Articles
<![CDATA[SURGICAL TREATMENT OUTCOME OF AMNIOTIC BAND SYNDROME (ABS) INVOLVING THE FINGER AND LEG WITH INFECTION OF A FOUR-MONTHS MALE CHILD: A CASE REPORT ]]>
<![CDATA[Kumara, Hendra Cahya]]>;
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Islami, Umar Kharisma]]>;
<![CDATA[Pradhana, Adhitya Indra]]>
<![CDATA[ Biomedika Vol 12, No 2 (2020): Biomedika Agustus 2020 ]]>
Publisher : <![CDATA[Universitas Muhamadiyah Surakarta ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.23917/biomedika.v12i2.10562
<![CDATA[ABSTRACTAmniotic band syndrome is an uncommon congenital disorder without any genetic or hereditary predisposition factor. It involves fetal entrapment in strands of amniotic tissue and causes an array of deletions and deformations. The aim of this article was to report surgical treatment outcome of amniotic band syndrome finger and infected intrauterine leg amputation. A case of four months male child with complaint of incomplete formation and constricting band on his left leg was reported. On the stump of left leg initially there was a small lump. Over time the size of the stump grew bigger and infected wound appeared. Other deformities were constricting band on proximal phalanx of the middle finger of left hand, acrosyndactyly of first and second toe of right foot and congenital scrotalis hernia. We performed a release surgery of constriction ring band of proximal phalanx of the middle finger of left hand with z-plasty incision and below knee amputation for left leg. We followed up patient in one year after operation. The patient complained no pain and no sign of infection. Patient could walk normally and independently with good activity daily living. We concluded that procedure with z-plasty incision had good result and avoided morbidity. Below knee amputation procedure and application of suitable prosthesis provided satisfying outcome on patient activity daily living and ambulation. Key words: Amniotic band syndrome, intrauterine amputation, z-plasty, infectioABSTRAKSindrom amniotic band merupakan kelainan bawaan yang jarang terjadi dan tanpa adanya kecenderungan faktor genetik atau keturunan. Kelainan ini diakibatkan terlilitnya janin dalam untaian jaringan amnion dan menyebabkan berbagai jenis kehilangan dan kecacatan. Tujuan dari artikel ini adalah melaporkan luaran tatalaksana operasi sindrom amniotic band pada jari tangan dan amputasi pada tungkai yang terinfeksi intrauterine. Pasien adalah seorang anak laki-laki empat bulan dengan amputasi tungkai bawah kiri disertai constriction band pada bagian proksimal. Pada ujung tungkai bawah kiri didapatkan benjolan dengan ukuran minimal yang makin lama ukuran sisi distal menjadi lebih besar dan tampak luka dengan nanah. Kelainan bentuk lainnya adalah constricting band pada phalanx proksimal jari tengah tangan kiri, acrosyndactyly jari kaki pertama dan kedua kaki kanan serta congenital hernia skrotalis. Kami melakukan operasi release constriction ring band phalanx proximal jari tengah tangan kiri dengan irisan z-plasty dan below knee amputation tungkai kiri. Follow up pasien setelah operasi satu tahun. Tidak ada keluhan nyeri, tidak ada tanda infeksi, pasien dapat berjalan normal dan aktivitas sehari-hari dengan mandiri. Kesimpulan bahwa prosedur dengan irisan z-plasty memberikan hasil yang baik dan menghidari morbiditas pasien. Prosedur below knee amputation dan penggunaan prosthesis yang tepat memberikan hasil yang memuaskan pada aktivitas sehari-hari dan ambulasi pasien. Kata kunci: Sindrome amniotic band, amputasi intrauterine, z-plasty, infeksi ]]>
<![CDATA[Skin Coverage for Acute Fingertip Injuries – A case series of Traumatic Injury at Prof. Dr. R. Soeharso Hospital, Surakarta ]]>
<![CDATA[Sumarwoto, Tito]]>;
<![CDATA[Hadinoto, Seti Aji]]>;
<![CDATA[Bayudono, Sigit]]>;
<![CDATA[Utomo, Pamudji]]>
<![CDATA[ Indonesian Journal of Medicine Vol. 5 No. 4 (2020) ]]>
