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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Medica Arteriana (Med-Art) Journal Orthopaedi and Traumatology Surabaya (JOINTS) SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Desnantyo, Andre Triadi
Department Of Orthopaedic And Traumatology, Faculty Of Medicine, Universitas Airlangga – Dr.Soetomo General Hospital, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Ankle Arthrodesis with Cannulated Screw: Case Series Andre Triadi Desnantyo; Muhammad Zaim Chilmi; Hizbillah Yazid
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1632.124 KB) | DOI: 10.30651/jqm.v4i1.2661

Abstract

ABSTRACT Ankle osteoarthritis patients are young and lack of available long last treatment. Ankle arthrodesis remains the gold standard and is the procedure of choice for younger patients who are heavy laborers. These case series evaluate and report five patients undergone ankle arthrodesis at RSUD Dr. Soetomo Surabaya on 2012-2016. The data were collected from patient files, radiographs, and a recent physical examination. The outcome has been assessed with SF-36 score and clinical scoring system Ankle-Hind foot American Foot and Ankle Society. Three male patients and two female patients underwent ankle arthrodesis with cannulated screw, caused by neglected severe ankle dislocation. One patient had open dislocation. Based on SF-36 scoring, the five patients had average score 76,7 with highest and lowest score were 95,9 and 56,7. Based on clinical score ankle-hind foot American Ankle and Foot Society, the average score was 68(51 – 88). The scoring result includes general health, physic, emotional, and social. And clinical scoring ankle-hind foot American Foot and Ankle Society evaluation includes pain, function, and alignment. It shows that there was patient that gains an almost perfect result. Patient with the lowest score also had knee osteoarthritis contralateral from the operated ankle. Early weight bearing on ankle arthrodesis with cannulated screw was the major factor caused unsatisfactory result of this patient. Ankle arthrodesis with cannulated screw has satisfactory result eventhough remain complain on one patient. Nevertheless, ankle arthrodesis with cannulated screw still has an important role in the treatment of choice on ankle reconstruction.Keywords                   : Ankle arthrodesis, cannulated screw, ankle joint fusion 
Patofisiologi dan Tatalaksana Osteochondral Lesion of the Talus Maghrizal Roychan; Andre Triadi Desnantyo
Medica Arteriana (Med-Art) Vol 1, No 2 (2019): Desember 2019
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.869 KB) | DOI: 10.26714/medart.1.2.2019.45-56

Abstract

Latar Belakang: Penyakit Osteochondral Lesion of the Talus (OLT) adalah kelainan pada tulang talus di lapisan subchondral yang berupa lesi osteochondral pada talar dome dengan konsekuensi abnormalitas pada tulang rawan sendi talar.  Review artikel bertujuan menjabarkan patofisiologi dan tatalaksana OLT.Metode: Review artikel menggunakan literatur terkini  yang relevan dengan topik OLT.Hasil: Pasien biasanya datang berobat ke tenaga kesehatan dengan keluhan yang tidak spesifik dan dengan gejala seperti nyeri pada pergelangan kaki, bengkak serta berkurangnya berkurangnya ruang gerak (range of movement). Penegakan diagnosis bisa dilakukan dengan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang sederhana seperti foto X-ray maupun pemeriksaan penunjang canggih seperti CT-Scan dan MRI. Tatalaksana pada OLT tergantung dari tahapan lesi, kronisitasnya, dan keluhan simtomatis yang menyertainya. Pasien dengan keluhan simtomatis yang akut dan non-displaced sering diberikan terapi konservatif dengan imobilisasi. Lesi yang tidak berhasil atau tidak menunjukkan perbaikan keluhan setelah 3 sampai 6 bulan, serta lesi dengan displacement dapat direncanakan untuk terapi operatif. Ada beberapa macam tehnik operatif yang dapat dilakukan untuk menyembuhkan OLT. Teknik operatif ini dapat dikategorikan menjadi cartilage repair, cartilage regeneration dan cartilage replacement techniques.Kesimpulan: OLT adalah lesiosteocondral pada talar dome yang dapat diterapi dengan terapi konservatif dan operatif  cartilage repair, cartilage regeneration dan cartilage replacement techniques. 
CORRELATION BETWEEN KNEE OSTEOARTHRITIS (OA) GRADE AND BODY MASS INDEX (BMI) IN OUTPATIENTS OF ORTHOPAEDIC AND TRAUMATOLOGY DEPARTMENT RSUD DR. SOETOMO Lukas Widhiyanto; Andre Triadi Desnantyo; Lilik Djuari; Maynura Kharismansha
Journal Orthopaedi and Traumatology Surabaya Vol. 6 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v6i2.2017.71-79

