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All Journal Biomedika Paediatrica Indonesiana Indonesian Journal of Medicine Journal Orthopaedi and Traumatology Surabaya (JOINTS) SEMAR SENADA : Semangat Nasional Dalam MengabdI Indonesian Journal of Cancer Cermin Dunia Kedokteran
Saputra, Rhyan Darma
Unknown Affiliation
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences

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ANEURYSMAL BONE CYST (ABC) IN FIFTH METACARPAL RIGHT HAND OF A MALE CHILD WITH HEMOPHILIA TREATED BY STEROID INJECTION: A CASE REPORT Wahyudi, Agus; Idulhaq, Mujaddid; Saputra, Rhyan Darma; Utomo, Pamudji
Biomedika Vol 12, No 2 (2020): Biomedika Agustus 2020
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v12i2.10541

Abstract

ABSTRACTAneurysma bone cyst (ABC) is a rare case, rapidly growing, and destructive benign bone tumor that rarely involves the bones of the hand. Pathogenesis of these tumors remains controversial and may be vascular, traumatic, or genetic disorders.  This study aimed to evaluate patient’s out come after steroid injection. A male child presented with a history of pain and local swelling over his fifth metacarpal right hand of two months duration with hemofilia condition. Physical and radiographic examination of the hand was consistent with aneurysmal bone cyst. The patient the VIII factor 2 hours before doing steroid injection on his lump over fifth metacarpal right hand. A month evaluation after injection for this patient, we had a good result clinically and radiologically. Radiological evaluation obtained appearance of cortex thickening on the bone affected. We concluded that steroid injection should be considered as one of ABC’s treatment with hemophilia, but the outcome still needed more evaluation.  Keywords: Aneurysmal Bone Cyst, Hemophilia, Steroid Injection ABSTRAK Kista tulang aneurisma adalah kasus yang jarang terjadi, tumbuh dengan cepat, dan tumor tulang jinak destruktif yang jarang melibatkan tulang-tulang tangan. Patogenesis tumor ini masih kontroversial dan mungkin bersifat kelainan vaskular, traumatis, atau genetik. Penelitian ini bertujuan untuk mengevaluasi pasien setelah injeksi steroid. Seorang anak laki-laki dengan riwayat nyeri dan pembengkakan lokal pada metacarpal kelima tangan kanannya selama dua bulan dengan kondisi hemofilia. Pemeriksaan fisik dan radiografi tangan menegakkan adanya kista tulang aneurisma. Pasien diberi faktor VIII 2 jam sebelum injeksi steroid pada benjolan di atas metacarpal kelima tangan kanannya. Evaluasi sebulan setelah injeksi untuk pasien ini, kami memiliki hasil yang baik secara klinis dan radiologis. Evaluasi radiologis diperoleh penampilan penebalan korteks pada tulang yang terkena. Kami menyimpulkan bahwa injeksi steroid harus dipertimbangkan sebagai salah satu pengobatan kista tulang aneurisma dengan hemofilia, namun hasilnya masih perlu evaluasi lebih lanjut.Kata kunci: Kista Tulang Aneurisma, Hemofilia, Injeksi steroid
Secondary Knee Osteoarthritis with Medial Instability and Tibial Defect due to Chronic Abscess Treated by Total Knee Arthroplasty with Metal Augmentation - Case Report Soetjahjo, Bintang; Hancoro, Udi Herunefi; Ermawan, Rieva; Saputra, Rhyan Darma; Akbar, Hillan
Indonesian Journal of Medicine Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.4 KB) | DOI: 10.26911/theijmed.2021.6.2.390

