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DAFTAR RIWAYAT HIDUP
Nama Tempat/Tanggal Lahir Alamat Pekerjaan Agama Nama Bapak Nama Ibu Status Nama Isteri Nama Anak
: Dr. Satria Pandu Persada Isma, SpOT : Jakarta, 18 Desember 1980 : Jl. Hasanudin No. 1 RT03/ RW01 Malang : Dokter Spesialis Orthopaedi dan Traumatologi : Islam : Zainal Abidin Isma : Peni Kusumastuti : Menikah : Prida Ayudianti : 1. Aryasatya Brahma Persada Isma 2. Larasati Mahadewi Pertiwi Isma
RIWAYAT PENDIDIKAN FORMAL
TK Anak Undan, Samarinda (1985-1986) SD Muhammadiyah, Samarinda (1986-1990) SDI Al-Azhar Kemang, Jakarta (1990-1992) SMPI Al-Azhar Kemang, Jakarta (1992-1995) SMUN 8, Jakarta (1995-1998) Fakultas Kedokteran Universitas Indonesia, Jakarta (1998-2004) Program Pendidikan Dokter Spesialis Orthopaedi & Traumatologi Universitas Indonesia, Jakarta (2005-2010)
RIWAYAT PEKERJAAN General practitioner, Klinik Karima Medika, Jakarta (2004-2005) Emergency physician, RSIA Budhi Jaya, Jakarta (2004-2005) Staf Medis, SMF Orthopaedi & Traumatologi, RSUD Dr Saiful Anwar, Malang (2010 - Sekarang) ORGANISASI IDI ( IkatanDokter Indonesia ) IKABI ( IkatanAhliBedah Indonesia ) PABOI ( Perhimpunan Ahli Bedah Orthopaedi Indonesia)
KURSUS/KEGIATAN ILMIAH YANG PERNAH DIIKUTI
The Fifth International Congress of Chinese Orthopaedic Association ( Chengdu China , 2010) 17th National Congress of Indonesian Orthopaedic and Traumatologi Association (Jakarta , 2010 ) Symposium & 9th Grand Round Musculoskeletal Tumor(Medan, 2011) 3RD Posna – Asean Pediatric Orthopaedic Course (Jakarta, 2011) The Working Conference of Indonesian Orthopaedic and Traumatology Association (Manado, 2011) Comprehensive Total Knee Arthroplasty Cadaveric Course (Pakistan, 2012) Orthopaedic Pain Management Workshop (Surabaya, 2012) Penerapan Patient Safety Menuju World Class Hospital (Malang, 2012) 9th Asia Pasific Musculoskeletal Tumour Society Meeting 2012 (Malaysia, 2012) Attended the 14th Congress og the European Federation of National Associations of Orthopaedics and Traumatology (Istanbul Turkey, 2013) Attended the 2nd Congress of Indonesian Musculoskeletal Tumor Society (Jakarta, 2013) AAOS – IOA Education Program (Yogyakarta, 2013)
OPERASI YANG PERNAH DILAKUKAN No
Nama Pasien
Sex
Usia
No RM
Diagnosis
Jenis Operasi
Lipofibroma Cruris D CF patologis subtrochanter femur D dt Eosinophilic granuloma Eosinophilic granuloma Osteosarcoma
Excisional biopsy Debridement + guttering + external fixasi
1. 2.
Elfira Adinda Putri Restanti
P P
10 Th 18 Th
10949035 10772823
3.
Putri Ristanti
P
18 Th
10772823
4.
Ali Masduki
L
32 Th
10982927
Curretage + Locking plate Amputasi Transfemoral
Tanggal Operasi 27/04/2011 14/07/2011
14/07/2011 20/07/2011
5.
Narimo
L
58 Th
10129057
GCT of the bone distal radius D
6.
Zubaidi Abidin
L
39 Th
10991748
7.
Lailatul
P
31 Th
1132217
Osteomyelitis kronis + Squamous cell Ca pedis Fibrosarcoma
8.
Sukarnadi
L
42 Th
10762277
9.
