Case Discussion trauma orthopaedic .pptx

case discussion

1. Case Presentation

2. Tn Rifky / 21 th MOI : Kecelakaan berangkat kerja , sepeda motor vs bemo Keluhan : nyeri lengan bawah dan pergelangan tangan bawah , tidak bias digerakkan , bengkak Penjamin : BPJS - Tenaga Kerja

3. St. Lokalis R. wrist : Look : deformitas , swelling, hematoma Fell : nyeri tekan , krepitasi , piano tuts sign +, AVN distal normal Move : ROM terbatas ok. Nyeri Dx : Galeazzi Fracture + DRUJ dislocation Tx : ORIF Radius + Rekontruksi DRUJ dislocation dg tendon PL graft Implant : small DCP locking titanium6 hole 6 screw, Etibon , Anchor screw ( Y Knot RC ), arthroscopy set

4. Hook plate The Hook Plate was originally designed for lateral end clavicle fractures. This application has been extended to AC joint dislocations. It has been associated with numerous complications including Acromial Fractures , plate bending, and AC arthritis as high as 41 %, and a definite second surgery for hardware removal [14]. Hook plate eroding through acromion has been noted as early as 32 days after surgery.

5. AC joint dislocation shoulder s Pre op Post op

6. Pre op Post op

7. MINAR

8. MINAR Pre op Post op

9. Pre op Post op

10. Crush Injury M anus D

11. Post op

12. OF Radius 1/3 distal segmental communitive + OF Ulna 1/3 distal communitive

13. Pos t ope

14. OF Femur S segmental communitive

15. OF Metacarpal 2,3,4 + OF P halang Proximal digiti 2 Manus S

16. Anchoring implantation

17. Crush injury ankle D , rupture Achilles tendon, OF calcaneus, rupture arteri tibialis posterior

18. CF Proximal Humerus D communitive

19. Crush injury genu, rupture arteri femoralis , rupture MPFL