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Totok Siswanto
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Humanities Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Management of Haemophilic Pseudotumor of Left-Hand in A Paediatric Patient: a Case Report Hancoro, Udi Heru Nefi; Siswanto, Totok; Dzulfikar, Muhammad
Indonesian Health Journal (IHJ) Vol. 3 No. 4 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i4.604

Abstract

Hemophilia is a recessively inherited genetic disorder that causes abnormalities in the blood clotting process, which can lead to bleeding that is difficult to stop. One of the rare but significant complications of hemophilia is hemophilia pseudotumor, which occurs in 1-2% of hemophilia A and B patients. This study aims to analyze and evaluate the management of pseudotumor hemophilia. This study aims to analyze and evaluate the management of hemophilia pseudotumor in pediatric patients, focusing on the case of an 8-year-old boy who developed a pseudotumor in the left hand area due to hemophilia A. This case involves a boy with a history of hemophilia A who developed swelling of the left hand after experiencing trauma. Diagnosis was done through clinical examination, radiology (X-ray and MRI), and hematology evaluation. Treatment was factor VIII therapy, tranexamate, and amputation, as well as rFVIIa for bleeding prevention. The patient showed improved function after left hand amputation. Although conservative management can be considered for newly formed pseudotumors, in this case, a surgical approach was necessary due to the significant size and complications. Hemophilic pseudotumors can cause damage to surrounding tissues and require a multidisciplinary approach for management. Hemophilic pseudotumor is a rare but serious complication in people with hemophilia. Appropriate management, including surgical intervention, can improve the functional outcome of patients, despite the significant risks involved. Further research is needed to develop more effective treatment protocols.
Management of Haemophilic Pseudotumor of Left-Hand in A Paediatric Patient: a Case Report Hancoro, Udi Heru Nefi; Siswanto, Totok; Dzulfikar, Muhammad
Indonesian Health Journal Vol. 3 No. 4 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i4.604

Abstract

Hemophilia is a recessively inherited genetic disorder that causes abnormalities in the blood clotting process, which can lead to bleeding that is difficult to stop. One of the rare but significant complications of hemophilia is hemophilia pseudotumor, which occurs in 1-2% of hemophilia A and B patients. This study aims to analyze and evaluate the management of pseudotumor hemophilia. This study aims to analyze and evaluate the management of hemophilia pseudotumor in pediatric patients, focusing on the case of an 8-year-old boy who developed a pseudotumor in the left hand area due to hemophilia A. This case involves a boy with a history of hemophilia A who developed swelling of the left hand after experiencing trauma. Diagnosis was done through clinical examination, radiology (X-ray and MRI), and hematology evaluation. Treatment was factor VIII therapy, tranexamate, and amputation, as well as rFVIIa for bleeding prevention. The patient showed improved function after left hand amputation. Although conservative management can be considered for newly formed pseudotumors, in this case, a surgical approach was necessary due to the significant size and complications. Hemophilic pseudotumors can cause damage to surrounding tissues and require a multidisciplinary approach for management. Hemophilic pseudotumor is a rare but serious complication in people with hemophilia. Appropriate management, including surgical intervention, can improve the functional outcome of patients, despite the significant risks involved. Further research is needed to develop more effective treatment protocols.
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 Denny Ardiansyah, Denny Eric Edwin Yuliantara Ermawan, Rieva Hancoro, Udi Heru Nefi Jayawarsa, A.A. Ketut Jiwandono, Bayu Sakti Kaldani, Fathih Kusuma, Dita Anggara Lilik Wijayanti Lilik Wijayanti Muhammad Abdulhamid Muhammad Dzulfikar Nefihancoro, Udi Heru Nugroho, Bagus Jati Poetera, Cakradenta Yudha Pradhana, Adhitya Indra Saputra, Rhyan Darma Soetjahjo, Bintang Utomo, Pamudji Utomo, Pamudji