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  • Orthopaedi & Traumatologi RSM Lamongan

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    Anh Nha Hna
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    This document discusses the management of orthopedic trauma. It defines musculoskeletal trauma as direct or indirect forces affecting the whole extremity and potentially causing bone fractures. When diagnosing trauma, the history, mechanism of injury, and physical exam findings are important. Treatment goals are to restore function and motion. Fractures may be treated non-operatively with casting or bracing, or operatively with techniques like internal fixation using plates, screws, or intramedullary nails. Early exercise and return to normal function are also goals.

    Original Description:

    trauma

    Original Title

    Trauma Muskuloskeletal

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    This document discusses the management of orthopedic trauma. It defines musculoskeletal trauma as direct or indirect forces affecting the whole extremity and potentially causing bone fractures. When diagnosing trauma, the history, mechanism of injury, and physical exam findings are important. Treatment goals are to restore function and motion. Fractures may be treated non-operatively with casting or bracing, or operatively with techniques like internal fixation using plates, screws, or intramedullary nails. Early exercise and return to normal function are also goals.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    11 views13 pages

    Orthopaedi & Traumatologi RSM Lamongan

    Uploaded by

    Anh Nha Hna
    This document discusses the management of orthopedic trauma. It defines musculoskeletal trauma as direct or indirect forces affecting the whole extremity and potentially causing bone fractures. When diagnosing trauma, the history, mechanism of injury, and physical exam findings are important. Treatment goals are to restore function and motion. Fractures may be treated non-operatively with casting or bracing, or operatively with techniques like internal fixation using plates, screws, or intramedullary nails. Early exercise and return to normal function are also goals.

    Copyright:

    © All Rights Reserved
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    of 13

    ORTHOPAEDI & TRAUMATOLOGI

    RSM LAMONGAN
    MANAGEMENT IN ORTHOPAEDIC

    4R

    ?
    DEFINITION : MUSCULO-SKELETAL TRAUMA
    - direct /indirect forces
    - affect whole of extremity
    - fracture : break in continuity of the bone

    FUNCTIONAL ANATOMY
    MAKING DIAGNOSIS
    - HISTORY TAKING
    - MOI
    - Primary Survey ( ABCD + initial Ro) and
    Resusitation
    - Secondary survey (local sign- Look, Feel, Move)

    Look : skin, swelling, bruising, deformity


    Feel : localized tenderness, neurovascular
    Move : active / passive movement
    - Initial diagnosis
    - Planning diagnosis : Plain Ro, special
    imaging(CT scan, MRI, USG)
    Plain Ro of extremity: (rule of two)
    - views
    - joint
    - limb
    - injuries
    - occasion
    - Final diagnosis + Classification
    cl/of/nama tulang/kanan-kiri/lokasi/tipe/
    klasifikasi
    GOAL OF TREATMENT
    - restore the function
    - live is motion Lucas Championarre

    HOW TO REDUCE ?
    - non operatively
    - operatively
    1. fail to conservatively
    2. inherently unstable and prone to displace
    (avulsion fr, femur, radius-ulna, ankle)
    3. multiple fr
    4. pathological fr
    5. fractures in difficulties of nursing
    EXTERNAL FIXATION
    - Cast, brace, external device
    INTERNAL FIXATION
    - plate & screw, IM nail, K-wire
    GOAL
    - prevent fracture disease
    - early return into normal function
    - improve healing
    EXCERCISE
    - isotonic, isokinetic, isometric
    GAIT SYSTEM

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