Abstract

Background:Knee osteoarthritis (OA), known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage, most common in elderly women and men. Knee OA is a leading cause of disability and increase with an aging and overweight population. Total Knee Arthroplasty (TKA) is a common surgical treatment of OA knee that highly cost-effective procedure. Stable placement of components is difficult and thus it presents technical challenges for the surgeon but various options are available for managing these defects.Case Report: A 58 years-old housewife came to our clinic due to chronic left knee pain with associated instability since two years ago and getting worse in last three months. She already had knee joint supplementation injections and physical therapy but no improvements. Based on our clinical and radiological findings, our assessment was secondary left knee osteo-arthritis with medial instability and tibial defect due to chronic abscess. Patient underwent TKA to correct this condition. A revised implant was used to close the defect in the medial part of the tibia and soft tissue reconstruction procedure was used to correct the instability.Result: On the first postoperative month, the patient underwent rehabilitation and physical therapy to strengthen her lower limb muscles. On the second month, she started to walk using walking assisted device. On the ninth months follow-up, the patient was able to walk normally without assisted device, the pain disappeared and the symptoms of knee instability were reduced.Conclusion:Bone defects are commonly encountered during TKA, which still has no standard treatment to cure. In this case, the use of metal augmentation with revision implant give satisfactory results with good clinical outcome.Keywords: Osteoarthritis, Total Knee Arthro¬plasty, knee instability, tibial defect, metal augmentationCorrespondence:Bintang Soetjahjo. Dr. Moewardi Hospital. Jl. Kolonel Sutarto 132, Jebres, Surakarta, Central Java 57126, Indonesia. Mobile: +628122987359. Email: bjortho@yahoo.comIndonesian Journal of Medicine (2021), 06(02): 168-176https://doi.org/10.26911/theijmed.2021.06.02.06
Masalah Perioperatif pada Kasus Emergensi Ortopedik Selama Pandemi Covid-19: Laporan Kasus Amputasi Darurat Pasien Suspek Covid-19 Soetjahjo, Bintang; Hancoro, Udi Herunefi; Ermawan, Rieva; Saputra, Rhyan Darma; Nugroho, Bagus Jati; Abdulhamid, Muhammad
SENADA : Semangat Nasional Dalam Mengabdi Vol. 1 No. 3 (2021): SENADA: Semangat Nasional Dalam Mengabdi
Publisher : Perkumpulan Dosen Periset Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Penyakit Coronavirus 2019 (COVID-19), yang disebabkan oleh severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), telah menyebar ke seluruh dunia. Selama epidemi COVID-19 yang sedang berlangsung, banyak rumah sakit yang menunda sebagian besar operasi elektif. Namun, beberapa operasi darurat, terutama untuk pasien trauma, tidak bisa dihindari. Untuk pasien yang dicurigai atau dikonfirmasi COVID-19, protokol standar yang terkait persiapan pra operasi, manajemen intraoperatif, dan pengawasan pasca operasi harus diterapkan untuk menghindari infeksi nosokomial dan memastikan keselamatan pasien juga tenaga Kesehatan yang terlibat. Dalam artikel ini kami melaporkan kasus seorang pasien berusia 65 tahun dengan crush injury tungkai bawah dan suspek covid-19. Pasien direncanakan untuk menjalani CITO debridemen dan amputasi di atas lutut. Artikel ini kemudian membahas pertimbangan perioperatif dan teknis yang penting untuk menangani pasien COVID-19 yang membutuhkan perawatan darurat, tanpa mengesampingkan hasil klinis sembari memastikan keselamatan staf yang ada
Survival and prognostic factors in pediatric osteosarcoma: A 5-year single-center experience in Central Java, Indonesia Riza, Muhammad; Salimo, Harsono; Wasita, Brian; Idulhaq, Mujaddid; Saputra, Rhyan Darma; Widyaningsih, Vitri; Soestrisno, Soestrisno; Zahidah, Fairuz; Wayanshakty, Janur
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.10-6

