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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Indonesian Journal of Medicine Journal Orthopaedi and Traumatology Surabaya (JOINTS) Jurnal Manajemen Bisnis dan Kewirausahaan Indonesian Journal of Biomedicine and Clinical Sciences

Sumarwoto, Tito

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Author-ID : 1485781

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

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Articles

Skin Coverage for Acute Fingertip Injuries – A case series of Traumatic Injury at Prof. Dr. R. Soeharso Hospital, Surakarta Sumarwoto, Tito; Hadinoto, Seti Aji; Bayudono, Sigit; Utomo, Pamudji
Indonesian Journal of Medicine Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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.

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 Rian, Rahmad; Hadinoto, Seti Aji; Sumarwoto, Tito; Utomo, Pamudji; Tulandi, M qathar RF Tulandi
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 2 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

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

Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study Sumarwoto, Tito; Hadinoto, Seti Aji; Pradhana, Adhitya Indra
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 10 No. 2 (2021): October 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v10i2.2021.39-45

Background: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the thumb and fingers. The Disabilities of the Arm, Shoulder, and Hand (DASH) score measures functional outcomes in patients with upper extremity injuries. This study aimed to assess the functional outcome and evaluate the DASH score in drop hand patients who underwent Jones tendon transfer surgery at Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta. Methods: Data collected from medical records between January 2014 and June 2016 were evaluated based on functional outcome and DASH score. Eleven patients were included, comprising ten male patients (90.9%) and one female patient (9.1%). The mean age of the patients was 27.4 years. The right arm was the most frequently injured, accounting for eight patients (72.7%), while the left arm was injured in three patients (27.3%). Results: The DASH score evaluation indicated minimal disability in ten patients (90.9%) and moderate disability in one patient (9.1%). The average score was 12.48, indicating that most patients could cope with most daily living activities postoperatively.Conclusions: Surgical intervention for drop hand due to radial nerve palsy using the Jones tendon transfer technique yielded a satisfactory functional outcome based on the DASH score.

Umbilical cord mesenchymal stem cells and their secretome in peripheral nerve regeneration: a narrative review promising therapeutic strategy Sumarwoto, Tito; Hadinoto, Seti Aji; Romaniyanto; Rhatomy, Sholahudin; Utomo, Pamudji; Idulhaq, Mujaddid; Santoso, Asep; Suroto, Heri
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 4 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i4.24055

The injuries of peripheral nerves remain a substantial clinical challenge because of their limited regenerative capacity, the complexity of nerve repair, and limitations of current treatment strategies. Umbilical cord mesenchymal stem cells (UC-MSCs) and their secretome have shown promise as regenerative treatments due to their distinct biological characteristics. This review explores the possibility of UC-MSCs and their secretome in promoting peripheral nerve regeneration, by their action mechanisms, therapeutic applications, and current preclinical - clinical evidence. UC-MSCs have proven to be capable of support Wallerian degeneration, improving axonal growth, reducing inflammation, and improving functional recovery in both animal models and early clinical studies. Their secretome has been shown to promote neuroprotection and functional repair, avoiding the risks of receiving a direct stem cell transplant. Challenges remain in standardizing UC-MSC-based therapies, ensuring long-term safety, and enhancing delivery strategies. Further clinical trials are needed to determine the efficacy, safety, and scalability of UC-MSC therapies for widespread clinical use. UC-MSCs and their secretome provide a unique, cell-free and cell-based strategy to peripheral nerve regeneration. Future advancements in biomaterial integration, gene editing, and personalized medicine will be essential to implementing these treatments in clinical settings.

The Influence of Work Demands and Rewards on Hospital Service Quality through Employee Satisfaction Imron, Ali; Setyawan, Anton Agus; Romaniyanto, Romaniyanto; Sumarwoto, Tito; Guntoro, Amed Gatut; Romadhon, Yusuf Alam
Jurnal Manajemen Bisnis dan Kewirausahaan Vol. 6 No. 1 (2026): MARCH
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jamanika.v6i1.42934

This study investigates how job demands and job rewards influence hospital service quality, and whether employee satisfaction mediates these relationships among staff at Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta. Using an explanatory quantitative design, Likert-scale questionnaires were collected from 235 medical and non-medical employees (n=235) through voluntary response sampling and analyzed with PLS-SEM (SmartPLS) to test a model comprising job demands (X1), job rewards (X2), employee satisfaction (Z), and service quality (Y), operationalized with demand, reward, satisfaction, and SERVQUAL-based service quality indicators. The measurement model met adequacy criteria (AVE>0.50; composite reliability=0.875–0.935; Cronbach’s alpha>0.80) and showed acceptable collinearity (VIF<5). In the structural model, job demands had a negative but non-significant direct effect on service quality (β=-0.025; t=0.415; p>0.05), while job rewards had a positive, significant direct effect (β=0.281; t=3.405; p=0.001). Job demands significantly reduced employee satisfaction (β=-0.198; t=3.455; p=0.001), whereas job rewards strongly increased satisfaction (β=0.759; t=26.836; p<0.001). Employee satisfaction positively predicted service quality (β=0.389; t=4.210; p<0.001) and mediated both exogenous variables’ effects on service quality; effect-size results indicated a large contribution of rewards to satisfaction (f²=1.564). The model explained 63.3% of the variance in employee satisfaction (R²=0.633; Q²=0.439) and 40.5% in service quality (R²=0.405; Q²=0.280). Theoretically, the findings extend job demands–resources logic in a hospital context by evidencing satisfaction as a key mechanism linking work conditions to perceived service quality. Practically, hospital managers should calibrate workloads and institutionalize fair financial and non-financial rewards to sustain satisfaction and improve service delivery. Overall, the study shows that reward strengthening and demand management are strategic levers for consistently high-quality hospital services.

Co-Authors Ali Imron Anton Agus Setyawan Bayudono, Sigit Guntoro, Amed Gatut Hadinoto, Seti Aji Heri Suroto Idulhaq, Mujaddid Pradhana, Adhitya Indra Rhatomy, Sholahudin Rian, Rahmad Romaniyanto Romaniyanto, Romaniyanto Santoso, Asep Surya, Wan Adi Tulandi, M qathar RF Tulandi Utomo, Pamudji Yusuf Alam Romadhon

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