ASSESSMENT ORTHOPAEDI

(Post OP)
9 Juli 2019

PROGRAM PENDIDIKAN DOKTER SPESIALIS I

PROGRAM STUDI ILMU BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS SRIWIJAYA
RSUP DR. MOHAMMAD HOESIN PALEMBANG
2019
Dhea Nabila/ Pr/14 thn/IKA C
Tanggal Operasi :

• Dx : Fraktur clavicula dextra 1/3 lateral

• Post : ORIF P/S
• Op : dr. Wiria Aryanta, Sp. OT(K) Hand
Ro. Pre-Op (9-6-2019)
Ro. Post Op (3-7-2019)
Kms M. Fahmi/ Lk/Lematang 1.2
Tanggal Operasi :

• Dx : Fraktur metacarpal III, IV, V manus sinistra

• Post : ORIF Mini plat metacarpal digiti V
• Op : dr. Wiria Aryanta, Sp. OT(K) Hand
Ro. Pre-Op (19-6-2019)
Ro. Post-Op 3-7-2019
Depi binti Usman/ Pr/ 16 th/ Transit
Tanggal Operasi :

• Dx : Fraktur femur distal dextra intra articular cominutive displace

terbuka Gustillo Anderson grade IIIB, Post debridement + Pinning
• Post : External fiksasi
• Op : dr. M Ridho, Sp. OT
Klinis Pre-Op
Klinis Pre-Op
Ro Pre-Op (24-6-2019)
Ro. Post Op Pinning 27-6-2019
Ro. Post- Op Fixasi External ( 3-7-2019 )
GV (6-7-2019)
Cica Feryani/ Pr/ 43 th/ RKBA
Tanggal Operasi :

• Dx : Fraktur tibia sinistra 1/3 tengah oblique displaced terbuka grade

I
• Post : ORIF
• Op : dr. M. Ridho, Sp. OT
Ro. Pre-Op
Ro. Post-Op (3-7-2019)
GV
Syahna Putri Maharani/ Pr/ 9 th/IKA C
• Dx : Malunion fraktur condyles medial humeri dextra post ORIF
• Post : ORIF + Bone graft
• Op : dr. M. Ridho, Sp. OT
Ro Pre-Op
Ro. Post-Op (3-7-2019)
GV (5-7-2019)
Dhalina/ Pr/ 53 th/RPK
• Dx : Spondilitis TB V lumbal 5-S 1
• Post : Laminektomi + Stabilisasi
• Op : dr. Rendra Leonas, Sp.OT(K) Spine
MRI (25-6-2019)
Post op (3-7-2019)
Edo Fernando/ Pr/ 24 th/ROW
• Dx : Union fraktur phalang proximal digiti IV-V pedis dextra post
ORIF intramedullary wire
• Post : Remove implant
• Op : dr. Primadika Rubiansyah, Sp. OT (K) Onk
Pre op (19-6-2019)
Post op (3-7-2019)
Didi Suparman/Lk/40th/ RBE
• Dx : MBD Femur Sx
• Post : Modified hemipelvectomy sinistra
• Op : dr. Primadika Rubiansyah, Sp. OT (K) Onk
Klinis Pre-Op
Pemeriksaan Penunjang
Laboratorium (4-7-2019) Hasil Nilai Rujukan
T3 0.39 0.8 – 2.0
T4 4.55 5.1 – 14.1
PSA total 0.175 <4.0
CA 19-9 <2.00 <37.0
CA 15-3 23.0 <31.3
Pemeriksaan Penunjang
Laboratorium (7-7-2019) Hasil
Hb 10.6
Leukosit 23.050
Ht 31
Trombosit 319.000
Albumin 2.6
MRI 4-7-2019
Intraoperatif (5-7-2019)
Sri Suharyani/Pr/42/RKBB
Tanggal Operasi :

• Dx : Fractur head femur sinistra

• Pro : Bipolar arthroplasty
• Op : dr. Primadika Rubiansyah, Sp. OT (K) Onk
Ro. Pre-Op
Ro. Post-Op (5-7-2019)
Galuh/lk/5 th/RBP
Tanggal Operasi:

• Dx : Osteochondroma region distal radius dextra

• Post : Eksisi
• Op : dr. Primadika Rubiansyah, SpOT (K) Onk
Ro. Pre-Op (31-5-2019)
Ro. Post-Op (5-7-2019)
Redi Mahlana/ Lk // ROW
Tanggal Operasi : 8 -7-2019

• Dx : Union fracture radius sinistra

• Pro : Remove PSS
• Op : dr. Nur Rachmat Lubis, Sp. OT (K) Hand
Ro. Pre-Op (7-5-2019)
Ro. Post-Op (8-7-2019)
Rosita binti Waras/ Pr / 55 th / RKBA
Tanggal Operasi : 8 -7-2019

• Dx : Coles fracture post closed reduction

• Pro : ORIF
• Op : Nur Rachmat Lubis, Sp. OT (K) Hand
Ro. Pre-Op (1-7-2019)
Post Closed Reduction (1-7-2019)
Post ORIF 8-7-2019
Nila Kesumawati / Pr / th / Musi 2.2
Tanggal Operasi : 8 -7-2019

• Dx : Ulkus DM digiti II Pedis dextra

• Pro : Debridement k/p amputasi
• Op : Nur Rachmat Lubis, Sp. OT (K) Hand
Klinis Pre Op
Ro. Pre-Op (22-6-2019)
Ro. Post-Op (8-7-2019)
Suwarti/ Pr/ 75 th/ Mawar
• Dx : fraktur Collum
• Pro : Bipolar Arthroplasty
• Op : dr. Nur Rachmat Lubis, Sp. OT (K) Hand
Pre OP (3-5-2019) RS Pelabuhan
Post op (8-7-2019)
TERIMA KASIH