Abstract

Background The advent of chemotherapy with multimodal treatment has improved the survival rate of osteosarcoma. However, the survival rate of patients with osteosarcoma in low- and middle-income countries (LMICs) remains lower than in high-income countries (HICs). Objective To assess prognostic factors associated with survival rate of pediatric patients with osteosarcoma in Moewardi Hospital, Surakarta. Methods This retrospective study was performed in pediatric osteosarcoma patients at Moewardi Hospital, Surakarta from 2018 to 2022. We described patients’ clinical presentations and assessed prognostic factors. Survival rate was calculated using Kaplan–Meier survival analysis. Prognostic factors were analyzed using univariate and multivariate Cox regression methods. Results Of the 82 patients included in the study, 40 (48.8%) were male and 42 (51.2%) were female. Most subjects (75.6%) were diagnosed with osteosarcoma at the age of >10 years, 45 patients (54.9%) had primary tumors in the femur, and 16 patients (19.5%) had limb salvage surgery. The mean event-free survival duration was 13.6 (95%CI 9.7 to 17.5) months. The mean duration of overall survival was 22.7 (95%CI 17.3 to 28.1) months, with a 44.1% survival probability. Type of surgery was a significant prognostic factor (P=0.018), with limb salvage having better survival probability (93.3%) than amputation (19.8%). Conclusion The overall survival rate of osteosarcoma patients at our center is still lower than in other regional centers. Limb salvage surgery was a significant prognostic factor for survival, while gender, location of primary tumor, histological subtype, and metastasis at the time of diagnosis were not.
Total Knee Replacement of Synovial Haemangioma of The Knee Joint in a 44-Year-Old Male: A Case Report Idulhaq, Mujaddid; Saputra, Rhyan Darma; Wasita, Brian; Sabariyah, Lely; Gardjito, Fajar Baskoro; Nursulistyo, Fajar
Indonesian Journal of Cancer Vol 18, No 1 (2024): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i1.911

Abstract

Introduction: Synovial hemangioma is a rare illness frequently misdiagnosed, leading to years of inaction. In this study, we aim to discover the consequences of untreated hemangioma of the knee joint. Case Presentation: Our patient was a 44-year-old male who experienced recurring pain in his left knee. The previous year, the patient experienced pain in his left knee while walking, which has subsided with rest. Although he has been performing radiography at multiple hospitals since 2019, no problems have been recorded. We detected a mass after performing magnetic resonance imaging. The T1-weighted sequence + contras near the medial femoral condyle revealed a homogeneous mass with high intensity. We decided to conduct surgical intervention and total knee replacement. Postsurgical, the patient regained symptom-free. Conclusions: Because of the limited radiographic capacity, synovial hemangioma is uncommon and challenging to diagnose on an outpatient basis. Magnetic resonance imaging and angiography are highly beneficial. If intraarticular hemangiomas are not considered, they can cause bony dysplasia and multiple clinical manifestations. Initial total excision can be conducted to decrease the chance of hemarthrosis.
Functional Outcome Evaluation of Grade III Open Tibial Fracture Treated by External Fixation as Definitive Treatment Soetjahjo, Bintang; Ermawan, Rieva; Saputra, Rhyan Darma; Hancoro, Udi Herunefi; Nugroho, Bagus Jati; Anugra, Jiva Yori
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2021.6.4.381

