Textbook/BUKU AJAR ILMU

BEDAH/ DE JONG/ Edisi 3

Advisors :
dr. Qariah Maulidiah
dr. Angga Anggriawan
dr. Padlan Pasallo
Supervisor :
Dr.dr. Karya Triko Biakto, Sp.OT (K) Spine

O r t h o p a e d i c s a n d Tr a u m a t o l o g y D e p a r t m e n t O k t o b e r 2 0 1 6
 Presented by :
1. Wiwin Andani
2. Nunung Noviana ahmad
3. Muh. Ardiansyah
4. Muh. Rifaldy Adri
5. Inayah Faradilah
6. Fadhillah supriono
7. Rafika Alifyana
The cause of decubitus

Continuous and repetitive pressure

Unconciousness due to surgery and coma

Paraparese

Imobility secondary to illness and old age

Aditional factor ( anemia, poorly nourished), local status of

dermatom ( dry skin, wet skin)
Bony
prominences

Subcutaneous
Soft tissue
tissue

Supporting Pressure sore

surface
Ulcus Decubitus grade I : Cleaned carefully with
warm water and soap, given lotion than massage
2-3x/day

Ulcus decubitus grade II : given an ointment

topical and replace bandages
Treatment
Ulcus decubitus grade III :
1. Clean the wound to discharge exudate.
2. The use of bandages shouldnt be thick and should be
transparent so that the air can replacable.
3. Keep the moisture of the wound to facilitate cells skin
regeneration.

Ulcus decubitus grade IV : it have the same as ulcus

decubitus grade III and doing Necrotomy. So that the soft
tissue can regeneration. Another therapy : preparat
enzym, fototherapy with monocromatic infrared,
antiagregate platelet drug
Primary Lupus vulgaris

Secondary - Sklofuloderma
- Fistel limfadenitis
(inguinalis, axila,
cervical)
- Fistel osteomielities