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Hasil Fungsional Pascaoperasi Pasien dengan Dislokasi Panggul Kongenital pada Kelompok Usia Berjalan Achmad, Iwan Hipsa; Ismiarto, Yoyos Dias
Majalah Kedokteran Bandung Vol 50, No 4 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v50n4.1359

Abstract

Kasus dislokasi panggul kongenital (DDH) masih terjadi setelah usia berjalan karena terlambat atau tidak terdiagnosis. Pilihan pengobatan untuk DDH setelah usia berjalan adalah prosedur bedah telah menjadi tantangan pada bidang ortopaedi. Tujuan penelitian ini adalah menilai hasil klinis dan radiografi pengobatan bedah DDH setelah usia berjalan. Penelitian ini melibatkan 13 pasien (15 panggul) di Rumah Sakit Dr. Hasan Sadikin Bandung tahun 2012–2015 yang telah dilakukan tindakan operatif pada usia 1 sampai 7 tahun dengan tindakan reduksi terbuka, femoral osteotomi, dan osteotomi panggul. Hasil klinis akhir setelah follow up (rerata 22 bulan) memiliki hasil excellent 5 pasien, good 7 pasien, fair 2 pasien, dan poor satu pasien. Secara radiologi hasilnya adalah Kelas I (excellent) 8 pasien, Kelas II (good) 5 pasien, Kelas III (fair) satu pasien, dan kelas IV (poor) satu pasien. Hasil yang memuaskan adalah 10 pasien secara klinis dan 11 pasien (dinilai dari radiologi). Simpulan, hasil fungsional pasien DDH yang dilakukan perawatan setelah operasi di usia berjalan mayoritas memiliki hasil yang baik.Kata kunci: Dislokasi panggul kongenital, hasil fungsional, usia berjalan Post-operative Functional Outcome in Walking-Age Patients with Congenital Hip Dislocation Cases of developmental dysplasia of the hip (DDH) still occur after walking age because of late or missed diagnosis. The treatment of choice for DDH after walking age is surgical procedure, which has been a challenge in the orthopedic field. The aim of this study was to assess the clinical and radiographic results of surgical treatment of DDH after walking age. The study included 13 patients (15 hips) who underwent surgeries at the age of 1 to 7 years with open reduction, femoral osteotomy, and pelvic osteotomy procedures  in Dr. Hasan Sadikin General Hospital Bandung from 2012–2015. The final clinical outcomes at the end of the follow up period (mean = 22 months) was excellent in 5 patients, good in 7 patients, fair in 2 patients, and poor in one patient. The final radiological results presented Class I (excellent) in 8 patients, Class II (good) in 5 patients, Class III (fair) in one patient, and Class IV (poor) in one patient. The number of patients that had satisfactory outcome was 10 patients clinically and 11 patients radiologically. It is concluded that the functional outcome of DDH patients surgery in walking is mostly good. Key words:DDH, functional outcome, walking age 
Clinical Evaluation and Management of Finger Crush Injury Persada, Jean Kharismatik; Achmad, Iwan Hipsa; Aprizal, Riza
Jurnal Impresi Indonesia Vol. 4 No. 10 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i10.7031

Abstract

Hand injuries are among the most common musculoskeletal traumas and may lead to functional impairment, long-term disability, or limb loss if not properly managed. Among these, crush injury is a severe type characterized by damage to bones, soft tissues, and neuromuscular structures, often resulting from occupational accidents. This case report describes the diagnosis, management, and outcome of a 64-year-old male who presented to the Emergency Department of RSUD dr. Slamet Garut with severe pain and an open wound on his left hand after being struck by a concrete block. Data were obtained through anamnesis, physical examination, laboratory tests, radiography, and medical record review, then analyzed descriptively with reference to relevant literature. Ethical approval and informed consent were obtained. Examination showed an open wound, deformity, bleeding, and limited motion in the fourth and fifth digits of the left hand. Radiography revealed fractures of the distal phalanges. Due to extensive tissue damage and signs of ischemia, amputation of the distal phalanx of both digits was performed. The patient had a history of hypertension but no diabetes mellitus or other chronic diseases. He was diagnosed with a crush injury of the distal phalanges of the left hand caused by a work-related accident. Amputation was selected based on local tissue viability and long-term functional prognosis. Prompt diagnosis, appropriate management, and adherence to clinical guidelines are crucial to prevent complications and promote optimal recovery in crush injury cases.