pengantar orthopaedi
TRANSCRIPT
-
7/25/2019 PENGANTAR ORTHOPAEDI
1/39
ORTHOPAEDICSURGERY
LIFE IS MOTION
Dhevariza SpOT
RSUD Ciawi
-
7/25/2019 PENGANTAR ORTHOPAEDI
2/39
DEFINITION
Branch of !r"er#concerne$wi%h con$i%ion invo&vin"
%he '!c!&o(e&e%a& #%e'
SURGICA)
NONSURGIC
A)
http://en.wikipedia.org/wiki/Surgeryhttp://en.wikipedia.org/wiki/Musculoskeletal_systemhttp://en.wikipedia.org/wiki/Musculoskeletal_systemhttp://en.wikipedia.org/wiki/Surgeryhttp://en.wikipedia.org/wiki/Musculoskeletal_systemhttp://en.wikipedia.org/wiki/Surgery -
7/25/2019 PENGANTAR ORTHOPAEDI
3/39
Orthopaedics: the branch of surgery thatdeals ith the correction and pre!ention ofabnor"alities of the "usculos#eletal syste"
*O+for$ En"&ih Dic%ionar# *OED, On&ine -../, Orthopaedics: the science of practice of
correcting defor"ities caused by disease of$or da"age to the bones and %oints of the
s#eleton& This speciali'ed branch of surgery"ay in!ol!e operation$ "anipulation$ traction$orthoses or prostheses*C0D -..-,1
-
7/25/2019 PENGANTAR ORTHOPAEDI
4/39
ETIO)OGY
Con"eni%a&
Infec%ion Neop&a'
Tra!'a2por% in3!rie
De"enera%ive
REGION
4ERTEBRAE
UPPER5)O6ER
E7TRE0ITIES
-
7/25/2019 PENGANTAR ORTHOPAEDI
5/39
SUBSPECIA)TY
Han$ !r"er#
Sho!&$er an$ e&8ow !r"er#
9oin% recon%r!c%ion *ar%hrop&a%#, Pe$ia%ric or%hope$ic
Foo% an$ an(&e !r"er#
Spine!r"er# 0!c!&o(e&e%a& onco&o"#
S!r"ica& por% 'e$icine
Or%hope$ic %ra!'a
http://en.wikipedia.org/wiki/Arthroplastyhttp://en.wikipedia.org/wiki/Foot_and_ankle_surgeryhttp://en.wikipedia.org/w/index.php?title=Vertebral_coloumn&action=edit&redlink=1http://en.wikipedia.org/w/index.php?title=Vertebral_coloumn&action=edit&redlink=1http://en.wikipedia.org/wiki/Foot_and_ankle_surgeryhttp://en.wikipedia.org/wiki/Arthroplasty -
7/25/2019 PENGANTAR ORTHOPAEDI
6/39
HISTORY
Derive$ fro' %he Gree( wor$
orthos*:correc%:2 :%rai"h%:,
paedion*:chi&$:,
Nicho&a An$r#Orthopaedia: or the (rt of )orrecting and*re!enting +efor"ities in )hildren, in ;
-
7/25/2019 PENGANTAR ORTHOPAEDI
7/39
TREAT0ENT HISTORY
0an# $eve&op'en% in or%hope$ic !r"er#re!&%e$ fro' e+perience $!rin"war%i'e
Plaster of Paris (Cast)
Traction
Splinting Intramedullary Nail/Rod
Internal / Eksternal Fiation
-
7/25/2019 PENGANTAR ORTHOPAEDI
8/39
P&a%er Of Pari *Ca%,
-
7/25/2019 PENGANTAR ORTHOPAEDI
9/39
TRACTION
Re"ain nor'a& &en"%h an$ a&i"n'en%of invo&ve$ 8one
Re&ieve '!c&e pa' re&ieve pre!re on nerve2 epecia&
pina& an
Re$!ce (e&e%a& $efor'i%ie or'!c&e con%rac%!re
-
7/25/2019 PENGANTAR ORTHOPAEDI
10/39
TRACTION
-
7/25/2019 PENGANTAR ORTHOPAEDI
11/39
TRACTION
-
7/25/2019 PENGANTAR ORTHOPAEDI
12/39
TRACTION
-
7/25/2019 PENGANTAR ORTHOPAEDI
13/39
A splinti a $evice !e$ for !ppor% ori''o8i&iza%ion of &i'8or of %he pine
To i''o8i&ize a frac%!re$ &i'8 8efore %he%ranpor%a%ion> i% i %hen a %e'porar# i''o8i&iza%ion>
B# a&&ie$ hea&%h profeiona& !ch a
occ!pa%iona& %herapi%2 ph#io%herapi%an$or%ho%i%2 %o i''o8i&ize an ar%ic!&a%ion *e1"1 %he(nee, %ha% can 8e free$ whi&e no% %an$in" *e1"1$!rin" &eep,1
B# a%h&e%ic %rainer %o i''o8i&ize an in3!re$ 8one or3oin% %o faci&i%a%e afer %ranpor%a%ion of %he in3!re$peron1
B# ER ph#ician %o %a8i&ize frac%!re or prain !n%i&fo&&ow5!p appoin%'en% wi%h an Or%hope$i%1
