LOG BOOK KEGIATAN AKADEMIS

PROGRAM PENDIDIDKAN DOKTER SPESIALIS

ANESTESIOLOGI & TERAPI INTENSIF

dr. Artha Wahyu Wardana

S981702002
Stase di RS Ortopedi Prof. Dr.R Soeharso Surakarta
Periode 1 – 30 Oktober 2018

FAKULTAS KEDOKTERAN UNIVERSITAS SEBELAS MARET

RUMAH SAKIT UMUM DAERAH Dr. MOEWARDI
SURAKARTA
2018
DAFTAR PASIEN DI RS ORTOPEDI PROF. Dr.R SOEHARSO SURAKARTA

No Nama Umur Diagnosis Tindakan Dpjp Tanggal

IMPLAN FAILURE POST
1 MUKTI 90
HA HIP (R)
ROI- RE HA Dr dedi SpAn 1/10/18

INF. N.U TIBIA (S) POST

2 YOHANES 36
ILLIZAROF
ROEF - ORIF Dr dedi SpAn

M.U FR. FEMUR(D) POST

3 SAJIDI 29 SKELETAL TRAKSI + ORIF REKONT. Dr dedi SpAn
B20

ACETABULUM
4 TIO 62
EROSIONPOST HA (S)
THR Dr dedi SpAn

N.U FR. FEMUR (D) POST

5 ADE 19 ORIF DGN IMPLANT ORIF REKONT-ILIAC GRAFT Dr dedi SpAn
FAILURE

PLATE EXPOSE FEMUR

6 ADAM 14
(D) POST ORIF
ROI Dr dedi SpAn

Dr bambang
7 SADIMIN 55 OA KNEE (S) TKR
SpAn
Dr bambang
BONE LOSS CRURIS SpAn
8 WAHYUDIN 26
(D)
ILLIZAROF 3/10/18

Dr bambang
FR. ANKLE POST
9 AYUNINGTYAS 19
ORIF
ROI SpAn

Dr bambang
RUPTUR ACL, MCL
10 BARMANTO 53
(D)
ARTROSCOPY REKONT. SpAn

Dr bambang
GO GLING
11 KWIE
74 OA KNEE BILL TKR (D) SpAn

UNION FR. FEMUR REPAIR TENDO

12 RUSDI 36
,RUPTUR QUADRISEP QUADRISEP
Dr Dedi SpAn

Dr Dedi SpAn
POST PLATING
13 PAIKEM 40
RADIUS ULNA (S)
ROI

ASD L3-4 +SCREW LAMINECTOMY L3 PSF Dr Dedi SpAn

14 SUNARDI 60
BREAKAGE L5 L3-4-5
Dr Dedi SpAn
NEG. FR.DISLOC. L 3- OSTEOTOMY + EXTEND
15 ABDUL AZIZ 39
4 POST PSF STABILISASI LI- SI
 DEBRIDEMEN POSTERO Dr Dedi SpAn
SPONDILITIS TB T10- LATERAL+LAMINECTOMI
16 SURIPTO 52
11 T10-11+STABILISASI T8-9 ,
T11-12
Dr Dedi SpAn
17 SADIMAN 55 OA KNEE BILL TKR (S)
OLD DISLOC. POST Dr Dedi SpAn
FATHUR OPEN REDUKSI
18 ROHMAN
11 RELEASE+SKELETAL
TEMPORARYDESIS
TRAKSI

CONGENITAL ABSENCE
Dr bambang
19 RAISSYA 1 TIBIA (S) POST ROI
SpAn
REKONTRUKSI HB: 8,2

Dr bambang
SpAn
NEG. SYNDROME CTEV
20 GATI TRI 14
(D)
OSTEOTOMY FOOT (D)

