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HUBUNGAN JENIS TOTAL HIP ARTHROPLASTY TERHADAP DERAJAT FUNGSIONAL PANGGUL DAN KUALITAS HIDUP PADA PASIEN FRAKTUR COLLUM FEMORIS Reinardo Dafon Perwiraputra; Agus Priambodo; Hari Peni Julianti
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 6, No 2 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Latar Belakang Insidensi fraktur collum femoris meningkat seiring dengan usia dan merupakan fraktur paling sering pada usia lanjut. Salah satu penanganan fraktur collum femoris adalah dengan Total Hip Arthroplasty (THA) dimana tindakan ini berhubungan dengan derajat fungsional panggul dan kualitas hidup.Tujuan Menganalisis hubungan antara jenis THA terhadap derajat fungsional panggul dan kualitas hidup pada pasien fraktur collum femoris.Metode Penelitian observasional analitik studi belah lintang menggunakan data rekam medis serta kuesioner SF-36 dan Hip Score pada pasien fraktur collum femoris yang mendapatkan tindakan THA di RSUP Dr. Kariadi.Hasil Terdapat 25 kasus yang ditemukan, terdiri dari 12 kasus cemented dan 13 kasus uncemented. Dari 12 pasien yang dilakukan cemented THA, 11 diantaranya termasuk dalam SF-36 kategori baik sedangkan 1 pasien kategori buruk. Dari 13 pasien yang dilakukan uncemented THA, 12 diantaranya termasuk dalam SF-36 kategori baik sedangkan 1 pasien kategori buruk. Pada pemeriksaan Hip Score, dari 12 pasien yang dilakukan cemented THA, 9 diantaranya tidak ada keluhan, 2 pasien kategori ringan-sedang, dan 1 pasien kategori sedang-berat. Pada 13 pasien yang dilakukan uncemented THA, 11 diantaranya tidak ada keluhan, 1 pasien kategori ringan-sedang, dan 1 pasien kategori sedang-berat. Hubungan jenis THA terhadap derajat fungsional panggul dan kualitas hidup pada pasien fraktur collum femoris adalah tidak bermakna (p > 0,05).Kesimpulan Tidak ada perbedaan derajat fungsional panggul dan tingkat kualitas hidup terhadap jenis THA.

KUANTITAS PENGGUNAAN ANTIBIOTIK PADA PASIEN BEDAH ORTOPEDI RSUP DR. KARIADI SEMARANG Anangga Haryanto; Agus Priambodo; Endang Sri Lestari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 3 (2016): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Background : The development of technology nowadays gives a lot of benefits, however it creates some negative effects such as decreasing physical activity that can cause obesity in the population. Obesity creates some chronic diseasessuch as cancer and heart disease. The composition of body consists of fat mass and fat free mass. Zumba is one of the most popularphysical exercise that can decrease percentage of body fat.Aim : To observe the effect of Zumba exercise on body fat percentage in young females.Method: This is an analytic observasional study with cross sectional design. Research subjects were females aged 20-25 years who experienced Zumba exercise (n=24). The percentage of body fat was measured with Bioelectric Impedance Analysis (Glass Body Analyzer 835) weight scales. Correlation between the period of Zumba exercise and body fat percentage was analyzed using Spearman’s rho correlation test.Results: The body fat percentage in subjects who were conducted Zumba for ≥8 weeks was lower compared to subjects who were conducted Zumba for <8 weeks. The body fat percentage average in subjects who experienced Zumba for<8 weeks is 31,97 ± 5,27 with 25,7 was the lowest score and 42,9 was the highest score, and the average percentageof subjects who experienced Zumba for ≥8 weeks was 27,47±2,96 with 22,6 was the lowest score and 42,9 was the highest. There was a negative correlation with moderate degree of body fat percentage with Zumba exercise (r=-0,421; p=0,04) in Spearman’s rho test.Conclusion : The study found thedifferences between the average of body fat percentage in subjectswhoexperiencedZumbaexercisefor<8 weeks and≥8weeks. This study also showed a negative correlation with moderate degree between body fat percentage and Zumba exercise period.

PERBEDAAN JENIS TOTAL KNEE ARTHROPLASTY TERHADAP DERAJAT FUNGSIONAL LUTUT DAN KUALITAS HIDUP PASIEN OSTEOARTHRITIS LUTUT Ade Pratama Agung; Agus Priambodo; Hari Peni Julianti
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 6, No 1 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v6i1.16056

