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All Journal International Journal of Public Health Science (IJPHS) Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Journal of Medical Physics and Biophysics JBN (Jurnal Bedah Nasional) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Berita Kedokteran Masyarakat Journal of Global Pharma Technology The Hip and Knee Journal Indonesian Journal of Biomedicine and Clinical Sciences

Rahadyan Magetsari

Division Of Orthopaedics And Traumatology, Department Of Surgery, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada

Author-ID : 2410819

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Faktor Risiko terjadinya Cedera pada Anak Usia Sekolah Dasar Susy Kuschithawati, Rahadyan Magetsari, Nawi Ng
Berita Kedokteran Masyarakat (BKM) Vol 23, No 3 (2007)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Every year many children all over the world become disabled or die because of injury. It is estimated that 98% of child mortality is caused by injury, and this mostly happens in low and middle income countries. Injury may happen accidentally or intentionally and internally (from the children themselves) or externally (from environmental factors).Objective: The objective of the study was to identify the seriousness and types of injury and risk factors of injury occurrence among elementary school children at Yogyakarta Municipality.Methods: The study used school-based cross sectional design and was conducted at 28 elementary schools of Yogyakarta municipality with as many as 4690 children of grade I – VI as subject of the study. Samples were taken using multistage cluster sampling technique. Dependent variables consisted of injury that took place at schools, home and the surrounding and absence from school, whereas independent variables consisted of age and sex of children, age of mothers, social and economic status, home environment and time. Research instruments used were questionnaires to get data of injury risk factors and impact of injury and observation sheets to assessschool environment.Results: Injury prevalence was as much as 42.56% (mild injury 36,89% and severe injury 5,7%) . Factors related to injury occurrence among elementary school children were sex (OR=1.31; 95% CI 1.16 – 1.47) and home environment (OR=2.76; 95% CI 1.36 – 6.62). Types of injury that often happened to elementary school children were scratches, bruises, sprains, bites, flesh wounds burns, road accidents, broken bone and small particles infiltration.Conclusion: Home environment was an important factor of injury occurrence among elementary school children. Therefore preventive action had to be taken by improving home and environment security, and alerts of parents in order that occurrence of injury could be avoided. Sex of children was also an important factor of cause for injury occurrence among elementary school children.Keywords: injury among children, risk factors, prevalence

Primitive Neuroectodermal Tumor (PNET) at the Level of Thoracic Spine: A Case Report Magetsari Rahadyan
Journal of Global Pharma Technology Volume 11 Issue 01.
Publisher : Journal of Global Pharma Technology

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Introduction Primitive neuroectodermal tumors (PNET) are malignant tumors thought to arise from the neural ectoderm and comprise of undifferentiated small round cells that affect soft tissue and bone. These tumors occur primarily in children and adolescents (thirteen to sixteen years old), with a tendency to recur quickly and metastasize especially to lungs, bone marrow, brain and lymph nodes. PNET are uncommon malignancies that are increasingly reported in the literature and located in the spine are extremely rare. In this study we present a case of 14 years old girl with PNET of the thoracic spine which recur after initial resection. Case Report a 14 years old girl presented with low back pain and progressive weakness of both of lower limbs of three months duration. On physical examination, motor and sensory function was lost, motoric strength in the lower limbs was grade 1/5 with hypoesthesia below L1 level. Magnetic resonance imaging (MRI) of the spine showed burst pathologic fracture of the 12th thoracic spine with suspicious malignant lesion in the 12th thoracic spine. Initially the condition was treated with laminectomy, decompression, stabilization and open biopsy. Histopathology and immunohistochemistry of the lesion revealed the diagnosis of PNET. During the early postoperative course, she had instance neurological recovery and was able to walk unassisted. But, 1 month later the neurologic deficit recurred and she was treated with extended laminectomy with tumor debulking. Then the patient received chemotherapy and planned for radiotherapy. Conclusion Primitive neuroectodermal tumors (PNET) are extremely rare and are aggressive with poor outcomes. Good modalities play a significant role in the identification of the feasibility of surgical excision of the tumors, detection of distant metastasis, and evaluation of the efficacy of therapeutic interventions.Keywords: Primitive neuroectodermal tumor (PNET), Malignant Tumor, Rare Tumor, Spinal Tumor.

