LOG BOOK

ORTHOPAEDI DASAR - ORTHOPAEDI TINGKAT LANJUT I - ORTHOPAEDI TINGKAT LANJUT II - CHIEF RESIDEN (pilih)
Nama : .. NPM : .
Stase : .. Periode : ( tanggal bulan tahun )

1. KEGIATAN OPERASI UMUM/ DIVISI (Elective) :

No. Tanggal Nama Pasien No. Medrec Usia (th) Diagnosa Tindakan Rumah Sakit O/A/Obs Konsulen

1 12/5/2016 Wawan D 146234 44 Gangrene at right leg Transtibial amputation Siloam A MN

2 12/5/2016 Broto Waluyo 146570 34 Closed fracture of the right radius distal third ORIF P/S Siloam A MN

3 Primary bone tumor at left distal femur susp Malignancy DD

3/27/2017 Asep Lesmana 1536029 30 Core biopsy RSHS A HH
Osteosarcoma
dst.

2. KEGIATAN OPERASI JAGA :

No. Tanggal Nama Pasien No. Medrec Usia (th) Diagnosa Tindakan Rumah Sakit O/A/Obs Konsulen

3
dst.

Bandung, ... 201 Mengetahui,

Kepala Divisi : .. Ketua Program Studi,

( Tanda Tangan Peserta PPDS I ) ............................................................ Dr. Hermawan Nagar Rasyid, dr., SpOT(K)., MT(BME)., Ph.D

Keterangan :

NN : Dr. Nucki Nursjamsi Hidajat, dr., SpOT(K)., M.Kes

HN : Dr. Hermawan N Rasyid., dr., SpOT(K), MT(BME)., Ph.D
DM : Dicky Mulyadi., dr., SpOT(K)
YY : Dr. Yoyos Dias Ismiarto, dr., SpOT(K)., M.Kes.,CCD
AR : Dr. Ahmad Ramdan, dr., SpOT(K)., M.KM
 FR : Fathurachman, dr., SpOT., M.Kes
WA : Widya Arsa,dr., SpOT., CCD
GU : Ghuna Arioharjo Utoyo, dr., SpOT
MN : Muhamad Naseh Sajadi Budi Irawan, dr., SpOT
HH : Herry Herman, dr., SpOT., Ph.D
AP : R. Andri Primadhi, dr., SpOT(K)
RP : Renaldi Prasetia Hermawan Nagar Rasyid, dr., M.Kes., SpOT
DI : Prof. Dr. Darmadji Ismono, dr., SpB., SpOT(K)
BT : Dr. Bambang Tiksnadi, dr., SpB., SpOT(K)., MM.
FT : Prof. Dr. Fachry A Tandjung., dr., SpB., SpOT(K)., M.Phil(Orth)
RC : Dr. De Is M. Rizal Chaidir, dr., SpOT(K)., M.Kes.(MMR),M.H.Kes
GT : Gibran Tristan Alpharian, dr., SpOT
AK : Abdul Kadir Hadar, dr., SpOT

A : Asisten
O : Operator
Obs : Observer
EMG : Emergency
TTD

TTD
 LOG BOOK
Maharaj Nakorn Chiang Mai Hospital
Nama : Denny Darmadji, MD NPM : 131621110504
Stase : Luar Negeri Periode : 27 Juni 22 September 2017

1. KEGIATAN OPERASI UMUM/ DIVISI (Elective) :

No. Tanggal Nama Pasien No. Medrec Usia (th) Diagnosa Tindakan Rumah Sakit O/A/Obs Konsulen TTD

1 Yanyang
28/6/201 3687699 29 th Delayed union of right tibia Bone graft from right iliac crest MNC A
Karnangkura
2 Dan Aaron
3810302 55 th Closed fracture of left Humeral head Remove Implant A
Raminarong
3 Pimchanok ORIF Fibular LCP + Small cancelleous screw medial
1103816 53 th Closed fracture of the right ankle joint SER IV A
Luevisadpaibul malleolus
4 Chanintroon Jitpreeda 3687699 29 th Delayed union at right Tibia Bone graft at right Tibia from right iliac crest O

