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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Journal of Community Empowerment for Health The Hip and Knee Journal

Sholahuddin Rhatomy

Dr. Soeradji Tirtonegoro Hospital, Universitas Gadjah Mada, Klaten

Author-ID : 1146225

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 12 Documents Claim Missing Document

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Articles

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The influence of hamstring autograft diameter on patient-reported functional scoresfollowing anterior cruciate ligament (ACL) reconstruction Rhatomy, Sholahuddin; Widjaya, Muhammad; Ghazali, Said; Setyawan, Riky; Budhiparama, Nicolaas C.
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 51, No 4 (2019)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Anterior cruciate ligament (ACL) reconstruction using hamstring tendon autograft is a common procedure in orthopedic surgery to treat ACL rupture. Graft diameter is very important in successfulness of ACL reconstruction. The purpose of this study was to evaluate the influence of hamstring autograft diameter on patient-reported functional scores following ACL reconstruction. The diameter of grafts were collected retrospectively from medical records of the patients who underwent primary ACL reconstruction with hamstring autograft in the Soeradji Tirtonegoro General Hospital, Klaten, Central Java. The patient-reported functional scores data according to the International Knee Documentation Committee (IKDC) score and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected by phone call interview from the patients after more than six months post-reconstruction. The comparison between graft diameter and patient-reported functional scores was analyzed by independent t test. A p<0.05 was considered significant.Thirty-two patients who fulfilled the inclusion and exclusion criteria were involved in the study who were divided into two groupswith 16 patients in each group i.e.Group 1 with graft diameter ≤8mm and Group 2 with graft diameter >8mm.The result showed significant difference in KOOS and IKDC score between the both groups (p<0.05). Patients who underwent ACL reconstructionwith graft diameter >8mm (Group 2) had higher KOOS and IKDC score compared to graft diameter ≤8mm (Group 1) (p<0.05). In conclusion, ACL reconstructionwith increased hamstring autograft diameter >8 mm associated with better patient-reported functional scores in 6 monthsfollow-up after ACL reconstruction.

Measurements of Patellofemoral Morphology Characteristics in Indonesian Population: an MRI Based Study Ludwig Andre Pontoh; Ismail Hadisoebroto Dilogo; Achmad Fauzi Kamal; Wahyu Widodo; Sholahuddin Rhatomy; Jessica Fiolin
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 15, No 2 (2021): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v15i2.3043

Patellar malalignment is the imbalance relationship between patella and trochlea, in which clinical findings most of the time are obscured; hence diagnosis is often challenging. Magnetic resonance imaging (MRI) is the most sensitive tool to detect subtle patellar malalignment features, so diagnosis can be made early. However, there has been no clear consensus on the normal value of patella morphology until today. This study aims to determine patellofemoral morphology values in Indonesian using MRI. This was a retrospective study of 202 patients aged 18-40 years old with knee problems without patellar instability. Patellar morphology parameters including Insal Savati ratio (IS ratio), patellar tilt angle (PTA), sulcus angle (SA) and tibial tubercle-trochlear groove distance (TT-TG) were evaluated and recorded for statistical analysis. There was no significant correlation between anthropometric values and patellar morphology values. There were significantly higher PTA, SA and TT-TG values in females compared to males. The mean value of the IS ratio in the Asian population using MRI was 0.99 ± 0.14, PTA was 9.09 ± 6.88, SA was 139.20 ± 6.38, and TT-TG distance was 8.00 ± 5.25. Further studies with larger samples and multi-center results are required.

Impact of COVID-19 on primary care visits: lesson learnt from the early pandemic period Sholahuddin Rhatomy; Thomas Edison Prasetyo
Journal of Community Empowerment for Health Vol 3, No 2 (2020): Special Issue of COVID-19
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.57918

