Download - Bst Ridwan

8/18/2019 Bst Ridwan

1/21

RIDWAN PERMANA(712014027)

Preceptor:dr. Rizal Daula! "p.#$.!MAR".

%ed

"ite $eac&i'


2/21

Identifcation

Nae : "atria No*ria+a' Ae : ,1 ear- old

Adre-- : "uur /aa "t. No

%a'ua-i'

e'der : A Ma'

Reliio' : Mo-le

#ccupatio' : 3reela'ce


3/21

Complain

Can’t stand up and

unable to walk


4/21

Clinical History1 month ago, a man, 31 years old had a traffic accident, he

was hit by a car from the back side with high speed while

riding his bicycle across the road, it made his right leg

injury.

And then, he darted off about 1 meter from his motorcycle.He used bicycle safety like helmet etc, his head didn’t hit

the road but he heard the crack sound from the location of

accident in his rigth leg,, excoriated at the right foot !".

#hen he woke up, he felt pain at his right foot, he couldn’tmo$e his right leg and couldn’t stand up and he saw the

different shape of the right leg and left leg, bleeding !"

nausea %", $omitting %", headache %".


5/21

Clinical History

he was brought to the hospital by his family as soon as

possible, x%ray examination was performed on his right

leg, it found that his leg bone was broke.&he doctor has suggested that his right leg was

needed surgery, but his family refused it.

1 day after accident, he was brought to the bone setter

by his family, her right foot was massaged but His rightfoot not back as before.


6/21

History' weeks ago, he brought to surgical clinic by his

family, he couldn’t stand up and unable to walk so he

must be used her wheelchair, her right condition was

deformity .

(inally, on )o$ember, 1* (ebruary '+1, he got

surgical procedure for his right leg.


7/21

General State e'eral o'ditio' : ood

"e'-or : opo- Me'ti-

5ital "i'

%lood Pre--ure : 110670

Pul-e Rate : 88 96i'ute

Re-pirator Rate : 2296i'ute

$eperature : ,!


8/21

Local State ;oo< :

-urical -car (=)! +ou'd(>)!

leedi' (=)! -)!

a'terolateral a'ulatio'(>)!

-+olle' (=)! u-cleatrop& (=)!

di-colouratio' (=)!

Right leg

Region

L l S


9/21

Local State

3eel : te'der'e-- (>)! crepitatio' (=)!

teperature -ae li)! capillar re@ll tie

2-)

appare't le le't& (ri&t le) 8 c!appare't le le't& (le?t le) 8 c!true le le't& (ri&t le) 82 c!true le le't& (le?t le) 82 c! u-cle

atrop& (=)! cruri- 'er*e (>)

Right leg

Region


10/21

a e

Mo*e:Acti*e Mo*ee't : liited

Pa--i*e Mo*ee't :liited

Right leg

Region


11/21

n ca o o


12/21

Clinical Photo


13/21


14/21

ay 1 o't& ao


15/21

Allie't : Not i' #'e ;i'e%o'e : Di-co'ti'uit

artilae : Di-locatio' (=)

"o?t $i--ue: "+elli' (=)


16/21

ay No+ada-


17/21

Results eoloi' 12! 6dl

;eu


18/21

t

Nelected 'o' u'io' clo-ed?racture o? ri&t o- tiia


19/21

Planning Reco'tructio' #pe' Reductio' a'd

I'ter'al 3i9atio' (#RI3) >%o'e

;A%#RA$#R RE"F;$" A3$ER


20/21

;A%#RA$#R RE"F;$" A3$ER"FRER

: 11!1


21/21

A'Gue-tio' (H)

$AN

#FJJJJJ