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SOAL AMPUTASI DAN JAWABAN

1. General principle of childhood amputation, except A. Preserve length B. Do amputation as long as possible C. Preserve important growth plates D. Perform disarticulation rather than transosseous amputation E. Stabilize and normalize the proximal portion of the limb Prinsip umum pada amputasi anak-anak: (1) preserve length, (2) preserve important growth plates, (3) perform disarticulation rather than transosseous amputation whenever possible, (4) preserve the knee joint whenever possible, (5) stabilize and normalize the proximal portion of the limb, and (6) be prepared to deal with issues in addition to limb deficiency in children with other clinically important conditions.
(Canale ST, Beaty JH. Campbell's Operative Orthopaedics. Eleventh Edition. Philadelphia; Mosby Elsevier: 2007)

2. Which is the statement below correct A. Chopart amputation is through tibio-talar joint B. Lisfranc amputation is through metatarso-tarsal joint C. Ray amputation is amputation on disarticulation metatarso phalangeal joint D. Boyd amputation doesnt produce a good end bearing stump E. Chopart amputation doesnt produce equines contracture Chopart amputation dan Lisfranc amputation:

Ray amputation:

Pada Boyd amputation, weight bearing dilarang selama 8 minggu. Walking cast digunakan sampai arthrodesis sempurna. Kesimpulannya: bisa weight bearing tetapi menunggu arthrodesis sempurna terlebih dahulu. Chopart amputation dapat menimbulkan kontraktur pada equinus tetapi dapat dicegah dengan penggunaan splint 6-8 minggu.
(Canale ST, Beaty JH. Campbell's Operative Orthopaedics. Eleventh Edition. Philadelphia; Mosby Elsevier: 2007)

3. Statement below about open amputation is correct ,except A. An open amputation is one of which the skin is not closed over the end of the stump B. The purpose is the prevent or eliminate infection C. Indications are for infection and in severe traumatic wounds D. The technique for open ampution with inverted skin flaps and circular open amputation with post operative skin traction E. Need only one surgery for reconstruction Tentang open amputations: The operation is the first of at least two operations required to construct a satisfactory stump. It always must be followed by secondary closure, reamputation, revision, or plastic repair.
(Canale ST, Beaty JH. Campbell's Operative Orthopaedics. Eleventh Edition. Philadelphia; Mosby Elsevier: 2007)

4. Complications for amputation, except A. Haematoma B. Pain C. Infection D. Contracture E. All of answer is correct Komplikasi amputasi: hematoma, infection, wound necrosis, contractures, pain, dermatological problems.
(Canale ST, Beaty JH. Campbell's Operative Orthopaedics. Eleventh Edition. Philadelphia; Mosby Elsevier: 2007)

5. Indication for amputation, except A. Peripheral vascular disease B. Trauma C. Burns D. Infection E. All of answer is correct Indikasi amputasi: peripheral vascular disease, trauma, burns, frostbite, infection,
tumors.
(Canale ST, Beaty JH. Campbell's Operative Orthopaedics. Eleventh Edition. Philadelphia; Mosby Elsevier: 2007)

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