Latar Belakang : Insidensi osteoartritis meningkat berdasarkan usia dan merupakan penyebab utama kecacatan di kalangan lansia. Prevalensi osteoartritis lutut yang cukup tinggi di Indonesia, terutama di kota Semarang dan pengaruh terhadap derajat fungsional lutut dan kualitas hidup penderita osteoartritis lutut melatarbelakangi penelitian ini.Tujuan : Menganalisis hubungan jenis Total Knee Arthroplasty (TKA) terhadap derajat fungsional lutut dan kualitas hidup penderita osteoartritis lutut di Instalasi Bedah RSUP Dr. Kariadi Semarang periode Maret – Juni 2016.Metode : Penelitian ini menggunakan metode deskriptif. Sampel yang digunakan adalah 20 pasien yang diambil sesuai kriteria inklusi yang meliputi kriteria osteoartritis lutut menurut American College of Rheumatology (ACR), pasien telah dilakukan pemeriksaan radiologis sendi lutut dan bersedia berpartisipasi dalam penelitian. Data yang dikumpulkan adalah data primer berupa hasil kuesioner SF-36 untuk mengukur kualitas hidup dan WOMAC untuk mengukur derajat fungsional lutut di Instalasi Bedah RSUP Dr. Kariadi Semarang periode Maret – Juni 2016. Data yang telah dikumpulkan dilakukan pengeditan, dilakukan pengkodean kemudian diolah secara statistik deskriptif menghitung sebaran tiap variabel dan dibuat pula grafik untuk setiap data yang diperoleh.Hasil : Distribusi jenis kelamin perempuan lebih banyak dari laki-laki sebanyak 20 (90%) pasien. Jenis TKA yang terbanyak di lakukan pada pasien osteoartritis lutut adalah Cruciate Retention (CR) 13 (65%) pasien. Kelompok usia tertinggi 60 – 69 tahun sebanyak 13 (65%) pasien. Lokasi osteoartritis terbanyak terjadi pada lutut kanan sebanyak 10 (50%). Hasil kuesioner SF-36 didapatkan rerata skor pasien 71,54 memiliki interpretasi kualitas hidup yang baik dan hasil kuesioner WOMAC memiliki rerata total skor 38,5 memiliki interpretasi pasien osteoartritis lutut tidak mengalami gangguan fungsional lutut.Simpulan : Responden yang telah melakukan operasi TKA di RSUP Dr. Kariadi Semarang memiliki derajat fungsional lutut dan kualitas hidup yang baik.

Overview of Pelvic Ring Fracture Patients: Observational Study in the Emergency Department at Dr. Kariadi General Hospital, Semarang, Indonesia Utomo, Gede Pambudi; Agus Priambodo
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 7 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i7.1025

Background: Although the incidence of pelvic fractures is only 7% of all trauma, the mortality reaches 21.5%. Management of pelvic fractures remains a challenge because it is often a polytrauma that requires multidisciplinary management and large resources. Knowledge of the characteristics of patients with pelvic fractures is expected to help in management and reduce mortality. Methods: This observational study was conducted retrospectively with a population and sample of all pelvic fracture patients in the emergency room at Dr. Kariadi Hospital Semarang for the period January 2021 to December 2023. The characteristics observed included gender, age, fracture classification, etiology, trauma score, fracture pattern, and management. and output. The data obtained is then presented descriptively. Results: A total of 34 patients with pelvic fractures were recorded in this study. There were 16 male patients and 18 female patients. A total of 3 patients were less than 17 years old, 19 patients were 17-34 years old, 7 patients were 35-52 years old and 3 patients were more than 52 years old. The most common cause of pelvic fractures was traffic accidents (KLL) with 28 patients, followed by work accidents (4 patients) and other trauma (2 patients). Based on the Young-Burgess classification, the most common pelvic fracture pattern was LC1 (11 patients), followed by APC1 (3 patients), APC2 (4 patients), APC3 (3 patients), LC2 (2 patients), LC3 (6 patients), VS (4 patients), and CM (1 patient). A total of 4 patients had an ISS score of 1-8, 8 patients had an ISS score of 9-15, 9 patients had an ISS score of 16-25, and 13 patients had an ISS score of more than 25. The most common accompanying injury was long bone fracture (15 patients), head injury in 10 patients, abdominal trauma in 9 patients, and thorax trauma in 4 patients. Operative treatment was carried out in 21 patients, while 13 other patients were treated non-operatively. Of the 34 patients, 8 patients died and 26 others were discharged in good condition. Conclusion: Most pelvic fractures occur at the age of 17-34 years and the most common cause is KLL. All pelvic fracture patients had concomitant injuries and the majority of patients had unstable fractures that required operative treatment. Mortality due to pelvic fracture and/or accompanying injuries is 23.5%.

Diagnostic Roles of Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio for Vertebral Fracture due to Tuberculosis and Malignancy Saragih, Iwan Vanca; Agus Priambodo
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1215

