TINDAKAN BEDAH OPERASI ORTHOPEDI

KATEGORI
TINDAKAN
ONCOLOGY
Eksisi Tumor Jaringan Lunak ukuran kecil (Marginal margin excise)
Limb Ablasi 1 jari (Toe)
MODERATE
Ray Amputation, Bonegraft Only, Bone Open Biopsy, marginal soft tissue excise
Total Patellectomy, Corrective osteotomy surgery, Wide excision tumor jinak,
curettage + bonegraft
MAJOR
Marginal Bone tumor excise, Open Biopsy tumor di spine
Limb Ablation : above / below knee dan extremitas atas synovectomy
Wide excision / radical excision tumor extremitas atas MAJOR I
Hip disarticulation, sholder disarticulation, hemiarthroplasty MAJOR II
Limb Salvage procedure, hemipalvectomy, fore quarter amputation MAJOR III
KNEE & SHOULDER
Arthroscopy Diagnotic
Open knee debridement
Arthroscopy debridement knee MODERATE
Arthroscopy Diagnotic Shouolder
Arthroscopy debridement Shouolder
Arthroscopy Meniscectomy, Arthroscopy Synovectomy knee
Arthroscopy remove loose body
Arthroscopy Meniscus repair
Lateral Collateral ligament reconstruction MAJOR
Medial Collateral ligament reconstruction
Microfracture
Shoulder hemiarthroplasty
Anterior Cruciate Ligament Recrontruction
Posterior Cruciate Ligament Recrontruction
Multiple ligament repair
Recurrent Shouolder Dislocation Repair TUBS and AMBRI MAJOR II
Total knee Replecement (TKR)
Total Shouolder Replecement
Autogenus Condrocythe Implentation
Rotator Cuff repair by arthroscopy
MAJOR III
Revisi TKR
SPINE
Mayor desloughing, wound debridement of the spine
Plaster application of extremity and spine
Biopsy vertebra (1 level)
Manipulation & reduction of simple fracture and dislocation with general anaestesia. MODERATE
Faset block (1 level)
Foraminal block (1 level)
 MODERATE

Body cast
Discograph (1 level)
Facet block multilevel
Foraminal block multilevel
Removal of implants (plate, nail, screw) MAJOR
Discograph multilevel
IDET 1 (1level)
Open disectomy (1 level)
Debridement and anterior fusion in TB Spine
Open reduction of spinal fracture
Posterolateral fusion / alar tresverse fusion
Micro andescopic dissection (1 level)
MAJOR I
Microcospic disectomy (1 level
Laminectomy (1 level) pada simple spine stenosis
Open disectomy multilevel
IDET multilevel
Debridement and anterior fusion in TB Spine + stabilization
Open reduction of spinal fracture+ stabilization
Posterolateral fusion / alar tresverse fusion + stabilization
Anterior disectomy for correction of scoliosis
MAJOR II
Open door laminoplasty
Decompression laminectomy for HNP, Tumor and spinal stenosis
Posterior lumbar interbody fusion (PLIF)
Total Disc Replacement (1 level).
Anterior and Posterior surgery in spinal desiase / deformity with stabilization /
instrumentation
Scoliosis correction surgery
Decompression laminectomy for HNP, Tumor and spinal stenosis, spondilolisthesis
MAJOR III
+ stabilization
Spinal osteotomy for ankylossing spondylitis
Posterior lumbar interbody fusion (PLIF) + posterior / anterior stabilization
Total Disc Replacement (multilevel)
PAEDIATRIK
Closed reduksi + pemasangan gips
Debridement fracture terbuka pada anak
Nekrotomi
Injeksi botoks pada kasus cerebral palsy MODERATE
Skin graft
Percutaneous tendon tenotomy
Open achilies tendon lengthening
Fraktur + internal fiksasi
Fraktur + eksternal fiksasi
Bony bridge release pada kasus tarsal coalition
Reposisi tertutup dan gips pada fraktur anak kecuali fraktur femur
Reposisi tertutup, arthogram dan hemispica pada DDH
Fiksasi cannualted screw pada SCFE
Closed reduction dan pemasangan hemispica fraktur femur pda anak

