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IDENTITY

• Name : Suyanto
• Sex : Male
• Age : 51 y.o
• Occupation : farmer
• Medical Record : 314855
• Ward : PK
Anamnesis
• Chief Complaint : flail of right arm and implant exposed
• History of illness :
• 24 years ago the patient had an motorcycle accident.
• His right arm was broken.
• He had undergone 5 operations at the same site
because of implant failure
• Now he complained about swelling and exposed
implant at his right arm
Physical examination
Right arm region:
L: surgery scar on the anterior arm, fistule (-), swelling (+), implant
exposed (+)
F: No NVD, tenderness (+), false of movement (+)
M: false of movement (+), Passive elbow ROM full
Pre Operative Clinical
Picture
Pre operative X ray
Assessment
Infected Non-union fracture of right shaft humerus with
metal failure
Plan
• ROI
• ORIF reconstruction
Intra Operative
HEAD
HEAD
Distal fragment

ARM
Proximal fragment

ARM
Post Operative X Ray

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