Dr bambang
SpAn
21 AMALIA 16 PBT DISTAL (D) ccFD CURRETAGE + BG

Dr bambang
22 MARYAM 18 STT CRURIS (D) EXCISI SpAn

Dr bambang
SpAn

RECURRENT MH
23 KARDI 54
HUMERUS (D)
EXCISI LUAS

Dr bambang
24 RUKMIWATI 48 OA KNEE (S) TKR (S) SpAn

25 SUDARYANTI 54 OA KNEE (D) TKR (D) Dr dedi SpAn

Dr dedi SpAn
26 MUSLIKHATIN 59 OA KNEE (D) TKR
NEUROMUSCULAR STABILISASI NON FUSI T2 – Dr dedi SpAn
27 NADIA 7
SCOLIOSIS +DDH L4
OLD FR. DISLOC.L2 – Dr dedi SpAn
28 ABDUL AZIZ 30 4+NEUROGENICBOWEL OSTEOTOMY +PSF L1- S1
BLADDER
ADJUCENT Dr dedi SpAn
SEGMENTALDISEASE
29 SUNARDI 60
L3-4 POST PSF (MAL
REPOSISI CAGE
POSISI CAGE )
Dr bambang
30 MARDI 48 OA HIP THR
SpAn
Dr bambang
SpAn
POST ILLIZAROF
31 AHMAD ALI 22
CRURIS (D)
ROI -- ORIF

CP SPASTIK DIPLEGI Dr bambang

DGN SpAn
32 DIKA 15
KONTRAKTURH/K/A +
RELEASE + REKONT. DDH (D)
DDH (D)
Dr bambang
33 FAIZAL ABIYU 14 UNION FR. TIBIA (S) ROI SpAn
 Dr bambang
CF. COLL.FEMUR (S), SpAn
34 SITI MARYATI 84
HT
HA

Surakarta, 31 oktober 2018,

Mengetahui,

Kepala Bagian Pendidikan dan Penelitian Ketua KSM Anestesi

RS Ortopedi Prof. Dr. R. Soeharso Surakarta RS Ortopedi Prof. Dr. R. Soeharso Surakarta

dr. Jimmy Fitria, MM dr. Hery Budi S, Sp.An

NIP. 198108072008012012 NIP. 195909281988021001

 LOG BOOK KEGIATAN AKADEMIS
PROGRAM PENDIDIDKAN DOKTER SPESIALIS
ANESTESIOLOGI & TERAPI INTENSIF

dr. Heni Handayani

S981708003
Stase di RS Ortopedi Prof. Dr.R Soeharso Surakarta
Periode 1 – 30 Oktober 2018

FAKULTAS KEDOKTERAN UNIVERSITAS SEBELAS MARET

RUMAH SAKIT UMUM DAERAH Dr. MOEWARDI
SURAKARTA
2018
DAFTAR PASIEN DI RS ORTOPEDI PROF. Dr.R SOEHARSO SURAKARTA

No Nama Umur Diagnosis Tindakan Dpjp Tanggal

1 N.U RADIUS UINA (S)
WAHYUNI 46 REKONT. Dr agung SpAn 1/10/18
POST ORIF

2 PERI IMPLANT Dr agung SpAn

NITI 86 FR.FEMUR (S) POST ORIF
HA
3 UNION FR. Dr agung SpAn
CLAVICULA (S) POST
ALDI 6 ORIF ROI
UNION FR.RADIUS
ULNA (S) POST ORIF
4 Dr agung SpAn
GCT DISTAL FEMUR
IVAN 21 CURRETAGE+BG/BC+ORIF
(S)

5 Dr agung SpAn
GCT PROXIMAL
ELAN 38 CURRETAGE+BG/BC+ORIF
TIBIA (D)

6 Dr agung SpAn
BURSITIS GMS
ARTHOTOMY
SUPARYANTI 52 (D)+STT R.AXILLA
DEBRIDEMEN
(D)

7 TANDEAN STENOSIS LAMINECTOMY

SURAT 64 Dr heri SpAn
T11 – 12+L5+L345 DECOMP.+PSF L345 + TLIF

8 LAMINECTOMY Dr heri SpAn

FR.DISLOC. VTH. 12-
SULISDIYANTO 22 DECOMPRESI +
L1 FR. A
STABILISASI POSTERIOR
9 Dr heri SpAn
LAMINECTOMI
SUMINTRAH 67 LSS L3-4-5
DECOMPRESI + PSF +TLIF

