Surgery in OA

Surabaya Orthopedic n
Traumatology Hospital
Dr Soetomo Hospital

Surgery in OA

Spine
Hip
Knee
Other joints

Differential Diagnosis
Trauma
Non Trauma

Degenerative

Infection
Inflammation
Tumor
Metabolic disorder

Diagnosis
Clinical Dx
Radiological
Laboratory

Clinical Diagnosis
3M
Melihat dan
Memperhatikan
Meraba dan
Merasakan
Menggerakkan
dan Menilai

Infeksi Gonitis TB

Clinical Diagnosis

Pain
Swelling
Stiffnes
Deformity

Diagnosis
Gait Analysis
Physical
Examination
X Ray
MRI / CT Scan
Laboratory

Physical examination

Female Fourthy - Fatty

Anak 9 thn /pincang/ X ray 1

X ray 2

X Ray 3

Alignment- Bone- Cartilage

Radiologi Dx

Radiologi Dx

Radiologi Dx

Diagnosis Pitfall
Umur
Regio
RPD

Diagnosis PitfallI

NORMAL X RAY

Benign Bone tumor / Wanita 21 thn

Radiologi Dx / Laki-2 35thn

Laboratory
Infeksi
Inflammation

DL / CRP/LED
RA / ANA test / SLE
Uric acid
HLA B27

Punksi
Suprapatella
1 cm ole atas
patella

Color
Cell
Contain

Surgery in OA

MIS
Arthroplasty

Surgery IN OA
Quality of live
Medical treatment
No contraindication

Goal of Surgery
Painless
Good Function
Prevent pain to the
other regio
Decrease drugs

Option Surgery
Arthroscopy
Debridemant
HTO

Arthroplasty

Spine
Hip
Knee
Shoulder

Spine Spondyloarthrosis - Canal

Stenosis

MINIMALLY INVASIVE

ENDOSCOPIC SURGERY

MISS- MicroEndoscopic
Surgery

Lumbal spondylosis

Spondyloarthrosis

Cervical Arthroplasty

Cervical Arthroplasty

MISS -Arthroscopy

OA GRADE
IV/OSTEOARTHRITIS

GOUT ARTHRITIS

CORPUS LUBRUM

Complication OA

Avascular Necrosis

Avascular Necrosis

Avascular Necrosis

Dual Mobility Technology /

THR

Dual Mobility Technology

Fungsi lebih baik

ROM lebih besar
Operasi dan waktu
penyembuhan
lebih cepat

OA Hip Blateral post THR

Ganti Sendi Bahu

Pasca Operasi
Ganti sendi bahu
kanan
Pasca trauma

Post op 7 yrs

Pre op

Pasca Operasi bilateral THR

Pasca fraktur 20 yrs

Case 0 / /Female 17 yrs / Ankle Pain

Female 17 yrs / Ankle pain

Active
Basket Ball player
Treated Konservatif 6
weeks

Diagnosis?
Proposal to
support Dx?

Ankle pain

Case 1/Female 65 thn

Pasca operasi

Case 2/ Laki35 thn / nyeri

bahu

Shoulder (R)

Case 2

OA Hip Bilateral

Bilateral THR pada OA Hip

One Block Cutting System

One Block Cutting System

One Block Cutting System

Post Operative / 3 jam post

op

Complication

complication

Infeksi
Dislokasi
Unstable/Loosening

THANK YOU