Gatot
L
38 Th
19413
10
Suyatri
P
46 Th
11014258
11
Siti Ngaisah
P
50 Th
10992401
12
Saturi
L
58 Th
10992407
13
Siti Fatimah
P
44 Th
11020653
14
Joko S
L
19 Th
11020889
15
Juarto
L
33 Th
11025320
16
Nurhabib
L
33 Th
11046054
17
Efran Effendi
L
54 Th
11002642
18
Lilik Suhariyati
P
44 Th
11044994
19
P
12 Th
20
Diana Fitria Nur Alisha Saroni
L
23 Th
11016188
21
Atriana
P
30 Th
11069337
22
Yulianto
L
23 Th
11058082
23
Erik Michael
L
7 Th
11089390
GCT tendon sheath genu S Secondari Malignancy in GCT proximal tibia Well diffentiated Liposarcoma Malignant GCT distal Femur D Osteomyelitis kronis+Squamous cell Ca Tibia Chondrosarcoma Femur S Osteosarcoma Proximal Tibia S GCT Proksimal Tibia S Osteochondroma phalanx proximal digiti III pedis D CF Patologis Femur S dt MBD Pleimorfik liposarcoma high grade genu S Multiple hereditary exostoses Osteosarcoma proximal tibia D GCT Distal Radius D
Osteosarcoma proximal tibia S Multiple hereditary exostoses
Resection arthrodesis (auto fibular graft) Amputasi transtibial
01/08/2011
Amputasi transtibial Excision
30/12/2011
Amputasi transfemoral
17/01/2012
Wide Excision
18/01/2012
Amputasi Transfemoral Amputasi Transfemoral
25/01/2012
Disartikulasi hip
28/03/2012
Amputasi Transfemoral S Resection Arthrodesis (allograft) Excision
02/05/2012
Reseksi tumor + P-S Wide Excision
05/06/2012
Excision
19/09/2012
Amputasi transfemoral D Resection arthrodesis (auto fibular graft) Amputasi transfemoral S Excision
09/11/2012
19/12/2011
14/01/2012
25/01/2012
22/05/2012
28/05/2012
27/06/2012
14/11/2012
04/01/2013 30/01/2013
24
Ngadi
L
42 Th
11082112
25
Afat Lailiyah
P
32 Th
10352882
26
Muqtadam
L
8 Th
11077076
27
Pudji Astutik
P
64 Th
11092981
28
Tabit Anggodo
L
70 Th
10318057
29
Mahmud
L
23 Th
11040826
30
Sugeng
L
48 Th
11097302
31
Badeli
L
73 Th
11099658
32 33
Elfira Adinda Sakroni
P L
10 Th 70 Th
10949035 1107631
34
Kurnia Indriyani P
18 Th
1110554
35
Chusnul Chotimah
P
53 Th
10956449
36 37
Farouk Badriyah
L P
65 Th 46 Th
11105485 10442130
38
Kuswarto
L
33 Th
11117628
39
Tugini
P
30 Th
11125776
Osteomyelitis kronis + Squamous cell Ca pedis Chondrosarcoma hip D Malignant Peripheral Nerve sheath tumor Femur D Neurofibroma plantar pedis D Melanoma Maligna of Left great toe Chondroblastic osteosarcoma distal femur D Patological fracture of R neck femur dt osteosarcoma synovial chondromatosis genu S Lipofibroma Cruris D Tuberculosis of tendon sheath wrist S Osteochondroma iliac wing S CF patologis femur D 1/3 tengah ec MBD ec Ca mammae MBD femur S Malignant mixoid liposarcoma femur S Osteochondroma Scapula S CF Patologis Femur S 1/3 Tengah ec MBD ec Ca Mammae
Amputasi transtibial D
01/02/2013
Open biopsi
07/02/2013
Open biopsi
08/02/2013
Excisi
15/02/2013
amputasi proximal phalanx left great toe Amputasi transfemoral D
19/02/2013
Excision + bipolar hemiartroplasti
21/03/2013
Excision
15/04/2013
Excisional biopsi Excision
26/06/2013 04/07/2013
Excision
10/07/2013
Reseksi tumor + intramedullary nail + bone cement Incisional biopsi Incisional biopsi
16/07/2013
Excision
15/08/2013
Reseksi tumor+ Intramedullary nail + Bone cement
30/08/2013
20/03/2013
26/07/2013 31/07/2013