Publisher : <![CDATA[Masters Program in Public Health, Universitas Sebelas Maret, Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (30.845 KB)
<![CDATA[Background: Traumatic fingertip injuries are the most common injuries of the hand. Several million estimated visits to primary care providers and the emergency department occur each year. But the handling is often not done properly and comprehensively. Reconstruction of the fingertip must be done as soon as possible in the acute stage, resulting in better outcomes in the future. Aim of the surgery was to restore as much finger length, preserve sensation fingertip properties and achieve normal nail growth, and cosmetics appearance as well.Case presentation: Three cases of emergency patients with fingertip injury treated at the hospital in the acute setting. All of these patients experienced work injuries and were immediately taken to the emergency department.Results: The debridement and skin coverage reconstruction were carried out. Functional and aesthetic outcome were a postoperative assessment.Conclusion: The right choice of treatment and good wound care will produce a better outcome.Keywords: traumatic injury, fingertip injury, skin coverageCorrespondence: Tito Sumarwoto. Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java.Indonesian Journal of Medicine (2020), 05(04): 331-336https://doi.org/10.26911/theijmed.2020.05.04.08. ]]>
<![CDATA[Clinical Improvement after Surgical Debridement and Synovectomy on 4 Year Old Girl with Chronic Septic Arthritis of the Hip ]]>
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Adriansyah, Denny]]>
<![CDATA[ Indonesian Journal of Medicine Vol. 5 No. 3 (2020) ]]>
Publisher : <![CDATA[Masters Program in Public Health, Universitas Sebelas Maret, Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (30.233 KB)
<![CDATA[Background: Incidence of septic arthritis in children less than 5 years old about 5 from 100,000 cases every year and adult above 64 years old about 8.4 cases every 100,000 people every year. The diagnosis of the chronic septic arthritis, especially in hip joint is still challenging, even for skilled doctor in musculoskeletal. Delayed diagnosis and inadequate treatment can lead to permanent joint damage and impairment.Case presentation: In this case we discuss about clinical improvement of chronic septic arthritis in a 4 year old girl with hip pain that had been felt since 2 months before admission. Physical examination, laboratory examination, and ultrasonography examination was done and the diagnosis had been made.Results: A surgical debridement and synovectomy was done with addition antibiotic therapy. The patient not only felt the pain was relieved but also can return into good function of hip joint.Conclusion: Diagnosis with proper early treatment is expected to reduce permanent joint loss and improve the clinical outcome for the patient.Keywords: septic arthritis, hip, synovectomy, surgical debridementCorrespondence: Pamudji Utomo. Prof DR R Soeharso Orthopaedic Hospital, Pabelan, Kartasura, Surakarta, Central Java. Email: scapoid@yahoo.com.Indonesian Journal of Medicine (2020), 05(03): 253-258https://doi.org/10.26911/theijmed.2020.05.03.11]]>
<![CDATA[High Energy Injury Ankle Fracture-Dislocation without Neurovascular Involvement ]]>
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Arimuqti, Zarkasyi]]>;
<![CDATA[Santoso, Asep]]>;
<![CDATA[Sibarani, Tangkas SMHS]]>;
<![CDATA[Anwar, Iwan Budiwan]]>
<![CDATA[ Indonesian Journal of Medicine Vol. 5 No. 3 (2020) ]]>
Publisher : <![CDATA[Masters Program in Public Health, Universitas Sebelas Maret, Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (30.878 KB)
