288627731-PPT-CTEV-1
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Transcript of 288627731-PPT-CTEV-1
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Oleh:
Muhammad Ridwan
CONGENITAL TALIPES
EQUINOVARUS
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CTEV/Club f! adalah def"mi!a# $an% meli&u!i 'e(#i da"i&e"%elan%an (a(i) in*e"#i da"i !un%(ai) addu(#i da"i (a(ide&an) dan "!a#i media da"i !ibia+ Tali&e# be"a#al da"i (a!a!alu# ,an(le- dan &e# ,f!- $an% men$ebab(an &ende"i!an$a
be".alan &ada an(len$a+ Sedan% e0uin*a"u# be"a#al da"i(a!a e0uin ,men%+(uda- dan *a"u# ,ben%(( (ea"ahdalam/medial-+ 1adi da&a! di#im&ul(an 2lub f! !e".adi(elainan be"u&a :
3+ 4"e f! addu2!in ,(a(i de&an men%alami addu(#i dan
#u&ina#i -5+ 6ind f! *a"u# ,!umi! !e"in*e"#i-
7+ E0uinu# an(le ,&e"%elan%an (a(i dalam (eadaan &lan!a"f(e#i -
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In#iden# CTEV 3 da"i #e!ia& 3888 (elahi"anhidu&+
Pada ba$i la(ila(i 9 &e"em&uan ,5:3-
8; be"#ifa! bila!e"al
EPI
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3+ Me(ani( : A(iba! !e(anan me(ani( e(#!e"nal
5+ En*i"nmen!al : Penin%(a!an !e(+ In!"au!e"in) u(u"an danben!u( u!e"u#) li%hid"amnin) ba!
ba!an+
7+ 6e"edi!e"
=+ Idi&a!i( : Te"hamba!n$a &e"(emban%an emb"i
+
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Ti&e e(#!"in#i(/'e(#ibel
Membe"i "e#&n !e"hada& !e"a&i (n#e"*a!if+
?a(i dalam i#i e0uin*e"u# a(an !e!a&i 'e(#ibel+
Tida( !e"da&a! &emende(an .a"in%an luna( $an% be"a! dan
!umi! !am&a( n"mal+
Tam&a( li&a!an (uli! &ada #i#i lua" &e"%elan%an (a(i
Ti&e in!"in#i(/"i%id
?u"an% membe"i "e#&n !e"hada& !e"a&i (n#e"*a!if dan
(ambuh la%i den%an 2e&a!
@e!i# (u"u#) !umi! (e2il dan !in%%i) (a(i lebih (a(u
Tam&a( li&a!an (uli! di #i#i medial (a(i+
?LASI4I?ASI
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1a"in%an luna( O!! %a#!"2nemiu# men%e2il
Tendn A2hile# memende( den%an a"ah medi(audal danmen$ebab(an *a"u# be%i!u &ula !endn halu2i# ln%u# dan
di%i!"um (muni#Tendn !ibiali# an!e"i" dan !e"i" memende() #ehin%%a (a(i
ba%ian de&an ,f"ef!- men.adi adu(#i
Li%amen! an!a"a !alu#) (al(aneu#) na*i2ula"e menebal danmemende(+
4a#ia &lan!a"i# menebal dan memende() $an% den%an (ua!menahan (a(i &ada i#i e0uine# dan membua! na*i2ula" dan2al2aneu# dalam i#i addu(#i dan in*e"#i
PATO4ISIOLOGI
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Tulan%
Pada #aa! lahi") !ulan% !a"#al be"ada dalam i#i'e(#i) addu(#i) dan in*e"#i $an% be"lebihan+ Talu#dalam i#i &lan!a" 'e(#i heba!) 2llumn$amelen%(un% (e medial dan &lan!a") dan (a&u!n$abe"ben!u( ba.i+
Na*i2ula" be"%e#e" .auh (e medial) mende(a!imallelu# mediali#) dan be"a"!i(ula#i den%an
&e"mu(aan medial 2a&u! !alu#+ Cal2aneu# addu(#i danin*e"#i dibawah !alu#+
4"ef! $an% &"na#i) men$ebab(an a"2u# &lan!a"i#men.adi lebih (n(af ,2a*u#-+ Tulan%!ulan%me!a!a"#al !am&a( 'e(#i dan ma(in (e medial ma(inbe"!ambah 'e(#i+
PATO4ISIOLOGI
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Te"liha! n$a!a #e.a( lahi"
Tela&a( (a(i men%hada& (e !e"medial+
@e!i# !e"liha! (u"u#
E0uinu# &ada &e"%elan%an (a(i
Va"u# &ada hindf!/!umi!
