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Meregawa, Putu Feryawan
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Health Professions Medicine & Pharmacology

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Hubungan Antara Waktu Tunggu Operasi pada Fraktur Collum Femur dengan Funsgional Outcome pada Pasien Berusia di atas 65 Tahun di RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar pada Tahun 2021 Tandiono, Marco; Aryana, I Gusti Ngurah Wien; Meregawa, Putu Feryawan; Maharjana, Made Agus
E-Jurnal Medika Udayana Vol 13 No 4 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i04.P13

Abstract

Fractures are common occurrence, especially in the elderly. One type of fracture with the most cases is neck fracture of the femur. The presence of a fracture can sometimes interfere with the body's functional activities, both before and after surgery. Different treatment times will result in varying outcomes, as in mortality and postoperative body function. This study aims to determine the relationship between waiting time for collum femur fracture surgery with functional outcome in patients who aged over 65 years. This study was an observational study with a retrospective analytic cross-sectional approach. The sampling technique used is total sampling, which by taking all available samples. Members of the research sample will be interviewed about their body's functional abilities using the Modified Harris Hip Score scoring system. The obtained interview results will be calculated and categorized. Furthermore, the data will be tested by Chi-Square Test to determine its significance. Interviews were conducted on 19 willing families. A total of 12 people underwent surgery with waiting time 5 days post-trauma, and 7 people underwent surgery with waiting time >5 days post-trauma. The results of the interviews showed that as many as 7 people died after surgery after 1 year. Meanwhile, the scoring results show that the most functional outcomes are in the bad category. The results of the Chi-Square Test showed that there was no significant difference in waiting time for surgery on post surgery outcome (p<0.05). Waiting time for surgery on collum femur fractures shows no significance on functional outcome in patients over 65 years of age.
Karakteristik Fraktur Suprakondiler Humerus Pada Anak-Anak di RSUP Sanglah Denpasar Periode 2017-2020 Nanda, Km Junita Sari; Dewi, Kadek Ayu Candra; Meregawa, Putu Feryawan; Aryana, I Gusti Ngurah Wien
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i02.P07

Abstract

Fraktur suprakondiler humerus merupakan fraktur ekstermitas atas yang umum terjadi pada anak-anak di seluruh dunia. Kasus fraktur suprakondiler humerus di Indonesia terutama di Bali cukup sering ditemukan namun data penelitian mengenai karakteristik fraktur ini masih terbatas. Berdasarkan hal tersebut penelitian ini dilakukan dengan tujuan untuk mengetahui karakteristik fraktur suprakondiler humerus pada anak-anak di RSUP Sanglah Denpasar. Penelitian menggunakan metode deskriptif dengan rancangan cross sectional. Sampel diambil melalui data rekam medis pasien di RSUP Sanglah Denpasar dari Agustus 2017 - Desember 2020. Dilakukan analisis data menggunakan software SPSS versi 26 untuk mendapatkan karakteristik fraktur suprakondiler humerus berdasarkan usia, jenis kelamin, klasifikasi, tatalaksana, waktu penanganan dan komplikasi. Hasil penelitian menunjukan bahwa distribusi pasien yang sering datang yaitu pada kelompok anak-anak usia 5-9 tahun (56.9%) dengan berjenis kelamin laki-laki (73.8%). Klasifikasi yang banyak ditemukan pada penelitian ini yaitu fraktur Gartland tipe 3 (56.9%) dan diikuti oleh fraktur Gartland tipe 2 (29.2%). Sebagian besar pasien datang dan mendapatkan penanganan kurang dari 3 minggu setelah terjadinya fraktur (76.9%). Tatalaksana yang sering dilakukan yaitu secara operatif (90.8%). Terdapat beberapa komplikasi yang dapat terjadi seperti malunion (18.5%), sindrom kompartemen (1.5%) dan cedera saraf (1.5%). Fraktur Gartland tipe 3 sebagian besar terjadi pada anak dengan usia 5-9 tahun dikarenakan pada usia tersebut tulang anak masih dalam proses pematangan. Kebanyakan fraktur ini terjadi pada anak laki-laki dikarenakan aktivitas fisik yang lebih tinggi. Dengan dilakukan penalataksanaan yang baik maka dapat mengurangi risiko komplikasi.
HUBUNGAN USIA, JENIS KELAMIN, DAN PEKERJAAN TERHADAP DERAJAT KEPARAHAN PENDERITA OSTEOARTRITIS LUTUT BERDASARKAN KELLGREN-LAWRENCE DI RSUP SANGLAH DENPASAR Dhaifullah, M Rifqi; Meregawa, Putu Feryawan; Aryana, I Gusti Ngurah Wien; Subawa, I Wayan
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P18