Abstract

Background: Tibial shaft fractures including open tibial fractures grade III are one of the most common fractures of long bones. There are many methods of conservative and operative treatment, one of them is external fixation. External fixation is more common used temporary in polytraumatized patients with tibial shaft fractures. The study was undertaken to see if the patient can be treated with external fixation as the definitive treatment and evaluate the functional outcome after the treatment.Subjects and Method: A retrospective review of a prospectively-collected database was performed. Data was taken from the Orthopaedic Department of RSUD Dr. Moewardi Hospital patients’ database. The study included all patients who underwent grade III open tibial fracture treatment from May 2018 to May 2019. A total of 8 patients who were included in our study were a patient with open tibial fractures grade III planned for external fixaton as definitive treatment. They were evaluated radiographically and clinically to determine the union rate. The data were reported descriptively.Results: External fixator time ranged in this study around 240 days. In this study, there were a few patients whose progress were remain unknown due to loss of contact. Fractures studied 5 out of 8, no patient were union after 8 months of external fixator used. 4 out of 8 patients were reported non-union after 8 months based on their radiological examination (50%) and 1 out of 8 patients were reported has been performed Removal of External Fixation (ROEF) after 5 months of treatment. The rest of the 3 patients’ results were remain unknown.Conclusion: Open tibial fractures grade III  of the leg can be managed with use of external fixator as a definitive treatment. However, the use of external fixation does not provide maximum results in grade III A tibial fractures.Keywords: open tibial fractures, external fixation, union, malunionCorrespondence: Bintang Soetjahjo. Dr. Moewardi General Hospital. Jl. Kolonel Sutarto 132, Jebres, Surakarta, Central Java, Indonesia. 57126. Email: bjortho@yahoo.com. Indonesian Journal of Medicine (2021), 06(04): 452-459https://doi.org/10.26911/­theijmed.2021.06.04.11
Penyelamatan Tungkai dengan Prosedur Darrach dan Teknik Tulang Tunggal pada Tumor Sel Raksasa pada Ulna (Campanacci Tipe 3): Laporan Kasus Saputra, Rhyan Darma; Sadewa, Daffa; Dzikri, Dykall; Budiyanto, Sandya Naufal; Aji, Febriagi Bayu
Cermin Dunia Kedokteran Vol 52 No 5 (2025): Mei 2025
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i5.1394

Abstract

Introduction: Giant cell tumor of bone (GCTB) is a rare, benign but locally aggressive tumor that uncommonly afects distal ulna. Case: This case is a 30-year-old female with worsening pain, swelling, and limited wrist motion. Imaging studies revealed cortical destruction and soft tissue infltration characteristic of an aggressive GCTB. Campanacci type 3 GCTB of the distal ulna was diagnosed and managed through limb salvage surgery using a combination of Darrach procedure and single bone technique.This combined approach aims to achieve tumor clearance while preserving limb function. Post-operative management included soft tissue closure using an abdominal fap. Conclusion: The case highlights the challenges in managing aggressive GCTBs of the distal ulna and demonstrates a viable limb salvage strategy. Long-term follow-up is recommended to evaluate functional outcomes and to monitor for recurrence, because tumor’s aggressive nature.
Current and Future Global Research Trends in Osteosarcoma: A Bibliometric Analysis of Surgical Strategies and Recurrence Dalimunthe, Ridha Aswina; Saputra, Rhyan Darma; Ermawan, Rieva
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v15i1.2026.56-67

Abstract

Background: Osteosarcoma is the most common primary malignant bone tumor, yet comprehensive mapping of its evolving research landscape remains limited. This bibliometric analysis aims to characterize global research trends, identify thematic hotspots, and delineate emerging directions in osteosarcoma research, with a particular focus on publications related to local control, recurrence, and wide surgical margins.Methods: Publications from January 2021 to April 2025 were retrieved from the Dimensions database using the terms “osteosarcoma,” “local control,” “recurrence,” and "wide margins." After screening, 498 eligible records were analyzed using Bibliometrix/Biblioshiny in RStudio and Microsoft Excel.Results: Publication output increased from 2021 to 2023, with China, the United States, and Japan as the leading contributors. Chinese institutions represented 23% of the top 50 productive organizations, whereas Canada, Austria, and Greece showed the highest international collaboration rates. Thematic mapping identified motor themes related to tumor classification, treatment, prognosis, and local recurrence; niche themes such as en bloc sacrectomy and 3D-printed reconstruction; and emerging themes including artificial intelligence-based risk prediction and early metastasis detection.Conclusions: This bibliometric analysis identifies a trend in osteosarcoma research toward technology -driven and precision-oriented surgical strategies, including AI-assisted risk stratification, 3D-printed reconstruction, and immunomodulatory perioperative approaches. These bibliometric trends suggest growing research interest in optimizing local control and minimizing recurrence, although their clinical impact remains to be validated through prospective studies. The findings provide a descriptive overview of current research directions and may inform future research prioritization.
Model Pengabdian Berkelanjutan oleh Program Studi Ortopedi dan Traumatologi: Sinergi Edukasi, Pelayanan Kesehatan, dan Aksi Lapangan Komunitas Saputra, Rhyan Darma; Soetjahjo, Bintang; Nefihancoro, Udi Heru; Ermawan, Rieva; Kusuma, Dita Anggara; Pradhana, Adhitya Indra; Nugroho, Bagus Jati; Jiwandono, Bayu Sakti; Ardiansyah, Denny; Kaldani, Fathih; Abdulhamid, Muhammad; Siswanto, Totok; Poetera, Cakradenta Yudha
SEMAR (Jurnal Ilmu Pengetahuan, Teknologi, dan Seni bagi Masyarakat) Vol 15, No 1 (2026): Mei
Publisher : LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/semar.v15i1.113045

