Ortho HO exam
Question 1
a. State the diagnosis
Salter Harris Type 2 fracture of distal rig
femur
a. State the classification used and its
, description
Salter Harris Classification
a. Complication of
the diagnosis Growth
arrest
,Question 2
a. State the classification used for t
fracture
Gustillo Anderson
a. State the components of the
classification
Type 1, 2, 3a, 3b, 3c. (wound lengt
tissue damage, vascular damage)
a. How would you manage the pat
b. What is the complication of the
situation
Infection, shock, malunion,
neurovascular injury
, How would you manage the patient
1. ABCDE
2. Compression if active bleeding (tempat kejadian)
3. Immobilize (splinting)
4. Anti-tetanoid toxic injection
5. Irrigate with copious normal saline - to reduce bacterial load
6. Cover with antibiotic - depend on severity, we give for prophylaxis reason IV Cefuroxim
(cover more gram neg)
7. IV Flagyl (cover anerobic) - IV Gentamicin (cover aerobic gram negative)
8. Immobilization - usually by skeletal traction (calceneum/ high tibial pin)
9. External fixation - till wound heal (open fracture then jadi closed fracture.
10. Definitive plan - plating/ internal fixation later
Question 1
a. State the diagnosis
Salter Harris Type 2 fracture of distal rig
femur
a. State the classification used and its
, description
Salter Harris Classification
a. Complication of
the diagnosis Growth
arrest
,Question 2
a. State the classification used for t
fracture
Gustillo Anderson
a. State the components of the
classification
Type 1, 2, 3a, 3b, 3c. (wound lengt
tissue damage, vascular damage)
a. How would you manage the pat
b. What is the complication of the
situation
Infection, shock, malunion,
neurovascular injury
, How would you manage the patient
1. ABCDE
2. Compression if active bleeding (tempat kejadian)
3. Immobilize (splinting)
4. Anti-tetanoid toxic injection
5. Irrigate with copious normal saline - to reduce bacterial load
6. Cover with antibiotic - depend on severity, we give for prophylaxis reason IV Cefuroxim
(cover more gram neg)
7. IV Flagyl (cover anerobic) - IV Gentamicin (cover aerobic gram negative)
8. Immobilization - usually by skeletal traction (calceneum/ high tibial pin)
9. External fixation - till wound heal (open fracture then jadi closed fracture.
10. Definitive plan - plating/ internal fixation later