10 Dr heri SpAn
M.U TIBIA PROX. + RELEASE +
GAMPANG 43
STIFF KNEE (S) LIBERATION
11 INFEC. POST Dr heri SpAn
REDAKTION DEBRIDEMEN +
FRANKY 32
DISLOC. HIP KULTUR
(D)
12 Dr heri SpAn
MUNDJAJU 76 OA KNEE BILL TKR

13 Dr heri SpAn
SRI LESTARI 64 N.U FR. FEMUR (D) REKONT. FEMUR

14 POST REKONT.
ASHADIYA 1 CONGENITAL ROI K. WIRE Dr danang SpAn
DISLOC. KNEE (D)
15 Dr danang SpAn
NEG. IDIOPATIK
AQILA 1 RELEASE CTEV
CTEV BILL.
16 UNION FR. FEMUR, Dr danang SpAn
UNION FR
AHMAD 40 ROI
INTERCONDYLAIR
HUMERUS
17 Dr danang SpAn
POST ORIF
ABDUL AZIZ 21 ROI
RADIUS ULNA (S)

18 Dr danang SpAn
AHMAD OA KNEE L (
54 ARTRODESIS KNEE (L)
MUHIB HBSAG + )
19 INFEC.M.U FR.
SUTIYONO 62 TIBIA (D) POST ROI + DEBRIDEMEN Dr dedi SpAn
ORIF
20 DISLOC. HIP (S) REPOSISI DISLOC. HIP
MAR’AH 45 Dr dedi SpAn
POST THR (S) (S)
21 Dr dedi SpAn
WIJI 46 OA KNEE (D) TKR (D)

22 Dr dedi SpAn
JIAN
20 M.U FR. GALEAZI (S) ORIF
RAMADHAN

23 AVN HEAD FEMUR Dr dedi SpAn

SLAMET
48 BILATERAL ( HBSAG THR (S)
RIYADI
+)
24 AL KANAH 1
CP PATOLOGIS
HIP SPICA CAST Dr dedi SpAn
FEMUR (S) cc OI
25 Dr dedi SpAn
M. CHUSEIN 11 NEG. CF. SCH (S) ORIF REKONT.

26 Dr dedi SpAn
ALFIAN 9 M.U SCH (D ) ORIF REKONT.

27 CP SPASTIK DIPLEGI Dr dedi SpAn

M. RASYA 11 DGN KONTRAKTUR RELEASE H/K/A (D)
H/K/A BIL

Surakarta, 31 oktober 2018

Mengetahui,

Kepala Bagian Pendidikan dan Penelitian Ketua KSM Anestesi

RS Ortopedi Prof. Dr. R. Soeharso Surakarta RS Ortopedi Prof. Dr. R. Soeharso Surakarta

dr. Jimmy Fitria, MM dr. Hery Budi S, Sp.An

NIP. 198108072008012012 NIP. 195909281988021001

 LOG BOOK KEGIATAN AKADEMIS
PROGRAM PENDIDIDKAN DOKTER SPESIALIS
ANESTESIOLOGI & TERAPI INTENSIF

dr. Adityo Wibhisono

S981802001
Stase di RS Ortopedi Prof. Dr.R Soeharso Surakarta
Periode 1 – 30 Oktober 2018

