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All Journal E-Jurnal Medika Udayana Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Abdi Kesehatan dan Kedokteran
Maharjana, Made Agus
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Hubungan Antara Waktu Tunggu Operasi pada Fraktur Collum Femur dengan Funsgional Outcome pada Pasien Berusia di atas 65 Tahun di RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar pada Tahun 2021 Tandiono, Marco; Aryana, I Gusti Ngurah Wien; Meregawa, Putu Feryawan; Maharjana, Made Agus
E-Jurnal Medika Udayana Vol 13 No 4 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i04.P13

Abstract

Fractures are common occurrence, especially in the elderly. One type of fracture with the most cases is neck fracture of the femur. The presence of a fracture can sometimes interfere with the body's functional activities, both before and after surgery. Different treatment times will result in varying outcomes, as in mortality and postoperative body function. This study aims to determine the relationship between waiting time for collum femur fracture surgery with functional outcome in patients who aged over 65 years. This study was an observational study with a retrospective analytic cross-sectional approach. The sampling technique used is total sampling, which by taking all available samples. Members of the research sample will be interviewed about their body's functional abilities using the Modified Harris Hip Score scoring system. The obtained interview results will be calculated and categorized. Furthermore, the data will be tested by Chi-Square Test to determine its significance. Interviews were conducted on 19 willing families. A total of 12 people underwent surgery with waiting time 5 days post-trauma, and 7 people underwent surgery with waiting time >5 days post-trauma. The results of the interviews showed that as many as 7 people died after surgery after 1 year. Meanwhile, the scoring results show that the most functional outcomes are in the bad category. The results of the Chi-Square Test showed that there was no significant difference in waiting time for surgery on post surgery outcome (p<0.05). Waiting time for surgery on collum femur fractures shows no significance on functional outcome in patients over 65 years of age.
Close Reduction Percutaneous Pinning (CRPP) versus Open Reduction Internal Fixation (ORIF) pada Fraktur Supracondylar Humerus Gartland Tipe II dan III pada Pasien Pediatri: Tinjauan Sistematis dan Meta-analisis Astawa, Putu; Maharjana, Made Agus; Adisthanaya, Surya; Putra, Made Winatra Satya; Putra, Agus Suarjaya; Savio, Sherly Desnita
Majalah Kedokteran Indonesia Vol 71 No 4 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.4-2021-389

Abstract

Introduction: Displaced supracondylar fracture in children is a challenging injury that may result in impaired functional and cosmetic outcome if not well-treated. Utilization of Closed Reduction and Percutaneus Pinning (CRPP) increased for this pathology, some authors believe ORIF results better anatomical reduction and lower rate of loss of reduction. Study aims to compare CRPP and ORIF for pediatric supracondylar humerus fracture. Method: Systematic review was conducted based on PRISMA guideline. Inclusion criteria were age less than 18 years old, comparing CRPP and ORIF for Supracondylar Humerus Fractures Gartland Type II, II.Studies of one surgical technique, Gartland type I, case reports were excluded. For meta-analysis, 6 studies were included and fixed effect model used to pool the result. In each study, mean difference (MD) with 95% confidence interval (CI) was calculated for dichotomous outcomes using Review Manager. Result: Total of 252 patients aged 0-15 years old were included. CRPP more often performed than ORIF. Satisfactory outcomes measured by Flynn’s criteria were achieved in 87.74% in CRPP and 86.73% in ORIF patient group, indicating significant difference (Heterogeneity, I2 = 23%; WMD, 1.26; 0.58 to 2.73; P =0.56). Conclusion: Current systematic review and meta-analysis suggest that for displaced supracondylar humerus fractures, ORIF offers a comparable functional and cosmetic outcome compared to CRPP.
Efektivitas Posteromedial Release yang Dikombinasikan dengan Subtalar Release pada Congenital Talipes Equinovarus: Suatu Tinjauan Sistematis: The Effectiveness of Posteromedial Release by Subtalar Release for Congenital Talipes Equinus Varus (CTEV): A Systematic Review Sandy, I Putu Lari; Maharjana, Made Agus
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.172

Abstract

Clubfoot, or congenital talipes equinovarus (CTEV), strikes about 1–2 in 1,000 newborns, featuring forefoot adduction, hindfoot varus, equinus, and cavus deformities that, if untreated, cause lasting disability. While the Ponseti method remains the gold standard, tough resistant cases call for surgery like posteromedial release (PMR) or complete subtalar release (CSTR) yet no clear winner emerges for long-term results or recurrence rates. This study compares their outcomes using recent evidence. This PRISMA-guided systematic review compared PMR and CSTR for CTEV treatment, analyzing peer-reviewed clinical studies from 2005–2025 on recurrence, complications, functional outcomes, and operative parameters; four studies met inclusion criteria. The search across PubMed, Google Scholar, and ScienceDirect used Boolean operators—(“CTEV” OR “Congenital talipes equinus varus”) AND (“Posteromedial release” OR “modified posteromedial release”) AND (“Complete subtalar release” OR “modified complete subtalar release”) including full-text English clinical reports/series on resistant clubfoot while excluding reviews, abstracts, non-English/out-of-timeframe works, duplicates, animal studies, and similar materials. PROSPERO (Registration ID: CRD420251159365). The four studies (short- and long-term follow-up) showed both PMR and CSTR effectively correct CTEV, with no significant differences in clinical outcomes, recurrence rates, radiological improvements, or functional results. Patient age, postoperative care, and rehabilitation influenced long-term outcomes. Complications included CSTR overcorrection and PMR scar issues, emphasizing careful surgical planning. This review suggests that both PMR and CSTR are effective treatments for resistant clubfoot, with no clear advantage of one over the other. Future studies should focus on larger sample sizes, standardized outcome measures, and longer follow-up to determine the most effective surgical approach for CTEV.
Co-Authors Aryana, I Gusti Ngurah Wien Meregawa, Putu Feryawan Putra, Agus Suarjaya Putra, Made Winatra Satya Putu Astawa Sandy, I Putu Lari Savio, Sherly Desnita Surya Adisthanaya, Surya Tandiono, Marco