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7/23/2019 Management of Hip Joint Fracture
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MANAGEMENT OF HIP JOINTFRACTURE
Yedi Murdanu
112011101015
Pembimbing
dr! "u#arimb$% "#!&O
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'e(ini)i
* Hi# (ra+,ure meru#a-an -$ndi)i dimana,er.adi di)-$n,inui,a) ,u/ang #ada daera
#ada #anggu/! &a,a) dari i# (ra+,ure
ada/a dari #er)endian +a#u, (emur
ingga 5 )en,ime,er di baa daera
,r$-an,eri- daera )ub,r$-an,eri-3!
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Ana,$mi
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Ana,$mi
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Ana,$mi
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Ana,$mi
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Ana,$mi
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Ana,$mi
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Ana,$mi
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Ana,$mi
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E#idemi$/$gi
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E,i$/$gi
* Trauma,i-* Pa,$/$gi)
4 Ra-i,i)
4 O),e$ma/a)ia4 Pena-i, )-$rbu,
4 O),e$#$r$)i)
4 Hi#er#ara,ir$idi)me4 Hi#er6i,amin$)i) A dan '
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7/a)i(i-a)i
* &erda)ar ubungan ,erada# -a#)u/4 e-),ra-a#)u/er
4 in,ra-a#)u/er
* berda)ar /$-a)i4 "ub -a#i,a/
4 Tran) )er6i-a/
4 &a)a/* berda)ar radi$/$gi
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7/a)i(i-a)i
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7/a)i(i-a)i
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Mani(e),a)i -/ini)
* Riaa, .a,u* Neri dan #emende-an angg$,a gera-
* Riaa, $6eru)ed e-),remi,a) baa
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'iagn$)i)
* Anamne)i)* Pemeri-)aan Fi)i-
* Radi$/$gi
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Ta,a/a-)ana Pre$#era,i(3
* Regi$na/ ane),e)i #re$#era,i(* Tra-)i #re$#era,i(
* "urgi+a/ ,iming
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Ta,a/a-)ana O#era,i(3
*Fi-)a)i
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Ta,a/a-)ana O#era,i(3
*Ar,r$#/a),
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7$m#/i-a)i
* 8TE% Emb$/i #aru% #neum$nia% de-ubi,u)* Ne-r$)i) a6a)-u/er -a#u, (emur
* N$nuni$n
* O),e$ar,ri,i)* Pemende-an9#eman.angan angg$,a
gera-
* Ma/r$,a)i beru#a r$,a)i e-),erna
* 7$-)a 6ara
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:APORAN 7A"U"
* Nama Tn! Mi)nadin* Jeni) 7e/amin :a-i;/a-i* Umur 5< ,aun* && =< -g* Pe-er.aan &uru ,ani
* "u-u Madura* Agama I)/am* A/ama, 'e)a "umber 7a/$ng% 7e+ama,an 7a/i)a,
RT9R> 0029002 Jember
* N$! Re-am Medi- ?@?@* Tg/! MR" "enin% 1@ Ju/i 2015* Tg/! 7R" "ab,u% 1? Ju/i 2015
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"enin% @0 Juni 20159 P$/i $r,$#edi
* ANAMNE"I"* 7e/uan U,ama * Pa)ien menge/u neri dan )u/i, menggera--an ,ung-ai
-iri a,a)* Riaa, Pena-i, "e-arang
* Pa)ien menge/u-an neri #ada #ang-a/ #aa bagian-iri dan )u/i, un,u- digera--an! Pa)ien men+eri,a-anbaa #a)ien #erna ,er.a,u dari a,a# ruma )aa,)edang mem#erbai-i an,ena ,e/e6i)i )e-i,ar 1 bu/anang /a/u!
* Ria6a, Pena-i, 'au/u ;* Riaa, Pena-i, 7e/uarga ;* Riaa, Peng$ba,an ;
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"enin% @0 Juni 20159 P$/i $r,$#edi
* PEMERI7"AAN FI"I7
* ",a,u) genera/i)* 7U Cu-u# T' RR 20B9meni,* 7e) A 8 P U Nadi TaB * 7u/i, * 'a/am ba,a) n$rma/
* 7e#a/a* Ma,a -$n.ung,i6a ,ida- anemi)% )-/era ,ida- i-,eri-* Hidung ,ida- ada )e+re,9bau9#erdaraan* Te/inga ,ida- ada )e+re,9bau9#erdaraan* Mu/u, bibir ,ida- )ian$)i)% ,ida- ada #igmen,a)i% mu-$)a
,ida- #u+a,* :eer* 'a/am ba,a) n$rma/% ,ida- ada #embe)aran -e/en.ar ge,a bening!