FAKULTAS KEDOKTERAN UNIVERSITAS SEBELAS MARET

RUMAH SAKIT UMUM DAERAH Dr. MOEWARDI
SURAKARTA
2018
DAFTAR PASIEN DI RS ORTOPEDI PROF. Dr.R SOEHARSO SURAKARTA

No Nama Umur Diagnosis Tindakan Dpjp

1 Dr bambang
SUHARYONO 42 OA HIP (S) THR
SpAn

2 Dr bambang
IMPLANT LOOSEWING SpAn
SENEN 74 ROI--- RE - HA
POST HA (S)

3 Dr bambang
OF. FEMUR (S) POST
DEBRIDEMEN+ORIF,CF. SpAn
AHMAD 46 ORIF ANKLE
ANKLE (S) DGN SOFT
TISSUE OMPURISEL

4 Dr bambang
CF. RADIUS ULNA (S) +
TUTI 25 ORIF RADIUS ULNA SpAn
OEDEM CEREBRI

5 CONGENITAL EXCISI Dr bambang

RIAS 23 SCOLIOSIS OC HERNIAVERTEBRA SpAn
HENIAVETEBRA L1-2 L1-2 + PSF
6 PARAPLEGIA OSTEOTOMI + Dr bambang
ABDUL AZIZ 39 INF.OCNEG.FR.DISLOC. EXTERNAL SpAn
VL 3-4 POST PSF STABILISASI L1 – S1
7 Dr bambang
UNION SCH (S) POST
DITA MUMPUNI 18 ROI SpAn
REKONT.

8 CF. ACETABULUM (S) + Dr bambang

JOKO
55 CF. DISLOC PROXIMAL OPEN REDUCTION SpAn
PURWANTO
HUMERUS (D)
9 Dr bambang
UNION FR.RADIUS(S) 1/3
PRAMADYKA 16 TENDON TRANFER SpAn
PROX.POST ROI

10 KYPOTIC LAMINECTOMY
Dr danang
NORMA 43 DEFORMITYPOST DECOMPRESI+PSF
SpAn
SPONDILITIS TB L 3-4-5+ TLIF

11 Dr danang
FR. KOMPRESI VL. II, STABILISASI
KARNI 42 SpAn
FRNKLE E POSTERIOR
12 Dr danang
SpAn
REVI RAPITA 25 SPONDILITIS TB LAMINECTOMI PSF

13 M.U TIBIA FIBULA (S)

CATUR 41 POST ROEF ILLIZAROF ORIF REKONT. Dr agung SpAn
HB 7,2
14 Dr agung SpAn
IMAM MUSLIM 33 INFEC. N.U FEMUR (S) ILIIZAROF

15 Dr agung SpAn

CF. ACETABULUM (S) +

SUPARNO 37 ORIF ACETABULUM
CF. RAMUS PUBIS (D)

16 Dr agung SpAn
HIGH TRANS
RHABDOMYOSARCOMA
BAMBANG 42 HUMERAL
HUMERUS (S)
AMPUTATION

17 Dr agung SpAn
CF. ITF ( S) POST ORIF
SOHIB 57 ORIF
SYMPHIOSIOLYSIS

18 ORIF SYMPHIOLYSIS+ Dr agung SpAn

OLD DISLOC. HIP (S) +
MAMAN 60 RELEASE +
NEG. SYMPHISIOLYSIS
SKELETAL TRAKSI
19 Dr agung SpAn

NGADIYEM 67 OA KNEE BILATERAL TKR (D)