Clinical Correlates of the Severity of Diabetic Foot Ulcers Rahadyan Magetsari; Meirizal Hasan; Yossie Atyandhari
Journal of Global Pharma Technology Volume 12 Issue 06 (2020) June 2020
Publisher : Journal of Global Pharma Technology

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OBJECTIVE Severe diabetic foot ulcer leads to amputation and is associated with higher risk of mortality. The purpose of this study is to identify clinical correlates of severe diabetic foot ulcers. METHODS The design of the study was cross-sectional survey of medical records on patients treated in Sardjito Hospital from 1 January to 31 July, 2014. Severe foot ulcer was measured as grade 4 and 5 according to Wagner classification. ABI (Ankle Brachial Index) to estimate blood flow to lower extremities and Semmes-Weinstein test using monofilament to detect neuropathy, classified as positive or negative, were done in all patients. HbA1C, serum sodium and creatinine levels were measured during the latest hospital visit. RESULTS The results of this study showed that 77 (36.5%) among 211 patients had severe foot ulcers (grade 4 and 5, Wagner classification). ABI and Semmes-Weinstein monofilament test failed to predict severity of diabetic foot ulcers. HbA1c increased the odds of severe ulcers while higher serum sodium level and higher diastolic blood pressure protected patients against severe ulcers. CONCLUSION Better glycemic control and caution against excessive reduction of diastolic blood pressure, usually due to anti-hypertension medication, should be recommended to prevent the development of severe foot ulcer. KEYWORDS: diabetic foot ulcers, severity, glycemic control, hypertension, poor circulation, neuropathy

Reconstruction of A Huge Soft Tissue Deffect in Flank Region Using Rectus Femoris Flap Meirizal Hasan; Rahadyan Magetsari; Rezky Saraswaty
Journal of Global Pharma Technology Volume 13 Issue 04 (2021) April 2021
Publisher : Journal of Global Pharma Technology

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Introduction:Coverage of full-thickness large flank defect is a challenging procedure for surgeons. The rectus femoris (RF) muscle flap is an excellent donor muscle for many reconstructions. The vascularized rectus femoris (RF) muscle flap has been proved to be effective to cover infected vascular grafts in the flank region. Outcome of the treatment can be evaluated by evaluating the patient daily activity. Case Report:This was a case report conducted on patient with huge soft tissue deffect in flank region. A 62 years old male with large defect of the right flank region due to infection of the abdominal cavity after appendectomy 2 months ago. The wound size 15 x 7 x 7 cm, with the base is bowel, with serohemoragic discharge. Then perform debridement and rectus femoris flap. A month after operation, the patient came to the Sardjito General Hospital with defect of the right hypogastric region and then VAC was performing in this patient. Two month after VAC, the wound was covered by granulating tissue and then the patient underwent FTSG. A month after the second operation, the patient came to outpatient clinic, able to walk, with the condition of the wound was good, no visible sign of infection. Conclusion:From this case report shows that rectus femoris flap has a good result to coverage the huge soft tissue defect in flank region. The patient can perform a simple daily living. Keywords: Rectus femoris, Flank defect, Flap.

Donor Site Morbidity after Anterior Iliac Bone Graft Harvesting Rahadyan Magetsari
Journal of Global Pharma Technology Volume 12 Issue 06 (2020) June 2020
Publisher : Journal of Global Pharma Technology

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Bone substitutes are being increasingly used especially in oncologic surgery, traumatology, revision prosthetic surgery and spine surgery. Bone substitute can be defined as a synthetic, inorganic or biologically organic combination which can be inserted for the treatment of a bone defect instead of autogenous or allogenous bone. Despite the improvement of research, human bone grafts persist to be the most effective bone substitutes to replace bone loss. This research was retrospective study conducted in consecutive sampling in Sardjito General Hospital Yogyakarta from January 2014 to Desember 2018. Patients underwent anterior iliac crest bone graft harvesting was included. 4 months after the procedure, the donor site morbidity was identified. The parameters used in this study are pain score using visual analog scale, paresthesia, problem in walking, wound infection, scar satisfaction and major morbidity. Anterior iliac bone graft harvesting resulted in minimal morbidity and neither pain or functional limitations. It also provides the optimal bone graft material, yields minimal morbidity, and is an acceptable choice in autologous bone graft harvesting.

Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction Aditya Fuad Robby; Luthfi Hidayat; Rahadyan Magetsari
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: Reconstruction of the anterior cruciate ligament (ACL) is a commonly performed surgical procedure in recent years. Surgeons have to consider several factors including patient’s anthropometric variables to harvest the best graft. The hamstring tendon has its’ limitation, such as the tendon graft size deemed unfit especially for people of small statures. The peroneus longus tendon is a relatively new choice compared to hamstring. This study was conducted to know the correlation between anthropometric features with graft parameters or graft size in patients who underwent ACL reconstruction using peroneus longus and hamstring tendons.Materials and Methods: This cross-sectional study was performed in patients who underwent ACL reconstruction using peroneus longus or hamstring tendon autografts. We evaluated their anthropometric variables (age, gender, body mass index (BMI), height and weight) and correlated them with the graft diameter obtained during surgery. Post-operative results were assessed with Karlsson and Peterson Scoring System which represent the ankle function.Results: Twenty-three non-athletic patients underwent ACL reconstruction surgery. Patients with hamstring graft have the average height of 170 cm and 163.6 cm for the peroneal graft group. The average body weight of the hamstring graft group was 72.917 kg and the peroneal graft group was 68.82 kg. The measured BMI of the hamstring graft group was 25.2 kg/m2 and 7.833 mm of graft diameter in average, with 25.5 kg/m2 and 7.636 mm respectively for the peroneus graft group. There were strong positive correlations between weight and BMI with hamstring tendon graft diameter, but negative weak correlations with peroneus tendon graft diameter.Conclusion: We found that body weight and BMI correlate with the diameter of both peroneus and hamstring tendon grafts. Both autografts showed equally good functional results.

