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A Systematic Review On The Outcomes Of Fibular Strut Graft For Femoral Neck Fractures In Adults Bintang Soetjahjo; Udi Heru Nefihancoro; Rieva Ermawan; Gilang Teguh Pratama
Biomolecular and Health Science Journal Vol. 4 No. 1 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i1.26912

Introduction: Femoral neck fractures are a type of intracapsular hip fracture which also be found in younger patients who suffered from high-energy trauma such as vehicle accidents. Non-union and avascular necrosis are the most frequent complications following femoral neck fractures. In this study, we reviewed the outcomes of fibular grafting techniques for femoral neck fractures in adults.Methods: Online libraries PubMed, Cochrane Library and Scopus were searched for relevant papers. We searched for scientific publications published between 2009 and 2020. Inclusion and exclusion criteria were used, and prespecified characteristic were extracted from each study.Results: We found 172 papers relevant to the topic. At last, we included 6 papers in this systematic review with a total of 198 patients. Fibular strut graft for femoral neck fractures have shown excellent outcomes, uniting 177 (89,39%) of 198 fractures reviewed. Overall, 15 patients (7,57%) experiencing non-union and 12 patients (6,06%) having avascular necrosis.Conclusion: The outcomes of the intervention turned out to be excellent, assessed by both functional outcome criteria and radiographic bony union. It is important to established a consensus on surgical intervention for femoral neck fractures, specifically including fibular strut grafting.

Pemberdayaan Orang Tua dalam Pemantauan Status Gizi dan Imunisasi pada Balita selama Pandemi Covid-19 Angesti Nugraheni; Atriany Nilam Sari; Sri Mulyani; Vitri Widaningsih; Udi Heru Nefihancoro
Poltekita: Jurnal Pengabdian Masyarakat Vol. 3 No. 4 (2022): Oktober - Desember
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

The Covid-19 pandemic has directly impacted the continuity of children's health services. As many as 10.31% of children experienced delays in immunization, and 17% of toddlers had malnutrition status. The purpose of this service is to provide education for mothers who have toddlers to continue to monitor the nutritional status and immunization of children during a pandemic. The target of this activity is mothers who have toddlers and include members at the Sekolah Komplementer Cinta Ibu as many as 31 mothers. The provision of education is given through a whatsapp group, starting with extracting information about the nutritional status and immunization of children after providing material according to related problems, then giving a questionnaire to find out the level of maternal knowledge. The results showed that 32.26% of toddlers had incomplete basic immunization status, besides that there were still 6.45% with malnutrition status and 9.68% more nutrition, but after providing education, the mother's knowledge level was in the good category. Parents are empowered and aware of the health needs of children, so a quality generation will be created. ABSTRAK Pandemi Covid-19 secara langsung berdampak pada kelangsungan pelayanan kesehatan anak. Sebesar 10,31 % anak mengalami penundaan imunisasi, dan 17% balita berstatus gizi kurang. Tujuan pengabdian ini memberikan edukasi bagi ibu yang memiliki balita untuk tetap melakukan pemantauan status gizi dan imunisasi anak di masa pandemi. Sasaran kegiatan ini adalah ibu yang memiliki balita dan termasuk anggota di Sekolah Komplementer Cinta Ibu sebanyak 31 ibu. Pemberian edukasi diberikan melalui grup whatsapp, diawali dengan penggalian informasi mengenai status gizi dan imunisasi anak setelahnya memberikan materi sesuai dengan masalah terkait, kemudian pemberian kuisioner untuk mengetahui tingkat pengetahuan ibu. Hasil menunjukkan 32,26% balita berstatus imunisasi dasar tidak lengkap, selain itu masih terdapat 6,45% berstatus gizi kurang dan 9,68% gizi lebih, namun setelah pemberian edukasi tingkat pengetahuan ibu berada dalam kategori baik. Orang tua berdaya dan sadar akan kebutuhan kesehatan anak, maka akan tercipta generasi yang berkualitas.

