Introduction to Orthopedics

Maksum Pandelima, MD
Soepraoen Army Hospital, Malang
 What is Orthopedics
Nicholas Andry (French, Prof of Physics, Faculty of Medicine, Royal
College )
As to the title, I have formed it of two Greek words, viz. Orthos,
which signifies straight, free from deformity, and Paidion, a child.
Out of these two words I have compounded that of Orthopaedia,
to express in one term the design I propose,
which is to teach the different methods of preventing and
correcting the deformities of children
Nicholas Andry, L'Orthopedie, 1741

Orthopedie = orthos straight

paedeion child
Orthopedic Tree
 Is it really that young ?
9000 BC, Paleolithic Age using of splints
5000 BC, Neolithic Age perform crude
amputation
2000 BC, Egypt concept of crutch
5 BC, Greece : Hippocrates : father of
medicine reposition of dislocation
Moslem scientist 10th century: plastering
 More History
1790, John Hunter father of surgical
research
19th century development
Anaesthesia Long and Morton (USA)
Bacterial basis of disease = Pasteur (France)
Antisepsis = Lister (Scotland)
X rays = Roentgen (Germany)
 Milestone
Middle Age : splint with bandage soaked in horse
blood then dried
Jean Andre Venel 1780 hospital for children
with skeletal deformities
Antonius Mathysen (Dutch, 1851) using plaster of
paris
Traction and splinting in WW I
Gerhard Kuntscher (Germany, 1940) using nail
External Fixation 1970
Ilizarov (Russia) Ilizarov apparatus
 Milestone
1950 : Masaki Watanabe arthroscopy
1960 : Charnley (England) total hip
replacement
1970 : Insall (USA) total knee replacement
1970 : Roy Camille(France) pedicle screw
 Scope of Orthopedics
Art and science of prevention, investigation,
diagnosis, and treatment of disorders and
injuries of the musculoskeletal system by
medical, surgical and physical means
including physiotherapy as well as the study
of musculoskeletal physiology, pathology, and
other related basic sciences.
(Salter, 1999)
 Indonesian Orthopedics
CARE Medico 1968
8 Founding Fathers
 Recent Development
8 center for post graduate
Sub specialties
Hand
Spine
Lower Extremities
Oncology
Sport Injury Management
Pediatric