as6a* Pasi&n &na*ai 6a'ah'u*an 6a%a 6aha -iri %an -anan8 'u*an -&rin -iri8'u*an 6&r&*anan 'anan -iri Ria+a' un'ah 'i%a-a%a8 s&sa- 'i%a- a%a8 %an 6insan 'i%a- a%a

Pasi&n su%ah %i'&ra6i %i RS Ma&n& s&3&*u %iruu- -&RS I3nu Sina


4/22

P&&ri-saan Fisis

Surei Pri#er

A : !ai-

! : RR 9 22&ni'; : T 9 10&ni'8 ;RT ? 2 %&'i-

: #;S 9 E@M/$5 9 158 6u6i* is4-4r8r&& 7aha+a BB

E : Suhu 9


5/22

Statu Ge"erai

K&a%aan uu : !ai-

K&sa%aran : ;464s &n'is

#iCi : ;u-u6

T&-anan %arah: 10&ni'

P&rna6asan : 22&ni'

Suhu D


6/22

Statu L'%ai

An'&3ra7hii sinis'ra

Ta6a- '&r6asan i6s %i&-s'r&i'as a'as -iri

F&ur %an -ruris %&'ra %an sinis'ra

Ta6a- '&r6asan s-in 'ra-si


7/22

P&&ri-saan P&nunan

*ara! +uti" ( Pe#eri%aa" ta"&&a-/0/12 )

H#!G85 %L

R!;


8/22

Pe#eri%aa" +adi''&i


9/22

ian4sis -&ra

1 ;*4s&% ra-'ur %is'a* ra%ius u*na sinis'ra

2 ;*4s&% ra-'ur %is'a* ra%ius %&'rain746*&'


10/22

P&na'a*a-sanaan

I$F RL 2> '6

;&&6i& 1 r12 aI$

K&'4r4*a7 a I$

P&r'ahan-an s-in 'ra-si

Transusi PR; ( H3 ? 10 %L )

R&n7ana 46&rasi ORIF &ur 3i*a'&ra*8

'i3ia sinis'ra8 %an ra%ius u*na %&'ra


11/22

TINJA3AN P3STAKA


12/22

&nisi Mu*'i6&* Fra-'ur

Mu*'i6&* ra-'ur a%a*ah aris 6a'ah*&3ih %ari sa'u 'a6i 6a%a 'u*an +an3&r*ainan '&6a'n+a8 isa*n+a ra-'urhu&rus8 ra-'ur &ur %ans&3aain+a


13/22

E'i4*4i Fra-'ur

Trau#a pada tua"& $a"& #ee4i!i%e%uata""$a

2 Fa-'4r +an &6&naruhi : in'rinsi- %an &-s'rinsi-

Fra-'ur 3&rasa* %ari

1 ;&%&raT&naa 3&r*&3ihan s&7ara 'i3a.'i3a8 *ansunau6un 'i%a- *ansun

2 S'r&ss 3&ru*an

T&ra%i 6a%a 'u*an n4ra* +an &na%i su3&-'u6uan +an 3&ru*an


14/22

Pa'4&-anis& Fra-'ur


15/22

K*asi-asi Fra-'ur

A K*asi-asi &'i4*4is

! K*asi-asi -*inis1 Fra-'ur '&r'u'u62 Fra-'ur '&r3u-a

Traua'i-

Pa'4*4is

S'r&ss


16/22

ian4sis Fra-'ur

!iasan+a %a'an %&nan sua'u 'raua

K&'i%a-a6uan %a*a &nuna-an an4'a &ra-

a'an -ar&na a%an+a n+&ri +an '&r*4-a*isir %iana n+&ri'&rs&3u' 3&r'a3ah 3i*a %i&ra--an8 6&3&n-a-an8 anuan

unsi an4'a &ra-8 %&4ri'as8 -&*ainan &ra-8 -r&6i'asi a'au%&nan &a*a.&a*a *ain

Pa%a 6&&ri-saan aa* 6asi&n8 6&r*u %i6&rha'i-an a%an+a:1 S+4-8 an&ia a'au 6&n%arahan

2 K&rusa-an 6a%a 4ran.4ran *ain8 isa*n+a 4'a-8 susu 'u*an3&*a-an a'au 4ran.4ran %a*a r4na '4ra-s8 6anu*8 %ana3%4&n


17/22

P&&ri-saan *4-a*

1 Ins6&-si (L44-)

2 Pa*6asi (F&&*)


18/22

Pe#eri%aa" radi''&i dia%u%a" de"&a"4e4erapa pri"ip dua (rue 'f ):

2 64sisi 6r4+&-si (inia* AP %an *a'&ra*)8 2 s&n%i 6a%a an4'a &ra- %an 'un-aiharus %i4'48 %i3aah %an %ia'as s&n%i +an&na*ai ra-'ur8

2 an4'a &ra-8 2 'raua %iana 6a%a 'raua h&3a' s&rin&n+&3a3-an ra-'ur 6a%a 2 %a&rah 'u*an


19/22

Ta'a*a-sana Fra-'ur

A.Pe"ataa%a"aa" a5a

1 P&r'4*4nan 6&r'aa : Priar+ sur&+ (A!;E)2 P&ni*aian -*inis


20/22

Tuuan P&n43a'an Fra-'ur

a. +ep'ii

M&n&3a*i-an ra&n -& 64sisi ana'4iT&r%iri %ari r&64sisi '&r'u'u6 %an '&r3u-a

3 I##'4iiai

M&6&r'ahan-an 64sisi ra&n 64s' r&64sisisa6ai uni4n

,&nis -sasi :

1 E-s'&rna* (OREF)

2 In'&rna* (ORIF)


21/22

K46*i-asi Fra-'ur

1 K46*i-asi uu

S+4- -ar&na 6&r%arahan a'au6un -ar&na n+&ri8

-4au*46a'i %iJus %an anuan unsi 6&rnaasan +an%a6a' '&ra%i %a*a 2@ a 6&r'aa 6as7a 'raua %ans&'&*ah 3&3&ra6a hari a'au inu a-an '&ra%i anuan&'a34*is&8 3&ru6a 6&nin-a'an -a'a34*is& K46*i-asiuu *ain %a6a' 3&ru6a &34*i *&a-8 'r434sis &na%a*a ($T)8 '&'anus a'au as anr&n

2 K46*i-asi L4-a* ini

Lanu'


22/22

T&ria -asih

7aaaa#u aai%u# 7r 74

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PPT multipel fraktur