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All Journal e-CliniC Medical Scope Journal (MSJ)
Bagy, Raynald G.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Osteoporosis: Diagnosis and Management Rawung, Rangga; Bagy, Raynald G.
e-CliniC Vol 9, No 2 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i2.32967

Abstract

Abstrak: Osteoporosis merupakan penyakit tulang yang paling sering dijumpai dan memiliki hubungan erat dengan risiko fraktur sehingga merupakan salah satu masalah kesehatan masyarakat yang besar. Penyakit ini lebih sering ditemukan pada perempuan usia lanjut dan dipengaruhi oleh berbagai faktor. Tulisan ini merupakan suatu kajian pustaka dengan tujuan untuk menyampaikan konsep dasar dan pemahaman yang lebih baik yang dibutuhkan dalam pengelolaan penyakit ini. Hasil kajian menunjukkan bahwa pengelolaan penyakit ini membutuhkan strategi tatalaksana yang harus disesuaikan pada setiap pasien, yang meliputi modifikasi gaya hidup, pengelolaan faktor risiko dan terapi farmakologis agar dapat menurunkan morbiditas dan mortalitas serta komplikasi yang ditimbulkan oleh penyakit ini. Dibutuhkan penelitian lanjut untuk memberikan bukti dan memberikan pedoman agar pengelolaan penyakit dapat menjadi lebih baik.Kata kunci: osteoporosis, risiko fraktur, densitas mineral tulang Abstract: Osteoporosis is the most commonly bone disease and is highly associated with an increased risk of future fracture furthermore makes it a major public health problem. The disease is most prevalent in older females with multifactorial etiology. This was a literature review using relevant articles. The aim of this study was to provide basic concept and better understanding which is needed to manage the disease. This review showed that individualized treatment strategy is needed. Lifestyle modification, risk factor management, and pharmacological treatment are required to deal with the condition as well as reduced morbidity and mortality caused by the disease and its complication. Further study of this disease needs to be conducted to provide more evidences and guidelines to achieve better management of the disease.Keywords: osteoporosis, fracture risk, bone mineral density
Evaluation of Clinical Outcomes in Sport Participants Undergoing Anterior Cruciate Ligament Reconstruction Rawung, Rangga B. V.; Lengkong, Andriessanto C.; Lampus, Harsali F.; Bagy, Raynald G.; Sundah, Antony B. M.; Tooy, Christorei D.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59451

Abstract

Anterior cruciate ligament (ACL) injury is one of the most common musculoskeletal injuries. Evaluating the clinical outcomes of the ACL reconstruction (ACLR) procedure is essential to provide information regarding the benefits of this procedure. This study aimed to assess the clinical outcomes of patients who underwent ACLR at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study. Secondary data were collected from all athlete patients who underwent ACLR. The ACLR procedure was performed by a single operator following the standard arthroscopic procedure. All grafts used Hamstring grafts (gracilis and semitendinosus). Suspense fixation was done using a button, while tibial fixation was done with interference fixation (bioabsorbable screw). Patients were evaluated over a short period, specifically at three months, six months, and nine months. Outcome parameters were assessed using the Visual Analog Scale (VAS), Range of Motion (ROM), Lachman test, Anterior Drawer test, and Knee Functional Score (KFS). Any complications that arose were documented. The results showed that among 21 patients at Prof. Dr. R. D. Kandou Hospital Manado, it was found that ACL injuries were more common in physically active men, especially in the age group of 26-30 years. Most patients who underwent ACLR had serious injuries that required immediate treatment. Hamstring graft was the most common choice (85.7%). Knee stiffness was the most common complication and required special attention during the rehabilitation program. Based on KFS, most patients successfully achieved good knee function recovery. There was a decrease in the VAS score reflecting the effectiveness of the procedure in reducing postoperative pain. There was an increase in the KSS reflecting the success of ACLR in restoring knee stability and function to almost normal levels. In conclusion, anterior cruciate ligament reconstruction in sport participants showed significant improvements in knee mobility and pain reduction, with low complications. Keywords: anterior cruciate ligament injury; anterior cruciate ligament reconstruction; graft fixation
Co-Authors Antony B. M. Sundah Harsali F. Lampus Lengkong, Andriessanto C. Rawung, Rangga Rawung, Rangga B. V. Tooy, Christorei D.