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"enin% @0 Juni 20159 P$/i $r,$#edi
* T$ra-)
* C$r* I i+,u) +$rdi) ,ida- ,am#a-* P i+,u) +$rdi) ,eraba n$rma/ di IC" 8 MC: )ini),ra* P ba,a) .an,ung IC" I8 Para),erna/ de-),ra )am#ai IC" 8 MC: )ini),ra A
"1"2 ,ungga/% eB,ra)i),$/ ;% ga//$# ;% murmur ;* Pu/m$
* I )ime,ri)% ,ida- ada re,ra-)i% ,ida- ada -e,er,ingga/an gera- P (remi,u),eraba n$rma/
* P )$n$r* A 8e)i-u/er 9% R$n-i ;9; >eeDing ;9;* Abd$men* I (/a,% 'C ;% '" 4
* A bi)ing u)u) 3 n$rma/* P ,m#ani* P )$e#e/
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"enin% @0 Juni 20159 P$/i $r,$#edi
* E-),remi,a)
* A-ra/ H7M -e =e-),remi,a)
* Oedem ;
* ",a,u) :$-a/i) Regi$
Femur "ini),ra* R (emur )ini),ra
* : #emende-anangg$,a gera-% edema
* F neri * M ROM ,erba,a)
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"enin% @0 Juni 20159 P$/i $r,$#edi
* A""E"MENT
* Fra+,ure i# .$in, )ini),ra* P:ANNING* 'iagn$),i- ;Ra #e/6i)* 'ari a)i/ ($,$ r$n,gen, #e/6i) dida#a,-an gari) "en,$n di)-$n,inu #ada regi$ (emur
)ini),ra!* Tera#e,i- * 1!Pr$ $#era)i ar,r$#/a), uni#$/ar
* Tinda-an ar,r$#/a), diu)u/-an a,a) da)ar $n)e, ,rauma dengan a-,u ,inda-anang )uda )anga, /ama )eingga -emung-inan /ebi be)ar )uda ,er.adi ne-r$)i)#ada -a#u, (emur! Penggunaan )+re mau#un in,erna/ (iBa,$r /ain a-anmenga)i/-an n$n uni$n dan -$ndi)i ini meru#a-an -egaga/an $#era)i!
* 2!Ce- 'ara :eng-a#% Faa/ Ha,i% Gu/a 'ara% dan Faa/ Gin.a/!* Un,u- menge,aui -$ndi)i me,ab$/i)me #a)ien da/am u#aa #er)ia#an
di/a-)ana-anna $#era)i!
* Edu-a)i * MR"% #en.e/a)an indi-a)i $#era)i (ra-,ur +$//um (emur% -$m#/i-a)i (ra-,ur +$//um(emur% dan -$m#/i-a)i ,inda-an $#era)i!
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"enin% 1@ Ju/i 20159H0MR"
* ANAMNE"I"* 7e/uan U,ama * Pa)ien menge/u neri dan )u/i, menggera--an ,ung-ai
-iri a,a)* Riaa, Pena-i, "e-arang
* Pa)ien menge/u-an neri #ada #ang-a/ #aa bagian-iri dan )u/i, un,u- digera--an! Pa)ien men+eri,a-anbaa #a)ien #erna ,er.a,u dari a,a# ruma )aa,)edang mem#erbai-i an,ena ,e/e6i)i )e-i,ar 1 bu/anang /a/u!
* Ria6a, Pena-i, 'au/u ;* Riaa, Pena-i, 7e/uarga ;* Riaa, Peng$ba,an ;
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"enin% 1@ Ju/i 20159H0MR"
* PEMERI7"AAN FI"I7
* ",a,u) genera/i)* 7U Cu-u# T' 1109
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"enin% 1@ Ju/i 20159H0MR"
* T$ra-)
* C$r* I i+,u) +$rdi) ,ida- ,am#a-* P i+,u) +$rdi) ,eraba n$rma/ di IC" 8 MC: )ini),ra* P ba,a) .an,ung IC" I8 Para),erna/ de-),ra )am#ai IC" 8 MC: )ini),ra
A "1"2 ,ungga/% eB,ra)i),$/ ;% ga//$# ;% murmur ;* Pu/m$
* I )ime,ri)% ,ida- ada re,ra-)i% ,ida- ada -e,er,ingga/an gera- P (remi,u) ,eraba n$rma/
* P )$n$r* A 8e)i-u/er 9% R$n-i ;9; >eeDing ;9;* Abd$men* I (/a,% 'C ;% '" 4
* A bi)ing u)u) 3 n$rma/* P ,m#ani* P )$e#e/
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"enin% 1@ Ju/i 20159H0MR"
* E-),remi,a)* A-ra/ H7M -e =
e-),remi,a)* Oedem ;*
",a,u) :$-a/i) Regi$Femur "ini),ra* R (emur )ini),ra* : -a))a % edema
* F neri * M ROM ,erba,a)
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"enin% 1@ Ju/i 20159H0MR"
* A""E"MENT* Fra+,ure +$//um (emur )ini),ra
* P:ANNING
* In( R: 1000++92= .am* In. Ce(,aDidim 2B1
* 7e,$r$/a+ @B1
* Pr$ uni#$/ar ar,r$#/a),
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"e/a)a% 1= Ju/i 20159 H1 MR"9
'uran,e O#era,i$n* ANAMNE"I"
* 7e/uan U,ama* Pa)ien menge/u neri dan )u/i, menggera--an ,ung-ai
-iri a,a)* PEMERI7"AAN FI"I7
* ",a,u) genera/i)* 7U Cu-u#* T' 1109