Abstract

Latar Belakang: Osteoartritis (OA) lutut merupakan penyakit pada sendi lutut yang paling umum terjadi. OA lutut umumnya terjadi pada lanjut usia, wanita, dan seseorang dengan pekerjaan berat yang derajat keparahannya dapat dinilai berdasarkan klasifikasi Kellgren-Lawrence. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara usia, jenis kelamin, dan pekerjaan terhadap derajat keparahan OA lutut berdasarkan kriteria Kellgren-Lawrence di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. Metode: Penelitian ini menggunakan metode potong-lintang analitik. Data penelitian merupakan data sekunder pasien OA lutut yang terdaftar dalam rekam medis RSUP Sanglah kota Denpasar periode Januari 2019 – Desember 2020 dan sudah menjalani pemeriksaan radiografi. Pengambilan data dilakukan dengan teknik consecutive sampling dan didapatkan 52 data yang memenuhi kriteria penelitian. Analisa data dilakukan dengan menggunakan SPSS versi 23. Hasil: Ditemukan hubungan positif yang cukup antara pekerjaan dengan derajat Kellgren-Lawrence (p = 0,001; r = 0,417). Ditemukan juga hubungan negatif yang lemah antara usia dengan derajat Kellgren-Lawrence (p = 0,040; r = -0,260). Namun, tidak ditemukan adanya hubungan antara jenis kelamin dengan derajat Kellgren-Lawrenece (p = 0,951). Simpulan: Pekerjaan memiliki hubungan yang lebih kuat terhadap derajat keparahan penderita OA lutut berdasarkan Kellgren-Lawrence di RSUP Sanglah Denpasar dibandingkan dengan usia dan jenis kelamin. Kata kunci : Jenis kelamin, Kellgren-Lawrence, osteoartritis lutut, pekerjaan, usia
Hubungan Usia, Jenis Operasi, dan Waktu Operasi dengan Outcome Pasca Operasi Fraktur Tibia Terbuka Derajat III di RSUP Sanglah Denpasar pada Tahun 2018-2020 Kesumaputri, Komang Diah Kurnia; Subawa, I Wayan; Dewi, Kadek Ayu Candra; Meregawa, Putu Feryawan
E-Jurnal Medika Udayana Vol 12 No 10 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i10.P16

Abstract

Open tibial fracture is one of the most common lower extremity fractures in the world, especially in Denpasar City. Clinically, open tibial fracture grade III has higher risk of worse outcome, such as infection and bone healing complication than grades I and II, thus it should be evaluated further regarding risk factors affecting that occurrence. This research aims to know the relationship between several risk factors, those are age, surgery type, and time to surgery with postoperative outcomes in open tibial fractures grade III in terms of clinical, radiological, and functional based on Johner-Wruhs criteria. This research used cross-sectional method and used patients with open tibial fracture grade III who underwent surgery at RSUP Sanglah Denpasar in 2018-2020. Based on the data collection, there were 31 patients fulfilled the inclusion and exclusion criteria. The data collected were characteristics and postoperative outcome assessed using Johner-Wruhs criteria which consisted of 4 categories. From Kendall Tau correlation test, there was no significant relationship between age and outcome (p=0,215) and a significant relationship between time to surgery and outcome (p=0,021). Moreover, the results of Fisher’s Exact Test did not find significant relationship between surgery type and outcome (p=0,720). Based on the results, it can be concluded that time to surgery (debridement) has significant effect on postoperative outcome compared to age and surgery type. Time to debridement also has unidirectional relationship with outcome, which means the longer time to debridement, the worse outcome experienced by the patient. Keywords : open tibial fracture, surgery type, outcome, age, time to surgery
Hubungan Usia, Jenis Operasi, dan Waktu Operasi dengan Outcome Pasca Operasi Fraktur Tibia Terbuka Derajat III di RSUP Sanglah Denpasar pada Tahun 2018-2020 Kesumaputri, Komang Diah Kurnia; Subawa, I Wayan; Dewi, Kadek Ayu Candra; Meregawa, Putu Feryawan
E-Jurnal Medika Udayana Vol 11 No 10 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i10.P17