The Profile of Osteogenesis Imperfecta in Dr. Moewardi General Hospital Year 2020-2021: A Retrospective Study Udi Heru Nefihancoro; Ricat Hinaywan Malik
Jurnal Kedokteran Brawijaya Vol. 32 No. 4 (2023)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2023.032.04.6

Osteogenesis imperfecta (OI) is a heritable bone dysplasia characterized by bone fragility and long bone deformities. This study aims to report the profile of osteogenesis imperfecta in Dr. Moewardi General Hospital. The patients were searched from the medical record, registered from January 1, 2020, to December 31, 2021, in Dr. Moewardi General Hospital, a tertiary hospital in Surakarta, Indonesia. The data were recorded and described in tables as age, sex, type of OI according to Sillence, clinic, ward admission, signs and symptoms, bisphosphonate therapy and its discipline, as well as the surgical/non-surgical treatment. The quantity of male patients is higher than that of females, OI type IV is the most common, the most common sign/symptoms are fracture and blue sclera, and the most common bone to be fractured is the femur. More than half of patients received bisphosphonate therapy, but only a quarter received it routinely. More than half of patients have performed surgery as the treatment of fractures. Osteogenesis imperfecta patients require an interdisciplinary and tailored treatment that involves both medical and surgical components.

Analysis of the Role of Vitamin C Hypovitaminosis in Scurvy on Bone Health: A Single Center Observational Study at Dr. Moewardi General Hospital, Surakarta, Indonesia Nefihancoro, Udi Heru; Rachmad Faisal
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (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.v8i9.1066

Background: Scurvy, vitamin C deficiency, is a rare condition but remains relevant in Indonesia. This study aims to analyze the role of vitamin C hypovitaminosis in the development of scurvy and its impact on bone health through an observational study at Dr. Moewardi General Hospital. Surakarta. Methods: A cross-sectional observational study was conducted on 30 patients diagnosed with scurvy at Dr. Moewardi General Hospital Surakarta during the 2020-2023 period. Demographic data, medical history, nutritional status, and severity of scurvy were collected. A radiological examination of the bone is performed to assess scurvy-related changes. Descriptive, comparative, and Spearman correlation statistical analyzes were used. Results: The majority of patients were men (66.7%) with a mean age of 45 years. A history of an unbalanced diet with low fruit and vegetable intake was found in the majority of patients (86.7%). Common symptoms include fatigue (86.7%), joint pain (73.3%), bleeding gums (60%), and skin bleeding (53.3%). The severity of scurvy varied, with 10 patients (33.3%) experiencing severe scurvy. Radiological examination shows significant changes in long bones, especially osteoporosis and thinning of the cortex, which is more obvious in patients with severe scurvy. Spearman correlation analysis showed a positive correlation between the severity of scurvy and the incidence of osteoporosis (rho = 0.495, p = 0.005) and cortical thinning (rho = 0.394, p = 0.031). Conclusion: Vitamin C hypovitaminosis plays a significant role in the development of scurvy and has a negative impact on bone health. Early screening and diagnosis of scurvy are important to prevent musculoskeletal complications. Nutritional education and dietary interventions to increase vitamin C intake need to be intensified, especially in high-risk groups.

Effectiveness of Mechanical Treatments (Periosteal Stripping VS Non-Periosteal Stripping) on Fracture Healing: In Vivo Study Nefihancoro, Udi Heru; Septriarta Parlindungan; Ida Bagus Budhi Surya Adnyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (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.v8i9.1071

Background: Periosteal stripping (PS) is a controversial technique in fracture management, with studies reporting both positive and negative effects on bone healing. This study aims to evaluate the effectiveness of PS and non-periosteal stripping (NPS) on fracture healing in the Sprague Dawley rat model. Methods: This study is an in vivo experimental research. Male Sprague Dawley rats (8-10 weeks old) were divided into four groups (n=10 per group): Group I: NPS, evaluation day 14; Group II: PS, evaluation day 14; Group III: NPS, evaluation day 28 and Group IV: PS, evaluation day 28. A standard fracture was created in the tibia, and PS or NPS was performed. Radiographic evaluation was performed on days 14 and 28, with the RUST score (Radiographic Union Score for Tibia) used to assess fracture healing. Statistical analysis was performed using the Kruskal-Wallis test. Results: The RUST score showed better fracture healing in the NPS group compared to PS on day 28 (p<0.05). There was no significant difference on day 14 (p>0.05). Conclusion: NPS was more effective in accelerating fracture healing in Sprague Dawley rats than PS, especially in the later stages of healing. These findings provide further evidence of the potential adverse effects of PS and highlight the importance of considering time in assessing its efficacy.