20 Dr agung SpAn
CF. CLAVICULA (S)
SUKIYEM 49 AMAN I ORIF
HT: STAGE II

21 Dr agung SpAn
FR.COMPRESI VL 1 BODY JACKET DGN
MUJIRAH 53
FRANKEL E GA

22 Dr agung SpAn

ROZAN 3 N.U SCH (D) REKONT. SCH

23 Dr agung SpAn
RELEASE KNEE
DESWITA 7 KONTRAKTUR KNEE (S)
KONTRAKTUR

24 Dr agung SpAn
AHMAD 5 CTEV (D) RELEASE

25 SP SPASTIK DIPLEGI Dr agung SpAn

SEPTO
DGN KONTRAKTUR RELEASE
KURDIONO
KNEE (S)
26 ADULT IDIOPATIK
SCOLIOSIS + SI JOINT
EPIDUROLYSIS L4 -5
PAINT D/S +
D/S Dr bambang
SAMI 46 PERIFORMIS SYNDROM
INJ. SI JOINT + SpAn
SYMTOM D/K +
DISIFORMIS D/S
FORAMINAL STENOSIS
D/S
27 Dr bambang
FR. DISLOC. VTH. 12 – L1 LAMINECTOMY
SUKARDI 42 SpAn
FRANKEL A DECOMP. + PSF

28 Dr bambang
FR. COMPRESI VL.1 STABILISASI
YUSTINA 62 SpAn
FRANKEL E POSTERIOR

29 Dr bambang
FR. DISLOC. VTH. 11 – 12 LAMINECTOMY +
SULIMAN 51 SpAn
FRANKEL A DECOMP. +PSF

30
ENDANG 65 OA KNEE BILL TKR Dr heri SpAn

31 LOOSENING IMPLANT Dr heri SpAn

SULASMI 54 ROI--HA
POST HA

Surakarta, 31 oktober 2018,

Mengetahui,

Kepala Bagian Pendidikan dan Penelitian Ketua KSM Anestesi

RS Ortopedi Prof. Dr. R. Soeharso Surakarta RS Ortopedi Prof. Dr. R. Soeharso Surakarta

dr. Jimmy Fitria, MM dr. Hery Budi S, Sp.An

NIP. 198108072008012012 NIP. 195909281988021001

 LOG BOOK KEGIATAN AKADEMIS
PROGRAM PENDIDIDKAN DOKTER SPESIALIS
ANESTESIOLOGI & TERAPI INTENSIF

dr. Ornella Widyapuspita

S981802006
Stase di RS Ortopedi Prof. Dr.R Soeharso Surakarta
Periode 1 – 30 Oktober 2018

FAKULTAS KEDOKTERAN UNIVERSITAS SEBELAS MARET

RUMAH SAKIT UMUM DAERAH Dr. MOEWARDI
SURAKARTA
2018
DAFTAR PASIEN DI RS ORTOPEDI PROF. Dr.R SOEHARSO SURAKARTA

No Nama Umur Diagnosis Tindakan Dpjp

1
LIEN SRI Dr agung
71 OA KNEE BILL TKR (D)
REJEKI SpAn

2 Dr agung
HENY INDRIATI 61 DISLOC. POST HA ROI HA SpAn

3 Dr agung
SpAn
TALITA 5 DDH (S) REKONT. DDH

4 Dr agung
AHZA LATIF
9 BLOUNT DISEASE REKONT. SpAn
RAMADAN

5 Dr agung
POST RECONT. DDH
PUTRI UTAMI 16 ROI FEMUR SpAn
(D)

6 Dr heri
SUMIYATI 47 OA HIP. (D) THR
SpAn
7 Dr heri
FR. CLAVICULA
JUMARNI 36 ORIF SpAn
(S) (HBSAG + )
8 Dr heri
SpAn
GENU VALGUS
JOSEPHINE 10 ROI DISTAL FEMUR
POST REKONT.

9 Dr heri
DENAYA 1 DDH (S) REKONT. DDH SpAn

10 FR. CLAVICULA Dr heri

PURNOMOSIDI 18 (S) ALMAN ORIF SpAn
GROUP I
11
SUGI Dr danang
52 OA KNEE BILL TKR (D)
HANDAYANI SpAn

12 Dr danang
SpAn
BURST FR. VL.2 LAMINECTOMY+DECOMPRE
TAJAB 39
FRANKLE D SI+PSF

13 Dr danang
BURST. FR. VL I LAMINECTOMY+DECOMPRE
SUNARYO 64 SpAn
FRANKLE D SI+PSF
14 DESTRUKSI Dr danang
SWATMAWATI 78 VTH.10 – L5 cc PERKUNTANEUS BIOPSI SpAn
SUSP. MBD
15 Dr danang
SpAn
SARYADI 69 OA KNEE BILL. TKR (D)