<![CDATA[Background: Open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular damage are rarely reported.Case presentation: This study present a case of 55-year-old female with open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular injury treated with emergent debridement, open reduction, and internal fixation.Results: Six months follow-up showed complete bone and soft tissue healing with excellent functional outcome.Conclusion: Emergent debridement, open reduction, and internal fixation is needed to treat tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture.Keywords: high energy injury, ankle joint, fracture dislocationCorrespondence: Asep Santoso. Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: asepsantoso@gmail.com.Indonesian Journal of Medicine (2020), 05(03): 259-264https://doi.org/10.26911/theijmed.2020.05.03.12]]>
<![CDATA[The CERVICOTHORACIC SPINAL TUBERCULOSIS TREATED WITH A COMBINED SINGLE STAGE SURGERY: Spinal Tuberculosis ]]>
<![CDATA[Ermawan, Rieva]]>;
<![CDATA[jiwandono, bayu sakti jiwandono]]>;
<![CDATA[Utomo, Pamudji]]>
<![CDATA[ JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 8 No. 2 (2020): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (234.877 KB)
|
DOI: 10.22437/jmj.v8i2.10365
<![CDATA[Introduction Tuberculosis of the cervical spine is rare, comprising only 3-5% of cases of tuberculosis of the spine. TB spine is the most common form of skeletal TB. It is the most dangerous manifestation of TB due to the involvement of the spinal cord and the resultant neurologic impairment. Objective The objective of this paper is to present our experience with a rare case of cervical spine spondylitis. This case stresses the usefulness of a single-stage anterior and posterior approach with posterior instrumentation. Method We present a case report based on our internal documents. We report a case of spondylitis tuberculosis of the C6-C7 cervical spine associated with retropharyngeal abscess in a 15-year-old Indonesian female. Neck pain and weakness of both upper and lower extremities were the main features. There was a history of weight loss, fever, and excessive night sweats. No antecedent history of trauma to the head and neck region. Results We did a single-stage anterior and posterior approach with posterior instrumentation. Anterior approach was done to evacuate and debridement of the retropharyngeal abscess. The posterior approach was done for posterior instrumentation with pedicle screw and dual rod. We did posterior stabilization on Cervical 5-6 and Thoracal 3-4. One week after surgery we found remarkable improvement of the pain and extremities functions. Conclusion In the surgical treatment of cervicothoracic spinal tuberculosis, a single-stage cervical combined anterior-posterior approach with posterior instrumentation is capable of complete debridement for tuberculosis lesions. Operative management in our patient resulted in remarkable improvement. Keywords: Cervicothoracic spondylitis, tuberculosis, retropharyngeal abscess]]>
<![CDATA[EFEKTIVITAS KEPEKATAN LARUTAN SODIUM HYPOCHLORITE TERHADAP BIAKAN KUMAN STAPHYLOCOCCUS AUREUS ]]>
<![CDATA[Effendi, Fajar Ivan]]>;
<![CDATA[Ernawan, Rieva]]>;
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Mariyanto, Ismail]]>;
<![CDATA[Santoso, Asep]]>
<![CDATA[ JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 2 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (86.242 KB)
|
DOI: 10.22437/jmj.v9i1.10442
<![CDATA[Abstract Musculoskeletal infections have complex complications, making them a challenge. Most countries have experienced Staphylococcus aureus resistance to methicillin by 25% and some even over 50%. Dakin solution (0.050% to 0.025%) can be used as irrigation, cleansing, and used on moist gauze for the management or prevention of skin or tissue infections. This study aims to determine the lowest concentration level of Dakin solution / sodium hypochlorite which is the safest and most effective in the culture of Staphilococcus aureus. This research is an analytical experimental research, with the concept of comparing the Staphylococcus aureus ATCC 25923 germ cultures which are treated in the form of giving dakin solution / sodium hypochlorite 0.050%, 0.025%, 0.0125% and control using 0.9% NaCl. Observation of the effectiveness is done by measuring