MAJOR
Closed reduction dan pemasangan gips fraktur salter Harris I dan II
Reposisi tertutup dan percutaneous pinning pada fraktur seputar sendi siku pada
MAJOR
anak (misalnya supracondylar, lateral condyle)
Soft tissue release pada kelainan cerebral palsy, arthrogryposis, spina bifida
Debridement, nektrotomy dan saucerization pada chronic osteomyelits
Debridement dan soft tissue release pada infeksi sendi
Reposisi terbuka dan fiksasi internal pada kasus fraktur Salter Harris III dan IV
Soft tissue release dan enhancement pada kasus fraktur habitual dislokasi lutut
pada anak.
Operasi rekontruksi ibu jari kaki pada hallux valgus
Reposisi terbuka dan fiksasi interna fraktur tulang panjang pada anak
CTEV (Soft Tissue Procedure)
Open reduction dislokasi panggul tanpa acetabuloplasty
Tendon transfer ekstremitas bahwa pada kasus neuromuscular anak
MAJOR I
Reposisi terbuka dan fiksasi interna kasus fraktur intra artikular pada anak.
Neclegted fraktur supracondyler humeis
Orif fraktur supracondylar humerus
DDH
Osteostomy (Bowing, Pseudo Arthrosis)
CP Correction
MAJOR II
Acetabuloplasty (Salter innomunate, pemberton, dega) pda kasus – kasus panggul
Rekontruksi panggul; pada bladder ekstrophy
Posteromedial soft tissue release CTEV
Open reduction dislokasi panggul dengan acetabuloplasty
Bony procedure pada CTEV
Bony reconstruction pada ekstremitas bawah anak MAJOR III
Limb lengthening atau operasi rekontruksi pada anak yang menggunakan alat
khusus
TRAUMA
Cuci luka dengan lokal anesthesi
MINOR
Angkat k-wire dengan lokal anesthesi
Debridement necrotic tissue 1 kompartmen
skin graft
Nekrotik Tissue > 1 Kompartemen – Debridement, Implant Removal K-Wire, MODERATE
Reposisi Fraktur
osteotomi/release malunion
Reposisi dislokasi tertutup
Eksplorasi Corpus aleneum
Bone Graff
Joint stiffness – Liberation, amputasi lengan, crushed injury nekrosis antebrathii
MAJOR
Fraktur tulang panjang – MIPO / ORIF dan implant removal (Long bone)
Multiple fracture tulang panjang – MIPO / ORIF dan removal implant > 1
Instability, joint infection – Arthrodesis, amputasi tungkai crashed / Nekrosis
ORIF dengan penyulit (debridement, bone graft, skin graft, periartikular,
intraartikular, kominutif, dll)
Percutneous Pinning Collum Humeri
MAJOR I
Fracture pevis simple – Fiksasi eksterna pelvic & C-Clamp ORIF fracture pelvis MAJOR I
simple
Fracture acetabulum & pelvis – ORIF acetabulum & pelvis
Percutaneous pinning acetabular
Joint kompleks destruction / OA post trauma – Total joint arthroplasty
reduction neglected dislocation
MAJOR II
Bristow Procedure (procedure)
Open Reduction
Open Bankard Repair
Open Rotator Cuff Repair
Limb legineguality – bone lengthening transport
MAJOR III
neglected case – bone recronstruction
HAND
Tendon sheath & jaringan subkutis, ganglion / small bursa, ecision
MODERATE
Sendi extremitas, repair (single)
Tendon – extensor (extremitas atas) injury, repair (single)
Tendon Sheath (extremitasatas), tenosynovitis (single), drainage
Jari injury, debridement
Jari, superficial infection, drainage
Jari, wirst / naevus excision
Jari, various, ampiutasi(single)
Jari, deep infection, drainage
Jari, extra digit, amputasi
Jari, crush injury (simple), wound debridement
Tendon sheath (extremitas atas) ganglion/ villo nodular synovitis, excision
Tendon sheath (extremitas atas), trigger jari (single) release
Jari, scar, revision osteotomy MAJOR
Jari/Digit, Stump, revision
Nail Bed,laceration, repair (multiple)