Abstract

AbstrakGangguan muskuloskeletal seperti low back pain (LBP) dan rheumatoid arthritis (RA) merupakan penyebab kecacatan yang tinggi di masyarakat, namun masih banyak individu yang belum memperoleh edukasi atau pemeriksaan ortopedi yang memadai. Program Studi Ortopedi dan Traumatologi mengembangkan model pengabdian masyarakat berkelanjutan yang mengintegrasikan edukasi kesehatan, pelayanan medis gratis, dan layanan lapangan berbasis komunitas. Kegiatan dilaksanakan selama Januari hingga Juni 2025, mencakup penyuluhan kesehatan, pemeriksaan ortopedi gratis, dan intervensi rutin setiap hari Jumat pada komunitas karate. Evaluasi dilakukan melalui pre-post test, kuesioner kepuasan, dan pencatatanjenis keluhan. Sebanyak 158 peserta mengikuti penyuluhan, 92 peserta menjalani pemeriksaan gratis, dan 104 anggota komunitas karate menerima layanan medis lapangan. Terdapat peningkatan skor pengetahuan sebesar >20 poin rata-rata, dan keluhan terbanyak meliputi LBP, nyeri lutut, serta cedera olahraga. Hasil ini menunjukkan bahwa pendekatan integratif ini efektif dalam meningkatkan literasi kesehatan muskuloskeletal, memperluas akses layanan ortopedi awal, dan memperkuat hubungan institusi pendidikan kedokteran dengan masyarakat. Model ini layak direplikasi sebagai strategi pengabdian berbasis komunitas yang berkelanjutan dalam bidang ortopedi.Kata kunci : pengabdian masyarakat; ortopedi; layanan kesehatan lapangan
Co-Authors Agus Wahyudi Aji, Febriagi Bayu Akbar, Hillan Anugra, Jiva Yori Brian Wasita Budiyanto, Sandya Naufal Dalimunthe, Ridha Aswina Denny Ardiansyah, Denny Dzikri, Dykall Ermawan, Rieva Gardjito, Fajar Baskoro Hancoro, Udi Herunefi Harsono Salimo Idulhaq, Mujaddid Jiwandono, Bayu Sakti Kaldani, Fathih Kusuma, Dita Anggara Muhammad Abdulhamid Muhammad Riza Nefihancoro, Udi Heru Nugroho, Bagus Jati Nursulistyo, Fajar Poetera, Cakradenta Yudha Pradhana, Adhitya Indra Sabariyah, Lely Sadewa, Daffa Soestrisno, Soestrisno Soetjahjo, Bintang Totok Siswanto Utomo, Pamudji Vitri Widyaningsih Wayanshakty, Janur Zahidah, Fairuz