the formed inhibition zone. The concentration of 0.025% gives a fairly good disinfectant effect with moderate inhibition power, the concentration of 0.050% gives a good disinfectant effect with a strong inhibitory power while the concentration of 0.0125% does not have a disinfectant effect, this is the same as the 0.9% NaCl control solution. The zone of inhibition in the staphylococcus aureus bacteria culture ATCC 25923 at concentrations of 0.025% and 0.050% still gave a stable effect until evaluation within 2x24 hours (48 hours). Keywords : Dakin solution, Sodium hypoclorite, resistor zone, Staphylococcus aureus.]]>
<![CDATA[Osteokondroma Raksasa Pada Rami Pubis: Laporan Kasus ]]>
<![CDATA[Idulhaq, Mujaddid]]>;
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Jiwandono, Bayu Sakti]]>;
<![CDATA[Tulandi, M qathar RF Tulandi]]>
<![CDATA[ JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 8 No. 2 (2020): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (297.109 KB)
|
DOI: 10.22437/jmj.v8i2.10451
<![CDATA[ABSTRAK Pendahuluan Osteokondroma adalah tumor tulang jinak yang paling umum. Osteokondroma merupakan malformasi perkembangan daripada neoplasma sejati.Osteokondroma biasanya mempengaruhi tulang yang berkembang oleh osifikasi endokondral dan jarang berasal dari tulang yang berkembang secara osifikasi intramembran seperti tulang rami pubis, skapula, klavikula, dan tulang rusuk. Objektif Makalah ini dimaksudkan untuk menyajikan kasus osteokondroma pubis yang jarang terjadi dan mengevaluasi hasil setelah eksisi luas. Kasus Seorang pria 34 tahun dengan benjolan di daerah selangkangan kanan mengeluh selama 10 tahun. Di RSO Prof Soeharso, pasien menjalani eksisi lebar ramus pubis kanan, di mana banyak struktur berbahaya yang harus dihindari. Kami mendapatkan seluruh jaringan tumor dengan diameter 12 sentimeter. Menurut Konferensi Klinikopatologi tumor disimpulkan sebagai osteokondroma. Lokasi tumor dan presentasi klinis jarang terjadi. Tumor ini tidak memiliki keterlibatan viseral atau vaskular meskipun lesi tersebut sangat dekat dengan banyak struktur vital pada ramus pubis superior. Hasil Setelah 1 tahun evaluasi, kondisi klinis pasien baik. Pasien tidak merasakan keluhan apapun, tidak ada tanda-tanda kambuh, dan tidak ada komplikasi pada luka operasi. Kesimpulan Kami telah melakukan eksisi ekstensif tumor di ramus pubis pria berusia 34 tahun. Hasil pemeriksaan histopatologi sesuai dengan gambaran osteokondroma. Osteokondroma yang muncul dari panggul adalah presentasi yang tidak biasa yang harus diingat sebagai diagnosis banding saat mengevaluasi pasien dengan massa di panggul.]]>
<![CDATA[PRINCIPLE OF REHABILITATION & COMPLICATION PREVENTION AFTER MUSCULOSKELETAL TRAUMA ]]>
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Akbar, Hillan]]>
<![CDATA[ JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 2 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (389.657 KB)
|
DOI: 10.22437/jmj.v9i1.12325
<![CDATA[Rehabilitation plays a major role to maximize outcome and prevent complications following musculoskeletal trauma and its interventions. It is reported in several studies that mortality risk in patients not receiving rehabilitation was higher compared with patients who received one. The key principles include adequate pain management, anti-infection measures, early ambulation and physical therapy, establishing proper milestones and goals, well-communicated multi-disciplinary approach, and the establishment of standardized and personalized treatment protocol. Early mobilization is supported, as long as wound healing has been taken into consideration. Holistic approach to ensure both physical and psychosocial well-being is recommended, along with special care for geriatric and paediatric populations. Furthermore, alternative medicines such as acupuncture and meditation are currently gaining popularity and subsequently advocated as adjunct therapies.]]>
