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$ERSITAS MUSLIM INONESIA
7/25/2019 PPT multipel fraktur
2/22
I%&n'i'as Pasi&n
Naa : TnMuh A*%i Ruh+a%i
,&nis -&*ain : La-i.*a-i
Uur : 1/ 'ahunA*aa' : ,*n !LK PassaranMa&n&
K&3ansaan : In%4n&sia
Aaa : Is*aMRS : Tana* 2/ ,uni 2015
7/25/2019 PPT multipel fraktur
3/22
Anan&sis
Keu!a" uta#a : N$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
7/25/2019 PPT multipel fraktur
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/$5 9 158 6u6i* is4-4r8r&& 7aha+a BB
E : Suhu 9
7/25/2019 PPT multipel fraktur
5/22
Statu Ge"erai
K&a%aan uu : !ai-
K&sa%aran : ;464s &n'is
#iCi : ;u-u6
T&-anan %arah: 10&ni'
P&rna6asan : 22&ni'
Suhu D
7/25/2019 PPT multipel fraktur
6/22
Statu L'%ai
An'&3ra7hii sinis'ra
Ta6a- '&r6asan i6s %i&-s'r&i'as a'as -iri
F&ur %an -ruris %&'ra %an sinis'ra
Ta6a- '&r6asan s-in 'ra-si
7/25/2019 PPT multipel fraktur
7/22
P&&ri-saan P&nunan
*ara! +uti" ( Pe#eri%aa" ta"&&a-/0/12 )
H#!G85 %L
R!;
7/25/2019 PPT multipel fraktur
8/22
Pe#eri%aa" +adi''&i
7/25/2019 PPT multipel fraktur
9/22
ian4sis -&ra
1 ;*4s&% ra-'ur %is'a* ra%ius u*na sinis'ra
2 ;*4s&% ra-'ur %is'a* ra%ius %&'rain746*&'
7/25/2019 PPT multipel fraktur
10/22
P&na'a*a-sanaan
I$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
7/25/2019 PPT multipel fraktur
11/22
TINJA3AN P3STAKA
7/25/2019 PPT multipel fraktur
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
7/25/2019 PPT multipel fraktur
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
7/25/2019 PPT multipel fraktur
14/22
Pa'4&-anis& Fra-'ur
7/25/2019 PPT multipel fraktur
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
7/25/2019 PPT multipel fraktur
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
7/25/2019 PPT multipel fraktur
17/22
P&&ri-saan *4-a*
1 Ins6&-si (L44-)
2 Pa*6asi (F&&*)
7/25/2019 PPT multipel fraktur
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
7/25/2019 PPT multipel fraktur
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
7/25/2019 PPT multipel fraktur
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)
7/25/2019 PPT multipel fraktur
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'
7/25/2019 PPT multipel fraktur
22/22
T&ria -asih
7aaaa#u aai%u# 7r 74