Abstract

Osteoarthritis (OA) is the number eight disease causes Years of Disability in developing countries. OA worsen life quality, from movement limitation until inability to perform normal daily routines. Obesity is one of the risk factor of OA. The doubles increasing trend of obesity from 1980, might possibly causes the escalation of OA case. However, there is still no study that explains the correlation between OA grade, especially knee OA, with Body Mass Index (BMI). The purpose of this study was to determine whether there is correlation between knee osteoarthritis (OA) grade with Body Mass Index (BMI) in outpatients of Orthopaedic and Traumatology department RSUD Dr. Soetomo. This study was cross-sectional study with analitical observational design and survey was the method to determine whether there is correlation between knee OA grade and BMI. Height and weight measurement and also knee x-ray reading were performed to determine the BMI and knee OA grade. The BMI categories that were used were based on standard from Health Department of Republic of Indonesia, while the grading system that were used were based on Kellgren-Lawrence’s grading system. Populations in this study were taken from the outpatients of Orthopaedic and Traumatology Department RSUD Dr. Soetomo during August until November 2015. After statistic test using Spearman correlation test was done, the result was p=0,822. It can be concluded that there was no significant correlation between knee OA grade and BMI. Furthermore, knee OA grade was not affected by BMI only, but also other risk factors as well.
ANTERIOR TALOFIBULAR LIGAMENT (ATFL) RECONSRUCTION WITH MODIFIED BROSTROM-GOULD TECHNIQUE USING FIBER WIRE Andre Triadi Desnantyo; Mouli Edward; Asyumaredha Asyumaredha
Journal Orthopaedi and Traumatology Surabaya Vol. 8 No. 2 (2019): October 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v8i2.2019.93-103

Abstract

Background: The incident of ankle sprain reported 1 of 10.000 case each day. The most incident was male about 22-24 year and sport active. We reported 2 cases (15 years old female and 21 years old male) both of them played routine basketball and futsal.Case: We reported 2 cases, male 21 years old and female 15 years old, both of them suffered from anterior talofibular ligament rupture, with AOFAS score fair (below 80 point) from the MRI there is rupture of ATFL.Discussion: The patient administered to the hospital after injury at sport. By physical examination (fair at AOFAS score) and radiological finding, they was decided underwent rupture anterior talofibular ligament and prepared for reconstruction with modified Brostrom-Gould technique using fiber wire. After + 3 month, the evaluation from physical diagnostic, radiology and we got an excellent AOFAS score, which means the 2 patient got really satisfaction and has no limitation at doing daily activities.Conclusion: ATFL is one of the lateral ligament of the ankle which protect the foot while moving at plantar flexion. Modified Brostrom-Gould technique using fiber wire gave good result for reconstruction ATFL rupture for these 2 patients.
Work Period as one of The Risk Factors of Suspected Carpal Tunnel Syndrome (CTS) among Worker in the “X” Furniture Manufacturing, Gresik-East Java 2018 Dyandarasmi Larasati; Sulistiawati; Andre Triadi Desnantyo
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 2 (2022): SPMRJ, AUGUST 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i2.26054

Abstract

Background: Carpal Tunnel Syndrome (CTS) is a nerve disorder where an entrapped median nerve in the carpal tunnel causes pain and numbness in the hand. Prolonged condition of CTS will decrease someone’s productivity in daily life that requires hand. Aim: This study aimed to analyze age, sex, and work period as the risk factors that can increase the incidence of suspected CTS in workers at the "X" Furniture Manufacturing, Gresik, East Java. Material and Methods: An analytic observational cross-sectional study, was conducted in August 2018. A number 47 worker of “X” furniture manufacturing in Gresik, East java, counted as samples obtained by consecutive sampling technique. The data were taken by questionnaires and checked by using the Phalen test. The correlation between the risk factors of age, sex, and work period with suspected Carpal Tunnel Syndrome (CTS) were analyzed using chi-square and Fisher exact test. Results: Based on the research, as many as 15 respondents had suspected CTS. Based on the chi-square test, the significance value between suspected CTS with the risk factor of age are p=0.659, sex are p=0.70, and Fisher exact test resulted in the significance value between suspected CTS with work period are p=0.020. Conclusion: There was a significant difference between suspected Carpal Tunnel Syndrome (CTS) with work period (p<0.05) and there were no significant difference between suspected Carpal Tunnel Syndrome (CTS) with age and sex (p>0.05).
Maximum Surgical Blood Ordering Schedule in Orthopedic Department at UNAIR Hospital January-June 2021 Diah Puspita Rini; Alexa Surya Romansyah; Andre Triadi Desnantyo
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 29 No. 3 (2023)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v29i3.2007