5 Worakamol
6/29/2017 3812817 34 th Open knee injury with avulsion fr of left ACL Debridement + ORIF small cancelleous screw O
Tiyaprasertkul
ORIF with broad DCP for femur + ORIF with narrow DCP
6 Closed fracture shaft of right femur + Open fr right tibia
Paradorn Vesurai 3811134 15 th for tibia + repair PCL with small cancellous screw under C O
fibula + Avulsion fr of right PCL
arm
7 Chalat Hengkaideh 3677245 30 th Closed fr distal 3rd of right clavicle ORIF K-wire + TBW A
8 7/5/2017 Likit Sittiphun 3810684 80 th Closed fracture Intertrochanter at left femur CRIF with Cephalomedullary nail (PFNA) at left hip A
9 Lacerated wound with soft tissue compromised s/p failed
Aekasit Sompech 1610200 45 th Debridement + STSG right leg A
STSG at right leg
10 Phakapong Saratha 3674802 29 th Chronic osteomyelitis at left leg Redebridement + remove sequestrum O
11 Pimonchan
7/6/2017 1724387 86 th Closed fracture right intertrochanter femur CRIF with PFNA A
Chomphoovod
12 Puchanat Chamacotte 1242158 52 th Closed fracture left distal femur ORIF distal femoral LCP + Broad LCP (medial side) O

13 Patjapong
3526982 64 th Open fracture distal right tibia fibula ORIF distal fibular LCP + Locking T plate O
Suphachacharn
14 Nuanpong Changaim 3798313 65 th Closed Fractue right distal tibia fibula ORIF broad LCP + iliac bone graft Augment O

15 7/12/2017 Tinnachai Tantaapisit 3810684 80 th Closed fracture left intertrochanter femur CRIF with PFNA O

16 Wiwat Suwannahong 3805926 38 th Union fracture left femur post interlocking nail Removal interlocking nail A

17 Sorrasak Janoensrisan 3811663 53 th Closed comminuted fracture of left proximal humerus ORIF with PHILOS plate A
18 Pukavat Pilasuk 3766621 22 th Union fr of left intertrochanter femur Remove implant O
19 Pongsatorn
7/13/2017 1679217 78 th Closed fr right intertrochanter femur CRIF with DHS A
Thongjaroen
20 Phadej Onlahoong 3778512 32 th Infected wound at left iliac post bone resepien Debridement and exchange to Jackson pad drainage O
21 Surapong
3811664 32 th Closed fr right shaft tibia ORIF PS with Narrow DCP O
Kunarattanapruk
22 Nitcha Kitmanan 3674802 29 th Chronic osteomyelitis at righr leg Debridement + vaccum dressing O
23 Nitivit Nititjarupat 3811663 53 th Closed comminuted fr of left proximal humerus ORIF PS with PHILOS A
24 7/19/2017 Wirat Wasinwong 2752173 37 th HNP L4-5 EDSI first dose O
25 Navamin Prasopnet 3003919 55 th Cervical spondylosis C5-7 with radiculopathy Microscopic assisted to ACDF C5-7 with Atlantis plate O
26 Yanyang
1122295 61 th Spinal canal stenosis L3-S1 EDSI firts dose O
Kuruangkura
27 Aniwat Kornkunhang 3178580 66 th Cervical spondylosis C3-5 with radiculopathy Microscopic assisted to ACDF C5-7 with Atlantis plate O

28 Microscopic assisted to ACDF C5-7 with Atlantis plate

7/21/2017 Thanka Jenjesda 3790001 68 th Adjacent segmental disease C2-3 and C7-T1 O
separate fusion and fixation
29 Terapap
3140533 55 th Spinal canal stenosis L2-S1 Decompresi + Posterior stabilization with instrumentation O
Phonchiangdee
30 Yossakul Muisarn 3216684 75 th Tuberculosis of Lumbar spine L2-3 Percutaneus spinal biopsy under fluoroscopy O
31 Decompresion + Posterior instabilization with
7/26/2017 Jettanon Malayota 30008597 71 th Spinal canal stenosis L4-5 A
instrumentation
32 Decompresion + Posterior instabilization with
Niinart Suksumit 3575693 55 th Spinal canal stenosis L3-S1 O
instrumentation
33 Chanya Decompresi + Posterior stabilisasi + Fusion with
7/28/2017 2372681 61 th Spondylolisthesis L4-5 A
Tosiriphathana instrumentasi
34 Dujduen Sriramatr 2026620 44 th Recurrent disc herniation L4-5 Decompresi + Posterior stabilization + cage O
35 Debridement + remove prosthesis + ABO cement spacer at
8/1/2017 Surapat Supapuninyo 3789899 60 th Prosthetic joint infection at right knee post TKA O
right knee
36 Alongkon
3797258 45 th AVN at left hip Cementless THR O
Pankhomran
37 Thewarug
2943004 72 th OA at left knee joint TKA A
Werawatganon
38 Surachai Kukasensin 3322257 50 th OA at left knee TKA O