Background: Vertebral fracture is a serious complication that can occur due to various medical conditions, including bone tuberculosis and malignancy (eg, cancer metastasis to the vertebrae). This condition invariably causes an increase in the inflammatory process in the body, which can be identified through the Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR). This study aims to investigate the differences in NLR and PLR values in patients with vertebral fractures due to TB or malignancy. Methods: A retrospective observational study was conducted on vertebral fracture patients who underwent surgery in the Orthopedic Surgery Department of Dr. Kariadi Hospital Semarang between January 1st, 2022, and December 31st, 2023. Data on demographics and laboratory test results were extracted from medical records. Statistical analysis was performed using univariate analysis and presented as percentage and frequency. T-test or Mann-Whitney test was used to determine the difference based on their normality distribution. The diagnostic value of NLR and PLR was also analyzed using the receiver operating characteristic (ROC) curve and Youden index. Results: The study included 54 vertebral fracture patients. The mean age of patients was 41.77 ± 16.00 years, and the majority were female patients (68.5%). The Neutrophil to Lymphocyte Ratio (NLR) value was significantly higher in vertebral fracture due to malignancy patients than TB (5.5 (IQR 3.92 – 13.39) vs 4.53 (IQR 2.91 – 6.96), p=0.020). In contrast, the Platelet to Lymphocyte Ratio (PLR) value was not significantly different (p>0.05). The area under the curve for the NLR (0.69, 95% confidence interval [CI], 0.54 – 0.839) was greater than that of PLR (0.408, 95% CI, 0.246 – 0.571). Conclusion: NLR showed significantly different results in determining the cause of vertebral fractures, either tuberculosis or malignancy. NLR can be used as an important diagnostic marker to help differentiate between vertebral fractures caused by malignancy and those caused by infection.

Overview of Pelvic Ring Fracture Patients: Observational Study in the Emergency Department at Dr. Kariadi General Hospital, Semarang, Indonesia Utomo, Gede Pambudi; Agus Priambodo
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 7 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i7.1025

Background: Although the incidence of pelvic fractures is only 7% of all trauma, the mortality reaches 21.5%. Management of pelvic fractures remains a challenge because it is often a polytrauma that requires multidisciplinary management and large resources. Knowledge of the characteristics of patients with pelvic fractures is expected to help in management and reduce mortality. Methods: This observational study was conducted retrospectively with a population and sample of all pelvic fracture patients in the emergency room at Dr. Kariadi Hospital Semarang for the period January 2021 to December 2023. The characteristics observed included gender, age, fracture classification, etiology, trauma score, fracture pattern, and management. and output. The data obtained is then presented descriptively. Results: A total of 34 patients with pelvic fractures were recorded in this study. There were 16 male patients and 18 female patients. A total of 3 patients were less than 17 years old, 19 patients were 17-34 years old, 7 patients were 35-52 years old and 3 patients were more than 52 years old. The most common cause of pelvic fractures was traffic accidents (KLL) with 28 patients, followed by work accidents (4 patients) and other trauma (2 patients). Based on the Young-Burgess classification, the most common pelvic fracture pattern was LC1 (11 patients), followed by APC1 (3 patients), APC2 (4 patients), APC3 (3 patients), LC2 (2 patients), LC3 (6 patients), VS (4 patients), and CM (1 patient). A total of 4 patients had an ISS score of 1-8, 8 patients had an ISS score of 9-15, 9 patients had an ISS score of 16-25, and 13 patients had an ISS score of more than 25. The most common accompanying injury was long bone fracture (15 patients), head injury in 10 patients, abdominal trauma in 9 patients, and thorax trauma in 4 patients. Operative treatment was carried out in 21 patients, while 13 other patients were treated non-operatively. Of the 34 patients, 8 patients died and 26 others were discharged in good condition. Conclusion: Most pelvic fractures occur at the age of 17-34 years and the most common cause is KLL. All pelvic fracture patients had concomitant injuries and the majority of patients had unstable fractures that required operative treatment. Mortality due to pelvic fracture and/or accompanying injuries is 23.5%.

Diagnostic Roles of Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio for Vertebral Fracture due to Tuberculosis and Malignancy Saragih, Iwan Vanca; Agus Priambodo
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1215

Background: Vertebral fracture is a serious complication that can occur due to various medical conditions, including bone tuberculosis and malignancy (eg, cancer metastasis to the vertebrae). This condition invariably causes an increase in the inflammatory process in the body, which can be identified through the Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR). This study aims to investigate the differences in NLR and PLR values in patients with vertebral fractures due to TB or malignancy. Methods: A retrospective observational study was conducted on vertebral fracture patients who underwent surgery in the Orthopedic Surgery Department of Dr. Kariadi Hospital Semarang between January 1st, 2022, and December 31st, 2023. Data on demographics and laboratory test results were extracted from medical records. Statistical analysis was performed using univariate analysis and presented as percentage and frequency. T-test or Mann-Whitney test was used to determine the difference based on their normality distribution. The diagnostic value of NLR and PLR was also analyzed using the receiver operating characteristic (ROC) curve and Youden index. Results: The study included 54 vertebral fracture patients. The mean age of patients was 41.77 ± 16.00 years, and the majority were female patients (68.5%). The Neutrophil to Lymphocyte Ratio (NLR) value was significantly higher in vertebral fracture due to malignancy patients than TB (5.5 (IQR 3.92 – 13.39) vs 4.53 (IQR 2.91 – 6.96), p=0.020). In contrast, the Platelet to Lymphocyte Ratio (PLR) value was not significantly different (p>0.05). The area under the curve for the NLR (0.69, 95% confidence interval [CI], 0.54 – 0.839) was greater than that of PLR (0.408, 95% CI, 0.246 – 0.571). Conclusion: NLR showed significantly different results in determining the cause of vertebral fractures, either tuberculosis or malignancy. NLR can be used as an important diagnostic marker to help differentiate between vertebral fractures caused by malignancy and those caused by infection.

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