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"e/a)a% 1= Ju/i 20159 H1 MR"9
'uran,e O#era,i$n* ",a,u) :$-a/i) Regi$
Femur "ini),ra
* R (emur )ini),ra
* : -a))a % edema
* F neri
* M ROM ,erba,a)
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"e/a)a% 1= Ju/i 20159 H1 MR"9
'uran,e O#era,i$n
* A""E"MENT* Fra+,ure +$//um (emur )ini),ra
* P:ANNING
* In( R: 1000++92= .am* In. Ce(,aDidim 2B1
* 7e,$r$/a+ @B1
* Pr$ uni#$/ar ar,r$#/a),
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Rabu% 15 Ju/i 20159 H2 MR"
* ANAMNE"I"
* 7e/uan U,ama* Pa)ien menge/u neri dan )u/i, menggera--an ,ung-ai
-iri a,a)* PEMERI7"AAN FI"I7
* ",a,u) genera/i)* 7U Cu-u#* T' 1@09?0 mmHg* RR 1?B9meni,* 7e) A 8 P U* Nadi ?0B9meni,* TaB @%? 0C
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Rabu% 15 Ju/i 20159 H2 MR"
* ",a,u) :$-a/i) Regi$
Femur "ini),ra
* R (emur )ini),ra
* : -a))a % edema
* F neri
* M ROM ,erba,a)
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Rabu% 15 Ju/i 20159 H2 MR"
* A""E"MENT* Fra+,ure +$//um (emur )ini),ra #$), #ar,ia/
i# re#/a+emen, H1
* P:ANNING* In( R: 1000++92= .am
* In. Ce(,aDidim 2B1
* 7e,$r$/a+ @B1
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7ami)% 1 Ju/i 20159 H@ MR"
* ANAMNE"I"
* 7e/uan U,ama* Pa)ien menge/u neri dan )u/i, menggera--an ,ung-ai
-iri a,a)* PEMERI7"AAN FI"I7
* ",a,u) genera/i)* 7U Cu-u#* T' 1@09?0 mmHg* RR 1?B9meni,* 7e) A 8 P U* Nadi ?0B9meni,* TaB @%? 0C
7/23/2019 Management of Hip Joint Fracture
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7ami)% 1 Ju/i 20159 H@ MR"
* ",a,u) :$-a/i) Regi$
Femur "ini),ra
* R (emur )ini),ra
* : -a))a % edema
* F neri
* M ROM ,erba,a)
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7ami)% 1 Ju/i 20159 H@ MR"
* A""E"MENT* Fra+,ure +$//um (emur )ini),ra #$), #ar,ia/
i# re#/a+emen, H1
* P:ANNING* In( R: 1000++92= .am
* In. Ce(,aDidim 2B1
* 7e,$r$/a+ @B1
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Juma,% 1< Ju/i 20159 H= MR"
* ANAMNE"I"
* 7e/uan U,ama* Pa)ien menge/u neri dan )u/i, menggera--an ,ung-ai
-iri a,a)* PEMERI7"AAN FI"I7
* ",a,u) genera/i)* 7U Cu-u#* T' 1@09?0 mmHg* RR 1?B9meni,* 7e) A 8 P U* Nadi ?0B9meni,* TaB @%? 0C
1 201 9 "
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Juma,% 1< Ju/i 20159 H= MR"
* ",a,u) :$-a/i) Regi$
Femur "ini),ra
* R (emur )ini),ra
* : -a))a % edema
* F neri
* M ROM ,erba,a)
J , 1< J /i 20159 H= MR"
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Juma,% 1< Ju/i 20159 H= MR"
*A""E"MENT
* Fra+,ure +$//um (emur )ini),ra #$), #ar,ia/
i# re#/a+emen, H1
* P:ANNING* In( R: 1000++92= .am
* In. Ce(,aDidim 2B1
* 7e,$r$/a+ @B1
" b, 1? J /i 20159 H5 MR"
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"ab,u%1? Ju/i 20159 H5 MR"
* ANAMNE"I"
* 7e/uan U,ama
* Aga- neri
* PEMERI7"AAN FI"I7
* ",a,u) genera/i)
* 7U Cu-u#
* T' 1@09?0 mmHg
* RR 1?B9meni,
* 7e) A 8 P U
* Nadi ?0B9meni,
* TaB @%? 0C
" b, 1? J /i 20159 H5 MR"
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"ab,u%1? Ju/i 20159 H5 MR"
* ",a,u) :$-a/i) Regi$
Femur "ini),ra
* R (emur )ini),ra
* : -a))a % edema
* F neri
* M ROM ,erba,a)
" b, 1? J /i 20159 H5 MR"
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"ab,u%1? Ju/i 20159 H5 MR"
* A""E"MENT* Fra+,ure +$//um (emur )ini),ra #$), #ar,ia/ i#
re#/a+emen, H=* P:ANNING* 7R"* E'U7A"I* 'ie, T7TP* Raa, /u-a
* M$bi/i)a)i dan (i)i$,era#i* 7$n,r$/ /u-a be-a) $#era)i )e)uai indi-a)i
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THANK YOU