Analysis of the Role of Vitamin C Hypovitaminosis in Scurvy on Bone Health: A Single Center Observational Study at Dr. Moewardi General Hospital, Surakarta, Indonesia Nefihancoro, Udi Heru; Rachmad Faisal
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (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.v8i9.1066

Background: Scurvy, vitamin C deficiency, is a rare condition but remains relevant in Indonesia. This study aims to analyze the role of vitamin C hypovitaminosis in the development of scurvy and its impact on bone health through an observational study at Dr. Moewardi General Hospital. Surakarta. Methods: A cross-sectional observational study was conducted on 30 patients diagnosed with scurvy at Dr. Moewardi General Hospital Surakarta during the 2020-2023 period. Demographic data, medical history, nutritional status, and severity of scurvy were collected. A radiological examination of the bone is performed to assess scurvy-related changes. Descriptive, comparative, and Spearman correlation statistical analyzes were used. Results: The majority of patients were men (66.7%) with a mean age of 45 years. A history of an unbalanced diet with low fruit and vegetable intake was found in the majority of patients (86.7%). Common symptoms include fatigue (86.7%), joint pain (73.3%), bleeding gums (60%), and skin bleeding (53.3%). The severity of scurvy varied, with 10 patients (33.3%) experiencing severe scurvy. Radiological examination shows significant changes in long bones, especially osteoporosis and thinning of the cortex, which is more obvious in patients with severe scurvy. Spearman correlation analysis showed a positive correlation between the severity of scurvy and the incidence of osteoporosis (rho = 0.495, p = 0.005) and cortical thinning (rho = 0.394, p = 0.031). Conclusion: Vitamin C hypovitaminosis plays a significant role in the development of scurvy and has a negative impact on bone health. Early screening and diagnosis of scurvy are important to prevent musculoskeletal complications. Nutritional education and dietary interventions to increase vitamin C intake need to be intensified, especially in high-risk groups.

Effectiveness of Mechanical Treatments (Periosteal Stripping VS Non-Periosteal Stripping) on Fracture Healing: In Vivo Study Nefihancoro, Udi Heru; Septriarta Parlindungan; Ida Bagus Budhi Surya Adnyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 9 (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.v8i9.1071

Background: Periosteal stripping (PS) is a controversial technique in fracture management, with studies reporting both positive and negative effects on bone healing. This study aims to evaluate the effectiveness of PS and non-periosteal stripping (NPS) on fracture healing in the Sprague Dawley rat model. Methods: This study is an in vivo experimental research. Male Sprague Dawley rats (8-10 weeks old) were divided into four groups (n=10 per group): Group I: NPS, evaluation day 14; Group II: PS, evaluation day 14; Group III: NPS, evaluation day 28 and Group IV: PS, evaluation day 28. A standard fracture was created in the tibia, and PS or NPS was performed. Radiographic evaluation was performed on days 14 and 28, with the RUST score (Radiographic Union Score for Tibia) used to assess fracture healing. Statistical analysis was performed using the Kruskal-Wallis test. Results: The RUST score showed better fracture healing in the NPS group compared to PS on day 28 (p<0.05). There was no significant difference on day 14 (p>0.05). Conclusion: NPS was more effective in accelerating fracture healing in Sprague Dawley rats than PS, especially in the later stages of healing. These findings provide further evidence of the potential adverse effects of PS and highlight the importance of considering time in assessing its efficacy.

Bilateral Clavicle Fractures with Multiple Rib Fractures and Hemothorax: A Case Report Nefihancoro, Udi Heru; Kurniawan, Arie
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 14 No. 1 (2026): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v14i1.49333

Bilateral clavicle fractures are rare and when it occurs, these are generally associated with high-energy trauma which may also associated with thoracic injury. We report a case of a 46-year-old man presenting with bilateral fractures of the clavicle associated with multiple rib fractures and hemothorax after he suffered a road traffic accident, hit by a car from behind and fell with his chest hitting the road. The left clavicle was fixed with a hook plate, the left clavicle was fixed by a S-shaped locking plate. For the thoracic injury, the hemothorax was managed by water seal drainage (WSD) placed on the left lung and the multiple rib fractures was fixed with elective open reduction and internal fixation.

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

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

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