Abstract

Excessive ordering of blood components causes problems such as a lack of proper distribution of blood products between centers, increased costs, and workload of blood banks. Effective use of MSBOS will reduce the cross-match of patient blood samples and reduce unnecessary testing. This is also expected as a way to improve the quality of health services at UNAIR Hospital and reduce patient treatment costs. This study aimed to find out the MSBOS profile for orthopedic surgery at UNAIR Hospital in the period January-June 2021. This study is a cross-sectional study with a sample of orthopedic patients at UNAIR Hospital. The period was 6 months (January-June 2021). Cross-match to Transfusion Ratio (CTR), transfusion probability, and transfusion index calculations were carried out so that MSBOS could be formulated. A total of 33 units of blood were cross-matched from 21 patients in this study, whereas only 5 units of blood were transfused to 4 patients. It was found that 7 out of 8 types of surgeries had a CTR value of more than 2, a total of 6 types of surgeries had a low transfusion probability (below 30), and 6 types of surgeries had a TI below 0.5. In Total Hip Replacement (THR) and ORIF plating symphysis surgery, it is recommended that 2 units of blood be MSBOS, while for others, Group, Screen, Hold (GSH) is recommended. Further research with larger samples is needed to obtain more accurate results.
Calf stretch effectiveness in plantar fasciitis cases: A case series Andre Triadi Desnantyo; Dimas Aditya Wahyu
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 01 (2024): Qanun Medika Vol 08 No 01 January 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i01.18628

Abstract

Plantar fasciitis in Indonesia, occur after 30 years of age, 77% of sufferers between 40 to 69 years old, men to women is 1:2. There are risk factors for plantar fasciitis include structural abnormalities, being overweight, age-related degenerative changes, activities that require prolonged standing and/or ambulation, and errors in training, especially in athletes. We present 20 case series of all patients diagnosed with plantar fasciitis who went to the Orthopedic Polyclinic in 2018 and 2019, they received conservative management with Calf Stretch workouts for 30 days and were evaluated with AOFAS Score. Calf stretch exercises in which the patient stands with the sore leg behind and both hands pushing against a wall, also known as the wall stretch. This exercise is performed 2 times a day with a duration of 10-15 minutes each session. This exercise is done routinely for 30 days. A simple, progressive training protocol consisting of strength training with heavy weights will produce better results in the first three months when compared to plantar-focused stretching and may aid in more rapid relief of symptoms on pain. Conservative management with calf exercises still provides a good outcome in patients with plantar fasciitis, based on the AOFAS score.
Flat Foot based on Clarke's Angle Method and Overweight among Medical Students of Universitas Airlangga Putri, Nelsya Safira Aulia; Arfianti, Lydia; Desnantyo, Andre Triadi; Wardhani, Indrayuni Lukitra
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 2 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V15I22024.113-118

Abstract

Highlights: Being overweight can be one of the causes of flat foot. A person with flat feet may experience pain in the medial malleolus area and discomfort when tiptoeing.   Abstract Introduction: A flat foot is an arch deformity, and being overweight is one of the risk factors. It can cause problems such as fatigue, pain in the ankle and back, foot pain (especially during long walks or sports), and disturbances in balance and walking patterns. This study examined the relationship between flat feet (measured using Clarke's angle) and overweight students at the Faculty of Medicine, Universitas Airlangga. Methods: This study used an observational analytic design with a cross-sectional method, gathering primary data directly from the research sample. The data were analyzed using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26 with a p<0.05 considered statistically significant. Results: Of the 56 samples meeting inclusion criteria, most flat foot cases occurred in males. A total of 36 research subjects were overweight or obese, evenly split between females and males. Among the 112 samples, 19 had flat feet, and 93 did not. Chi-square test analysis indicated a highly significant (p=0.001), suggesting a significant relationship between flat feet and overweight. Conclusion: Flat feet (measured using Clarke's angle) had a significant relationship with overweight. Most subjects in this study were overweight based on body mass index (BMI), and most had a non-flat foot arch type. All cases of flat foot were found in subjects with overweight BMI.
Co-Authors Alexa Surya Romansyah Asyumaredha Asyumaredha Diah Puspitarini Dimas Aditya Wahyu Dyandarasmi Larasati Hizbillah Yazid Lilik Djuari Lukas Widhiyanto Lydia Arfianti Maghrizal Roychan Maynura Kharismansha Mohammad Zaim Chilmi Mouli Edward Putri, Nelsya Safira Aulia Sulistiawati Wardhani, Indrayuni Lukitra