16 Dr danang
HARSIWI 62 OA KNEE (D) TKR (D) SpAn

17 Dr danang
RUPTUR LCL,MCL
LUCKI 24 REKONT. LCL,MCL SpAn
KNEE (D)
18 Dr danang
OA KNEE (D)
SUTRISNO 54 TKR (D) SpAn
(HBSAG + )

19 Dr danang
BURST FR. VTH. XII LAMINECTOMY DECOMPRESI +
NISAR 23 SpAn
FRANKEL A PSF

20 CERVICO Dr danang
LAMINECTOMY C7 T1 T2 K/P
SUGIANTO 64 THORACIC SpAn
STABILISASI
STENOSIS
21 Dr danang
SUTAPA 63 CSM C5 – 6 GDS 185 ACDF C5-6 SpAn

22 Dr danang
SpAn
NURIAH 52 OA KNEE BILL TKR (D)

23 NEG. Dr danang
HA CIRCULAGE + CEMEN
SUNDARI 59 CF.INTERTROCANT SpAn
(BIPOLAR )
ER FEMUR (S)
24 Dr danang
SUPARTI 58 SEPTIC ARTRITIS DEBRIDEMEN + KULTUR SpAn

25 CF. Dr danang
INTERTROCANTER SpAn
ASMAWAH 76 ORIF
FEMUR (S) BG IV +
DM TYPE II
26 Dr danang
HARRY
23 RUPTUR ACL (S) REKONT. ACL SpAn
WIBOWO

27 DWI Dr heri
52 CF. RADIUS DISTAL CRPP
SETYOWATI SpAn

28 Dr heri
FORAMINAL
SAKIR 59 EPIDUROLISIS L4-5 (S) SpAn
STENOSIS L4-5(S)

29 Dr heri
CF. SHAFT FEMUR (
VA NGUYATI 61 ORIF ( A2FN ) SpAn
S ) WTP II

30 Dr heri
WINDA 18 AIS LENKE III INSTRUMENTASI T4-L3 SpAn

31 LAMINECTOMY FLAVECTOMY Dr heri

MAKMUR 26 HNP L4-5, LS- S1 L4-5,LAMINECTOMY SpAn
DISECTOMY
32 Dr heri
PAR SINI 46 LSS +DDD L2-3,L3-4 EPIDUROLISISI 2 LEVEL SpAn

33 Dr danang
PARTINAH 68 OA KNEE (S) TKR
SpAn

34 Dr danang
AVN HEAD FEMUR
GENA 28 THR SpAn
(S)

35 Dr danang
FR. LAT.CONDYLUS
KOKOH 5 REKONTRUKSI SpAn
HUMERI (S)

36 INFEC. N.U TIBIA Dr danang

HERI 29 PLATEAU (D)POST ROI SpAn
ORIF
37 RUPTUR
Dr heri
ARDAHARY 32 ACL,MENISCUSMED ARTROSCOPY REKONTRUKSI
SpAn
IALIS (D)
38 Dr heri
POST TRAUMATIC
GIMIN 58 TKR (D) SpAn
OA KNEE (D)

39 Dr heri
M.U TIBIA (S) +
CATUR 41 REKONTRUKSI SpAn
ANEMIA HB 9,1
 Surakarta, 31 oktober 2018,

Mengetahui,

Kepala Bagian Pendidikan dan Penelitian Ketua KSM Anestesi

RS Ortopedi Prof. Dr. R. Soeharso Surakarta RS Ortopedi Prof. Dr. R. Soeharso Surakarta

dr. Jimmy Fitria, MM dr. Hery Budi S, Sp.An

NIP. 198108072008012012 NIP. 195909281988021001