39 Natee
8/3/2017 2893117 69 th OA right knee TKA A
Ngamneawprom
40 Pilipda Siriboon 2401972 67 th OA right knee joint TKA A
41 Chaiyapreuk
2485195 68 th OA left hip post THA Revision THA O
Preutikul
42 Dencai Sawadanhon 3812605 70 th OA both knee Bilateral TKA A

43 Nui Passapara
8/8/2017 3799879 68 th OA both knee Bilateral TKA A
Wattanon
44 Apiruk Sangsin 2304768 65 th Mass right patella Excision mass O
45 Sunida Atichat 2953501 73 th OA both knee Bilateral TKA O
46 Wanna Angkasuvan 3807400 65 th OA both knee Bilateral TKA A

47 Yodying
8/10/2017 3707881 56 th Post THA due to OA right hip Revision THA O
Punjasawadwong
48 Prapa Ratanachai 413326 77 th OA left knee UKA O
49 Pete Brodharamik 2289959 70 th Bilateral OA knee TKA A
50 Wimonraj Sriraj 3019287 71 th OA right knee TKA O
51 8/16/2017 Pathomporn Pin-on 3799629 20 th Malunion left 5th MC head Osteoclasis + ORIF K-wire O
52 Aekharin Thungrach 3243691 69 th Carpal Tunnel Syndrome at right wrist joint Release CTS A

53 Prapob Surasakulwat 3811474 33 th Chronic left FPL tendon Repair FPL + tendon graft O
54 Anirut Jusominuck 3811159 36 th Closed fr right multiple MC and phalangeal bone CRIF with K-wire O
55 8/18/2017 Siripon Pitimana-aree 3804887 43 th Adhesion flexor tendon at right index finger Tenolysis O

56 Johna 3813394 13 th Multiple flexor tendon tear at 2nd 5 th finger of right hand Flexor tendon recontruction (2 stage) O
57 Yin Pan 3088092 63 th Closed fr right distal end radius ORIF PS with DVR O
58 Ornaree Chularatano 3809217 31 th BPI left upper arm type Nerves transfer SAN to SSN + Oberlin 2 A
59 Varinee Lekprasert 3125758 29 th Left Cubital tunnel syndrome Ulnar nerve transposition O
60 8/23/2017 Monnat Pongpanich 3620867 28 th Right ulnar wrist pain due to total ruptur TFCC Arthroscopic exam + repair TFCC O

61 Chaibandit
2246913 34 th Union fr 1st MCP of the left hand Remove K-wire A
Peuchponsub
62 Mayreeya Mungsiri 3315932 37 th Left Pronator Teres syndrom + CTS at left wrist joint Release pronator teres + CTS A
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Bandung, ........... 201.. Mengetahui
Kepala Divisi

(Tanda Tangan Peserta PPDS I)

Ketua Program Studi

DR. Hermawan Nagar Rasyid, dr., SpOT(K)., MT(BME).,Ph.D

A : Asisten O: Observer

Keterangan :
NN: Dr. Nucki Nursjamsi Hidajat, dr., SpOT(K)., M.Kes
HN: Dr. Hermawan N Rasyid., dr., SpOT(K), MT(BME)., Ph.D
DM: Dicky Mulyadi., dr., SpOT(K)
YY : Dr. Yoyos Dias Ismiarto, dr., SpOT(K)., M.Kes.,CCD
AR : Dr. Ahmad Ramdan, dr., SpOT(K)., M.KM
FR : Fathurachman, dr., SpOT., M.Kes
WA: Widya Arsa,dr., SpOT., CCD
GU: Ghuna Arioharjo Utoyo, dr., SpOT
MN: Muhamad Naseh Sajadi Budi Irawan, dr., SpOT
HH : Herry Herman, dr., SpOT., Ph.D
AP : R. Andri Primadhi, dr., SpOT(K)
RP : Renaldi Prasetia Hermawan Nagar Rasyid, dr., M.Kes., SpOT
DI : Prof. Dr. Darmadji Ismono, dr., SpB., SpOT(K)
BT : Dr. Bambang Tiksnadi, dr., SpB., SpOT(K)., MM.
FT : Prof. Dr. Fachry A Tandjung., dr., SpB., SpOT(K)., M.Phil(Orth)
RC : Dr. De Is M. Rizal Chaidir, dr., SpOT(K)., M.Kes.(MMR),M.H.Kes
GT : Gibran Tristan Alpharian, dr., SpOT
AK : Abdul Kadir Hadar, dr., SpOT