In Indonesia, primary healthcare facilities play important roles in disease control and prevention. Changes in healthcare seeking behavior during the COVID-19 pandemic, especially to primary care, might have impacts to the overall public health status. This comparative epidemiology study aimed to investigate the changes of healthcare seeking behavior in primary care settings during the early pandemic period. Weekly number of visits to a primary healthcare facility in Klaten, Indonesia was examined from the 1st week of 2018 –through the 25th week of 2020. The selected period affected early by COVID-19 in 2020 was defined (early pandemic period) and compared to the same corresponding period in 2019 (comparison period). The total number of patient visits, number of visits by age, gender, clinical decisions, patient status and diagnostic categories were obtained, compared and analyzed. Mean differences and prevalence ratio of a specific diagnostic category between the two periods were calculated. The lowest period was from weeks 14 – 21, 2020, which we identified as the early pandemic period. Comparing the early pandemic period to the comparison period, we found that there was 46.3% decrease of total number of visits. The decline was especially apparent for children aged 0-9 (71%), females (46%), registered patients (49%) and outpatients (48%). Most of diagnostic categories also saw declines. Unfortunately, patients with hypertension also saw notable decline in mean differences and prevalence ratio albeit not desirable. In conclusion, some declines in the number of visits were not desirable including decreasing hypertension visit. This trend might negatively impact public health status afterward. Proper countermeasures are needed to control the ongoing trend. Further studies regarding the impact of COVID-19 on treatment seeking behavior is needed to plan effective countermeasures.

The Inaugural Issue of The Hip & Knee Journal Nicolaas C. Budhiparama; Sholahuddin Rhatomy; Asep Santoso
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

The Prospect Science of Meniscus Preservation Asep Santoso; Krisna Yuarno Pratama; Sholahuddin Rhatomy; Nicolaas C. Budhiparama
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

The meniscus plays a role in stabilizing (secondary) knee joints by load transmission and reducing the contact stresses on knee joint cartilage. Meniscal tear more commonly involves the young patient and may be associated with ligament injuries. Meniscal injury also can be associated with some congenital anomaly. The meniscus injury treatment is challenging and most commonly treated with excision.Excision of the meniscus is associated with poor clinical outcomes, and high chance of early cartilage degeneration. Current meniscus repair techniques are still associated with common re-admission for surgery and poor clinical outcomes. To improve the patient- reported outcomes, the current basic research project should focus on enhancing meniscus healing and replacing meniscus tears.

The Pandemic Hits Us Hard, but We Don’t Lose Hope Krisna Yuarno Phatama; Sholahuddin Rhatomy, MD; Asep Santoso; Nicolaas C. Budhiparama
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

At the end of 2019, we faced a new variant of the coronavirus that can cause pneumonia and acute respiratory distress syndrome-like symptoms. It started in Wuhan, Hubei Province, China, and spread quickly to the whole world.This new virus is called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and can manifest as a disease called coronavirus disease 2019 (COVID-19). On March 13th, 2020 World Health Organization (WHO) declared COVID-19 as a global pandemic, and the story of frightening pandemic begin.

Trends on primary TKA in Government Tertiary-Referral Hospitals 2019 Reza Rahman Ramadhani; Dicky Mulyadi; Armia Indra Nur Alam; Cokorda Gde Oka Dharmayuda; Sholahuddin Rhatomy; Rizki Rahmadian; Muhammad Andry Usman; Chairiandi Siregar; Asep Santoso; Krisna Yuarno Phatama
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: Total knee arthroplasty (TKA) is the most common surgical option for end-stage knee OA with knee deformity and persistent pain. This procedure has already been increased in national insurance era. There are many conditions may affect the outcome of TKA include: the complexity or difficulty of the surgery or specific states of the affected limb. The difficult conditions in primary TKA are extra-articular deformity, severe coronal deformity, stiffness knee, neglected dislocation or patella subluxation, post-osteotomy (HTO or DFO), previous incision surgery. The paper aims to review the conditions which may adversely affect the usually excellent outcome of TKA.Methods: This is a descriptive study. The study describes the difficult or complex situation in primary TKA. The data for this study was obtained from the 9 Government Hospital in Indonesia. The patients receive surgery between January and December 2019.Results: Totally, there were 881 patients receive TKA in 9 government hospitals in Indonesia during 2019. From those, there were 221 difficult TKA cases 31,38%, and 600 were the simple case (68,11%). Severe coronal deformity are 183 cases. TKA with the stiff knee are 52 cases. Cases with wound problems or previous incision are 12 cases. Ekstra articular deformity are 15 cases. TKA post osteotomy are 9 cases. TKA with genu recurvatum are 6 case. TKA with patella dislocation or subluxation is 4 case.Conclusions: Almost one-third of primary TKA are difficult cases that need much more advanced technique and advance implant (more expensive) for more extended durability (avoid failure and costly-revision). National insurance coverage should recognize primary-difficult TKA.