AO Reconstruction Plate as Buttressing for Greater Trochanter in Hemiarthroplasty Procedure Luthfi Hidayat; Aditya Fuad Robby Triangga; Rahadyan Magetsari
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

INTRODUCTIONThe trend of intertrochanter fractures has gradually increased leading to a high frequency of difficulties and damage as the result of the increased age and risk factors. Accordingly, the aim of stable fixation in these fractures is designed with appropriate surgical procedures and patient care. The contribution of a stable fixation is due to several considerations including fracture shape and assurance, bone quality, comminution pattern, implant choice, and surgical technique. This study aimed to assess the functional outcomes of the patients with an intertrochanteric fracture who underwent hemiarthroplasty with AO recon as buttressing.MATERIALS AND METHODSThis was a case series study conducted in Gadjah Mada University Academic Hospital in Yogyakarta from July 2017 to August 2018. Patients with Evans unstable intertrochanteric femoral fractures who underwent simultaneous bipolar hemiarthroplasty and fixation with AO reconstruction plate and SS wire as buttressing were evaluated. Pre and postoperative radiographs, postoperative Visual Analog Scale (VAS) score, walking ability using Harris Hip Score (HHS), and Lower Extremity Functional Score (LEFS) were the outcome parameters.RESULTSA total of 6 patients, 4 of whom were male with an average age of 81 years old were included in this study. All the mechanisms of injury were low-energy trauma. The mean VAS score was decreased, from 7 pre-operatively to 1.5 post-operatively at final follow-up (p-value 0.05). The patients had a mean HHS of 82.5 and a LEFS mean of 56.7.CONCLUSIONButtress plate fixation using an AO reconstruction plate for trochanteric fracture following bipolar hemiarthroplasty resulted in a good functional outcome.

A neonate presenting with hip septic arthritis: a rare case report Hilmi Muhammad; Prisilla Desfiandi; Rahadyan Magetsari
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 1 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i1.20152

Hip septic arthritis is a serious condition that requires prompt diagnosis and treatment to prevent complications such as joint destruction, growth arrest, or the spread of infection. The incidence of septic arthritis ranges from 2 to 10 cases per 100,000 individuals per year generally. Although septic arthritis can affect people of all ages, it is more common in the elderly and infants under 5 y.o. We described a case of a 5-mo.o. child who presented with right hip swelling for ten d. The patient started acting agitated and appeared to be in a lot of discomfort whenever her right leg was moved. The patient is taken to a traditional massage therapist and gets a massage. Then, the patient's right hip began to swell, accompanied by intermittent fever and limited hip movement. The patient was hospitalized for four d due to hip dislocation and received skin traction with broad-spectrum antibiotic therapy, but no clinical improvement was observed. The patient was then referred to Dr. Sardjito General Hospital, Yogyakarta, Indonesia and underwent emergency open debridement followed by immediate IV antibiotic treatment. Traditional massage therapy can cause further musculoskeletal injury, causing the formation of hematoma or hemarthrosis and even causing the development of septic arthritis. As soon as septic arthritis is suspected, adjusted antibiotic treatment and adequate joint drainage are necessary, as this condition is an orthopedic emergency, especially in neonates. From this case can be concluded that early diagnosis and treatment of septic arthritis in newborns is very important to prevent complications. The public needs to understand the dangers of massage for musculoskeletal injuries during the acute phase.

Co-Authors Aditya Fuad Robby Aditya Fuad Robby Triangga Astri Ferdiana Bernadeta Fuad Paramita Rahayu Dananjaya Putramega Dimas Triaryo Ery Kus Dwianingsih Fikar Arsyad Hakim Galih Prasetya Sakadewa Handoko Handoko Hengkie Marseno Hilmi Muhammad Irianiwati Widodo Luthfi Hidayat Meirizal Hasan Muhamad Afrizal Farkhan Prisilla Desfiandi Punto Dewo Rezky Saraswaty Rini Dharmastiti Sakti, Yudha Mathan Suyitno Suyitno Triangga, Aditya Fuad Robby Yossie Atyandhari Yuliaji Narendra Putra Yuni Artha Prabowo Putro Zikrina Lanodiyu

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