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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

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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
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
A 58-Years Old Women Underwent Triple Arthrodesis for Adult Acquired Flatfoot Deformity Grade IV with Posterior Tibial Tendon Insufficiency Post Failed Reconstruction: A Case Report Nugroho, Bagus Jati; Frityatama, Mahardika
Smart Medical Journal Vol 7, No 3 (2024): December
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v7i3.88653

Abstract

Background: Adult acquired flatfoot (AAFD), formerly known as posterior tibial tendon dysfunction (PTTD), involves the gradual collapse of the foot arch, leading to ongoing deformity. The posterior tibial tendon, crucial for foot stability, is often implicated. A lack of comprehensive epidemiological data exists, but the condition is prevalent, especially among the elderly and those with chronic vascular diseases. Dysfunction of the posterior tibial tendon causes instability in the foot, leading to lateral displacement of forces and subsequent deformities. Triple arthrodesis is an effective treatment for correcting foot deformities, offering pain relief and stability, particularly in cases of arthrosis and neuromuscular diseases. This case report highlights a Grade IV AAFD with failed reconstructive surgery, contributing to the literature on surgical intervention outcomes.Case report: We present the case of a 58-year-old woman with progressively worsening pain and discomfort in her left foot. The patient underwent a triple arthrodesis procedure for adult acquired flatfoot deformity grade IV with posterior tibial tendon insufficiency. the patient has a history of failed reconstructive surgery with medial displacement calcaneal osteotomy and flexor digitorum longus to posterior tibial tendon transfer. Physical examination findings revealed presence of surgical scars on the left pedis region consistent with prior interventions. There is evidence of hindfoot valgus and medial arch collapse, justifying the need for further surgical intervention in radiology finding.Discussion: Stage IV acquired flatfoot deformity results from weakened deltoid ligament and Posterior Tibial Tendon Dysfunction (PTTD), leading to hindfoot valgus and abduction. Surgical options include medializing calcaneal osteotomy (MCO) and tendon transfers like flexor digitorum longus (FDL). Triple arthrodesis is preferred for rigid deformities, but whether to include the calcaneocuboid joint depends on examination findings. Exclusion may cause arthrodiastasis, with limited evidence of improved outcomes. Double arthrodesis has higher nonunion rates but doesn't impair correction.Conclusion: Individuals with rigid foot deformities, triple arthrodesis, fusing the talonavicular, subtalar, and calcaneocuboid joints, improves pain relief and function. The decision to include the calcaneocuboid joint depends on its condition. Excluding it may cause unintended joint movement, but its distraction doesn't necessarily improve outcomes. After talonavicular fusion, calcaneocuboid joint motion is minimal. Double arthrodesis for rigid planovalgus deformity shows higher nonunion rates and lower patient scores compared to triple arthrodesis, but it doesn't impair deformity correction. This case contributes to the growing evidence supporting triple arthrodesis as a salvage procedure for advanced flatfoot deformities and serves as a valuable reference for managing similar challenging cases.
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