Addu(#i dan #u&ina#i &ada f"ef!
?adan% !e"da&a! (elen%(un%an $an% be#a" ,2a*u#- dan !alu#menn.l (elua" &ada &e"mu(aan d"#la!e"al (a(i
Tumi! bia#an$a (e2il dan !in%%i+
GAM@ARAN ?LINIS
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PEMERI?SAAN RA
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GAM@ARAN ROENTGEN
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Tu.uan:
3+ Men2a&ai "edu(#i (n#en!"i( di#lu(a#i a!au #ublu(#a#i #endi
!al2al2anena*i(ula"
5+ Mem&e"!ahan(an "edu(#i
7+ Men%embali(an alignment &e"#endian !a"#al dan
&e"%elan%an (a(i $an% n"mal
=+ Mewu.ud(an (e#eimban%an !! an!a"a e*e"!" dan in*e"!"
dan !! d"#'e(#" dan &lan!a"'e(#"
+ Menda&a!(an (a(i $an% mobileden%an fun%#i dan weight
bearing$an% n"mal+
PENATALA?SANAAN
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Te(ni( "edu(#i den%an mani&ula#i !e"!u!u& ini !e"u!amadila(u(an un!u( !i&e !u"al) dimana def"mi!a# da&a!di("e(#i den%an mani&ula#i &a#if+
Rehabili!a#i medi(:
3+ 4i#i!e"a&i
Mbili#a#i/mani&ula#i &a#if
?"e(#i a(!if
5+ O"!!i( P"#!e!i( S!"a&&in% den%an &e"ban adhe#i*e
TERAPI ?ONSERVATI4
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Indi(a#i : adan$a (m&li(a#i $an% !e".adi #e!elah !e"a&i(n#e"*a!if+
Pada (a#u# "e#i#!en) &alin% bai( dila(u(an &ada u#ia 7>min%%u) (e!i(a !ida( !am&a( adan$a &e"bai(an $an%
#i%niB(an #e!elah men.alani !e"a&i (n#e"*a!if $an% !e"a!u"+?"e(#i .a"in%an luna(
?"e(#i .a"in%an (e"a#
TERAPI OPERATI4
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@ila !e"a&i dimulai #e.a( lahi") def"mi!a# #eba%ian be#a"#elalu da&a! di&e"bai(i+
?eadaan ini !ida( da&a! #embuh #em&u"na dan #e"in%(ambuh) #ehubun%an den%an !i&en$a) !e"u!ama &ada ba$i
$an% di#e"!ai den%an (elum&uhan !! $an% n$a!a a!audi#e"!ai &en$a(i! neu"mu#(ula"+
PROGNOSIS
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Cn%eni!al Tali&e# E0uin*a"u# umumn$a !e".adi &ada ana(ana( $an% meli&u!i 'e(#i &e"%elan%an (a(i)in*e"#i da"i!un%(ai)addu(#i da"i (a(i de&an)dan "!a#i media da"i!ibia+!"ea!men! dimulai #aa! (elainan dida&a!(an dan !e"di"i
da"i 7 !aha&an $ai!u:3+ ?"e(#i da"i def"mi!a#)mem&e"!ahan(an ("e(#i #am&ai
(e#eimban%an !! n"mal !e"2a&ai)
5+ Ob#e"*a#i dan fllw u& un!u( men2e%ah (embalin$adef"mi!a#+
7+
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TERIMA ?ASI6