http://en.wikipedia.org/wiki/Limb_(anatomy)http://en.wikipedia.org/wiki/Vertebral_columnhttp://en.wikipedia.org/wiki/Occupational_therapisthttp://en.wikipedia.org/wiki/Physiotherapisthttp://en.wikipedia.org/wiki/Orthotisthttp://en.wikipedia.org/wiki/Orthotisthttp://en.wikipedia.org/wiki/Physiotherapisthttp://en.wikipedia.org/wiki/Occupational_therapisthttp://en.wikipedia.org/wiki/Vertebral_columnhttp://en.wikipedia.org/wiki/Limb_(anatomy)http://en.wikipedia.org/wiki/Vertebral_columnhttp://en.wikipedia.org/wiki/Limb_(anatomy) -
7/25/2019 PENGANTAR ORTHOPAEDI
14/39
ORTHOPAEDIC SP)INT
-
7/25/2019 PENGANTAR ORTHOPAEDI
15/39
BRACE
-
7/25/2019 PENGANTAR ORTHOPAEDI
16/39
INTRA0EDU))ARY NAI)
a 'e%a& ro$ force$in%o %he 'e$!&&ar#
cavi%# of a 8one
-
7/25/2019 PENGANTAR ORTHOPAEDI
17/39
INTERNA) FI7ATION
Opera%ion in or%hope$ic %ha%invo&ve %he !r"ica&
i'p&e'en%a%ion of i'p&an% for %hep!rpoe of repairin" a 8one
-
7/25/2019 PENGANTAR ORTHOPAEDI
18/39
TYPE OF INTERNAL
FIXATION
Bone crew
0e%a& p&a%e
Pin
Ro$
?irchner wire
In%ra'e$!&&ar# $evice
-
7/25/2019 PENGANTAR ORTHOPAEDI
19/39
-
7/25/2019 PENGANTAR ORTHOPAEDI
20/39
E7TERNA)
FI7ATION
-
7/25/2019 PENGANTAR ORTHOPAEDI
21/39
DISTRACTIONOSTEOGENESIS
!r"ica&proce !e$ %o recon%r!c%(e&e%a&$efor'i%iean$ &en"%hen %he&on" 8oneof %he 8o$#
http://en.wikipedia.org/wiki/Surgeryhttp://en.wikipedia.org/wiki/Skeletonhttp://en.wikipedia.org/wiki/Deformityhttp://en.wikipedia.org/wiki/Long_bonehttp://en.wikipedia.org/wiki/Long_bonehttp://en.wikipedia.org/wiki/Deformityhttp://en.wikipedia.org/wiki/Skeletonhttp://en.wikipedia.org/wiki/Surgery -
7/25/2019 PENGANTAR ORTHOPAEDI
22/39
I)I@ARO4
-
7/25/2019 PENGANTAR ORTHOPAEDI
23/39
OSTEOTO0Y
a !r"ica& opera%ionwhere8#a 8onei c!% %o hor%en2
&en"%hen2 or chan"e i%a&i"n'en%
http://en.wikipedia.org/wiki/Surgeryhttp://en.wikipedia.org/wiki/Bonehttp://en.wikipedia.org/wiki/Bonehttp://en.wikipedia.org/wiki/Surgery -
7/25/2019 PENGANTAR ORTHOPAEDI
24/39
OSTEOTO0Y
-
7/25/2019 PENGANTAR ORTHOPAEDI
25/39
-
7/25/2019 PENGANTAR ORTHOPAEDI
26/39
OSTEOTO0Y
-
7/25/2019 PENGANTAR ORTHOPAEDI
27/39
SOFT TISSUE )ENGTHENING
-
7/25/2019 PENGANTAR ORTHOPAEDI
28/39
S?IN GRAFT
SOFT TISSUE CO4ERING
F)AP
-
7/25/2019 PENGANTAR ORTHOPAEDI
29/39
0ODERN ORTHOPAEDIC Ar%hrocopicS!r"er#
Ar%hrocopic S!r"er#
'ini'a& invaive!r"ica& proce$!rein which an e+a'ina%ion an$o'e%i'e %rea%'en% of $a'a"e of%he in%erior of a3oin%i perfor'e$!in" an art!roscope
http://en.wikipedia.org/wiki/Minimally_invasivehttp://en.wikipedia.org/wiki/Surgeryhttp://en.wikipedia.org/wiki/Jointhttp://en.wikipedia.org/wiki/Jointhttp://en.wikipedia.org/wiki/Surgeryhttp://en.wikipedia.org/wiki/Minimally_invasive -
7/25/2019 PENGANTAR ORTHOPAEDI
30/39
ARTHROSCOPY
-
7/25/2019 PENGANTAR ORTHOPAEDI
31/39
0ODERN ORTHOPAEDIC
Ar%hrop&a%#
where %he ar%ic!&ar !rface of a'!c!&o(e&e%a& 3oin% i rep&ace$2re'o$e&e$2 or rea&i"ne$
$one %o re&ieve pain an$ re%oref!nc%ion %o %he 3oin% af%er $a'a"e 8#ar%hri%i or o'e o%her %#pe of
%ra!'a
ARTHROP)AST
-
7/25/2019 PENGANTAR ORTHOPAEDI
32/39
ARTHROP)ASTY
-
7/25/2019 PENGANTAR ORTHOPAEDI
33/39
ARTHROP)ASTY
-
7/25/2019 PENGANTAR ORTHOPAEDI
34/39
ARTHROP)ASTY
-
7/25/2019 PENGANTAR ORTHOPAEDI
35/39
ARTHROP)ASTY
-
7/25/2019 PENGANTAR ORTHOPAEDI
36/39
0ODERN ORTHOPAEDIC
0ICROSCOPIC SURGERY
-
7/25/2019 PENGANTAR ORTHOPAEDI
37/39
"ICR#SC#PIC
S$R%ER&
-
7/25/2019 PENGANTAR ORTHOPAEDI
38/39
O,T-O*(E+I)
IN T-E F.T.,E
+O /O. E0*E)TSOMET-IN12
-
7/25/2019 PENGANTAR ORTHOPAEDI
39/39
Than(Yo!