Jari, foreign body (superficial), removal with mobilization ofneurovascular bundle
Tendon (extremitas atas), Bowstring/entrapmenr, pulley rekrontruksi
Tendon sheath (extremitas atas), tenosynovitis (multiple), drainage
Carpus, fracture/dislocation, reduksi terbuka dan fiksasi interna
Jari, crush injuries (complex) wound debridement
Tendon (extremitas atas), contracture, tenotomy
Kulit dan jaringan subkutis, Laceration (Superficial) of more than 7 cm, repair
Sendi (jari), variouslesions, arthrodesis
Nerve, various lesions, biopsy
Kulit dan jaringan subkutis, defect (single digit), free full thecckness graft
Jari, various lesions, Ray amputasi (single)
Nerve, (extremitas atas), Entrapment syndrome (others), decompression (unilateral)
Nerve, (extremitas atas), Guyon’s tunnel sundrome, release (unilateral)
Tendon Sheath (extremitas atas), trigger jari (Multiple), release
Jari, defect, / contracture (single) rekontruksi
Jari, trauma, terminalisation (single)
Jari, closed fracture/dislocation, reduksi terbuka dan fixation(single)
Jaringan lunak (palmarspace)abscess, drainage
Jari, dftect/contracture (multiple) rekontruksi
Jari, ring contriction (single), koreksi
Jari, utama, terminalisation (single)
Jari, deformities, osteotomy
Tendon-flexor (extremitas atas), injury tendon graft MAJOR I
Tendon-flexor (extremitas atas), adhesion, tenolisys (multiple)
Nerve, (extremitas atas), carpal tunnel syndrome, release
Nerve, (extremitas atas), Entrapment syndrome (others), Decopression (bilateral)
Nerve (extremitas atas), Entrapment syndrome (others), Decopression with nerve
transposition/endoneurolysis
Nerve (extremitas atas), guyon’s tunnel syndrome, release Bilateral with
endoneurolysis
Tendon Sheath (extremitas atas), De quarvain’s (Bilateral), release
Thumb, deformities, koreksi
Jari, tumors, Exision with dissection of neurovsculer bundle
Carpus, delayed / Non union, rekontruksi
Jari, ring constriction (multiple), koreksi
Jari, Syndactyly (multiple)
Tendon-flexor (extremitas atas), adhesion, tenolysis (multiple)
Tendon-flexor (extremitas atas), Defect grafting (single)
Nerve digital, injury, microsurgical (single) nerve ulnar, entrapment, transposition
replantasi, microsurgery
Elbow, tennis elbow, release
Elbow (Medial epicondyle), fracture bony fragment
Jari, various lesions, amputasi (multiple)
Artery, large, injury, repair with grafting
Sendi (wrist), various lesions, arthrodesis MAJOR II
Nerve-Digital, injury microsurgical repair (multiple)
Nerve (extremitas atas), major, injury, microsurgical, repair(single)
Thumb, paralysis, opponens plasty
Jari, deformity, instrinsic muscle release / transfer / extensor relocation
Jari, deformities, major reconstructive procedure
Jari, fracture/dislocation, reduksi terbuka dan fiksasi interna multiple
Sendi (jari), various lesions, replacement arthroplasty
Kulit dan jaringan subkutis, defect (Deep) staged distant flap
nerve defect, peripheral graft
Nerve various lesions, primary/secondary suture
Jari, Swan neck/boutonniere deformity (single), koreksi
Jari, deformities, koreksi
MAJOR III
Jari, syndactyly (single) koreksi
Jari, polydactyly, amputasi with rekontruksi
Sendi (jari),contracture, capsulectomy/capsulotomy
Nerve digital, injury, primary repair
 MAJOR III

Jari, macrodactyly, debulking

HIP
Tindakan dilakukan dengan anestesi local MINOR
ORIF hip MAJOR
Hemiartoplasty
MAJOR I
Arthroscopy Hip
Total Hip Replacement (THR) MAJOR II
Revisi THR MAJOR III