Abstract

Open tibial fracture is one of the most common lower extremity fractures in the world, especially in Denpasar City. Clinically, grade III open tibial fracture has higher risk of worse outcome, such as infection and bone healing complication than grade I and II, thus it should be evaluated further regarding risk factors affecting that occurrence. This research aims to know the relationship between several risk factors, those are age, surgery type, and time to surgery with postoperative outcomes in grade III open tibial fractures in terms of clinical, radiological, and functional based on Johner-Wruhs criteria. This research used cross-sectional method and used patients with grade III open tibial fracture who underwent surgery at Sanglah Denpasar General Hospital in 2018-2020. Based on the data collection, there were 31 patients fulfilled the inclusion and exclusion criteria. The data collected were characteristics and postoperative outcome assessed using Johner-Wruhs criteria which consisted of 4 categories. From Kendall Tau correlation test, there was no significant relationship between age and outcome (p=0,215) and a significant relationship between time to surgery and outcome (p=0,021). Moreover, the results of Fisher’s Exact Test did not find significant relationship between surgery type and outcome (p=0,720). Based on the results, it can be concluded that time to surgery (debridement) has significant effect on postoperative outcome compared to age and surgery type. Time to debridement also has unidirectional relationship with outcome, which means the longer time to debridement, the worse outcome experienced by the patient. Keywords: open tibial fracture, surgery type, outcome, age, time to surgery
Efficacy Comparison of Various Repair Techniques for Flexor Tendon Injuries: A Systematic Review and Meta-Analysis Putra, Anak Agung Gde Duta Maha; Karna, Made Bramantya; Asmara, Anak Agung Gde Yuda; Meregawa, Putu Feryawan
Journal Orthopaedi and Traumatology Surabaya Vol. 10 No. 1 (2021): April 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v10i1.2021.11-21

Abstract

Background: Flexor tendon injuries are potentially disabling, as flexor tendons are essential to hand function, playing a vital role in all types of grip, including power and fine pinch grips. However, there has been no consensus regarding the most effective repair technique for this pathology.Methods: A systematic search was conducted based on PRISMA guidelines to identify relevant studies through PubMed, Google Scholar, and Cochrane. A total of 9 studies (266 tendons from 108 patients) were included.Results: In a comparison between the Modified Kessler and 4-stranded Cruciate techniques, the Four-stranded Cruciate Suture produces a higher 2 mm gap strength (I2 = 93%, p < 0.00001), higher ultimate strength (I2 = 99%, p = 0.02), and better Functional Outcome as measured using the Strickland Criteria (I2 = 0%, p < 0.0001). In a comparison between the 2-Stranded and the 4-Stranded Kessler technique, the 4-Stranded Kessler technique produces a higher 2 mm gap strength (I2= 98%, p =0.02) and higher ultimate strength (I2= 60%, p <0.00001).Conclusion: The current systematic review and meta-analysis suggests that the 4-stranded cruciate repair technique has better strength and functional outcomes than the modified Kessler, especially in zone II and III injuries. The 4-stranded Kessler is also proven to have better strength compared to the 2-stranded Kessler.
Co-Authors Aryana, I Gusti Ngurah Wien Asmara, Anak Agung Gde Yuda Dewi, Kadek Ayu Candra Dhaifullah, M Rifqi I Wayan Subawa Karna, Made Bramantya Kesumaputri, Komang Diah Kurnia Maharjana, Made Agus Nanda, Km Junita Sari Putra, Anak Agung Gde Duta Maha Tandiono, Marco