Robot-Assisted in Hip and Knee Surgery: Are we ready? Sholahuddin Rhatomy,MD; Krisna Yuarno Phatama; Asep Santoso; Kukuh Dwiputra Hernugrahanto; Nicolaas Budhiparama
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

The word 'robot' is derived from the Polish word "robota," which means forced labor. It describes a machine that carries out various tasks either automatically or with minimal external input, especially one that is programmable. There are two main types of robotic surgery systems: haptic and autonomous. Haptic or tactile systems allow the surgeon to use or drive the robot to perform a surgical procedure. This technology requires constant input by the surgeon for the procedure to proceed. In contrast, autonomous robotic systems require the surgeon to perform the approach and set up the machine, but once engaged, the robot completes the surgery without the surgeon's help. The use of robotic technology has, in some cases, facilitated minimally invasive surgery, which has gained popularity with some patients. In spinal surgery, robotic technology has been successfully used to increase the accuracy of implant placement. Furthermore, robotic technology can improve the radiological alignment of implants following the pre-operative plan.1,2

Fight against Periprosthetic Joint Infection Phatama, Krisna Yuarno; Santoso, Asep; Rhatomy, Sholahuddin
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Golden Connection Between Stem Cells and Orthopedic Services Rhatomy,MD, Sholahuddin; Santoso, Asep; Phatama, Krisna Yuarno; Budhiparama, Nicolaas C.
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Utilization of stem cells in orthopedics has increased dramatically. Consequently, stem cells were discovered to have many roles. Some researchers have used them for regenerative medicine, while some have discovered them as a natural source of immune modulators. Currently, there are several research teams studying the translational potential of stem cells, while clinicians have begun treating patients with orthopedic problems (1).Over the past fifteen years, orthopedic surgeons have prioritized Mesenchymal Stem Cell (MCSs) treatment. Several animal experiments have had favorable results, and there is rising concern over their use in human trials. In these clinical studies, stem cell operations were intended to promote fracture healing and cure nonunion, regenerate articular cartilage in degenerated joints, repair ligament or tendon injuries, and replace degenerative spinal disks (1,2).In past research, stem cells have been used for bone tissue regeneration. Bone tissue engineering presents an alternative treatment that may produce a micromilieu with osteogenic, osteoinductive, and osteoconductive properties. In recent studies, researchers have devised methods for combining MSCs with three-dimensional biodegradable polymeric scaffolds. In addition, Udehiya et al. found that the use of hydroxyapatite scaffolds in conjunction with Bone Marrow-MSCs (BM-MSC) accelerates and enhances the healing of bone segmental defects in a rabbit model compared to the use of hydroxyapatite scaffolds alone. Muwan Chen and colleagues discovered that human BM-MSC combined with hyaluronic acid and b-Tri calcium phosphate-coated polymeric scaffold stimulated osteogenic differentiation, cellular proliferation, and reorganization of the cellular matrix in vitro (1–3).Since 2010, stem cells have undergone a paradigm shift where previously stem cells can differentiate and heal injured organs. This stem cell misunderstanding has led some practitioners in the United States and around the world to advertise the availability of stem cell treatments, e.g., MSC can heal blindness, make paralyzed people walk, and makes old tissue young again. In further studies, it was found that at the site of disease, MSCs rarely or never differentiated into tissue at that location, but they do secrete bioactive factors such as growth factors and their therapeutic effects can be analyzed as a site-specific clinical outcome parameter (2–4).

Co-Authors Achmad Fauzi Kamal Armia Indra Nur Alam Asep Santoso Asep Santoso Asep Santoso Asep Santoso Cokorda Gde Oka Dharmayuda Dicky Mulyadi Ghazali, Said Ismail Hadisoebroto Dilogo Jessica Fiolin Krisna Yuarno Pratama Kukuh Dwiputra Hernugrahanto Ludwig Andre Pontoh Muhammad Andry Usman Nicolaas C. Budhiparama Phatama, Krisna Yuarno Reza Rahman Ramadhani Rizki Rahmadian Santoso, Asep Setyawan, Riky Siregar, Chairiandi Thomas Edison Prasetyo Wahyu Widodo Widjaya, Muhammad

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