<![CDATA[RADIOSCAPHOLUNATE (RSL) FUSION ON SECONDARY OA WRIST WITH NEGLECTED DISLOCATION RADIOCARPAL JOINT AND CONTRACTURE DUE TO ENTRAPMENT OF SUPERFICIAL FLEXOR TENDON INDEX FINGER OF LEFT HAND ]]>
<![CDATA[Rian, Rahmad]]>;
<![CDATA[Hadinoto, Seti Aji]]>;
<![CDATA[Sumarwoto, Tito]]>;
<![CDATA[Utomo, Pamudji]]>;
<![CDATA[Tulandi, M qathar RF Tulandi]]>
<![CDATA[ JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 2 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (184.484 KB)
|
DOI: 10.22437/jmj.v9i1.12474
<![CDATA[ABSTRACT Background: When pain, deformity and instability compromise wrist function, wrist stabilization by means of fusion is a procedure of recognized validity. The goal of wrist arthrodesis is to provide the patient with a stable wrist for power grip and the predictable relief of pain while sacrificing wrist motion. The radioscapholunate (RSL) fusion is one of salvage procedure indicated in the case of traumatic or degenerative osteoarthritis of the radiocarpal joint, involving the lunate facet of the radius. RSL-fusion reduced total wrist motion (3 MC/Rad) in the F/E axis to an average of 49% of F/E in the unfused wrist but preserves midcarpal joint motion while alleviating pain. Case Report: We report a 43-year-old male patient with pain on his left wrist. 10 months before admission, he felt down from stairs with his left hand bear his body weight. He broke his wrist and got surgery at that time. Because still feel pain and his index finger can’t fully extensed, he brought to Soeharso orthopaedic hospital. Here, we have done RSL-fusion using cross pinning K-Wire to reduce pain, distal scapoid excision to optimizing radial angulation and release superficial flexor tendon index finger of left hand. Discussion: With Secondary OA of left wrist post traumatic with neglected radiocarpal dislocation and superficial flexor tendon contracture due to entrapment index finger of left hand post RSL-fusion, distal scapoid excision and release contracture can reduce pain at radiocarpal joint and improve range of movement. Conclusion: The goal of Radioscapholunate (RSL) fusion is to optimizing wrist motion and strength while minimizing or eliminating pain Keywords: Radioscapholunate fusion, partial wrist arthrodesis, limited wrist fusion, reduce pain]]>
<![CDATA[Distal Femur Morphological Discrepancy Compared with Total Knee Arthroplasty Implants in Indonesia ]]>
<![CDATA[Sentana, Okkie Mharga]]>;
<![CDATA[Utomo, Pamudji]]>
<![CDATA[ The Hip and Knee Journal Vol 4, No 2 (2023): August ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.46355/hipknee.v4i2.153
<![CDATA[The prosthesis of knee joint in total knee arthroplasty (TKA) can give better fixation and stabilization if it’s chosen properly. Most of prosthesis have been designed to be compatible with western population, not for Asian population. Whether the implant size need to be adjusted with ethnics and gender still being a controversy. Aim to define whether the morphology of Distal Femur, among men and women in Indonesia have discrepancy and to assess compatibility of the prosthesis size in Indonesia. This study was a descriptive cross-sectional study that conducted at Prof. Dr. R Soeharso’s Orthopaedic Hospital – Surakarta, Indonesia, using purposive quota sampling methods. The inclusion criteria MRI knee joint of men and women (age ≥ 18 years old) which have soft tissue injury of knee joint. The morphological measurement of Distal Femur with the use of certain Software. Then, the data were analyzed with SPSS ver.17 using independent T-Test. The results among 130 patients, we found that Women’s fML were narrower than men. While the ratio aspect of femur implants compared to gender, showed that it was not compatible for men, but more compatible for women. The conclusion there is discrepancy of morphological size of Distal Femur among men and women in Indonesia. It causes incompatibility of using TKA implant in men patients in Indonesia, which more suitable for women size. ]]>
