Idulhaq, Mujaddid
Universitas Muhamadiyah Surakarta

Published : 4 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 4 Documents
Search

SKOR FUNGSIONAL HIP (HARRIS HIP SCORE) PADA PASIEN OSTEOARTHRITIS (OA) HIP JOINT DENGAN DEFEK ACETABULUM YANG DILAKUKAN TOTAL HIP ARTHROPLASTY (THR) DAN ACETABULOPLASTY Bawono, Sinung; Maryanto, Ismail; Idulhaq, Mujaddid
Biomedika Vol 10, No 2 (2018): Biomedika Agustus 2018
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v10i2.7018

Abstract

ABSTRAKTotal hip arthroplasty (THA) merupakan pilihan bagi hampir semua pasien dengan kelainan sendi panggul yang menyebabkan ketidaknyamanan dan gangguan fungsi. Hasil jangka panjang yang baik dikarenakan perangkat endoprosthetic tersebut mampu memberikan kemampuan menahan beban, mempertahankan fungsi, rentang gerak dan stabilitas. Peneliti  mencoba untuk mengevaluasi skor hip fungsional pasien osteoarthritis pinggul dengan defek pada acetabulum yang dilakukan tindakan THA dengan acetabuloplasty di Rumah Sakit Ortopedi X, Surakarta, sejak Januari - September 2016. Kemudian kami evaluasi untuk fungsional hip pasien sebelum dan sesudah operasi menggunakan Harris Hip Skor (HHS). Berdasarkan data yang diperoleh didapat jumlah sampel perempuan 18 pasien dan laki-laki 14 pasien. Pada karekter umur rentang umur sampel antara 49 tahun sampai 66 tahun. Penilaian skor HHS sebelum operasi memiliki rentang nilai 20,8 sampai dengan 69,4. Hasil pengukuran skor HHS terhadap sampel yang dilakukan setelah tindakan operasi adalah sebagai berikut Fair 9 pasien, Good 13 pasien, dan Excellent 10 pasien. Hasil penelitian dapat disimpulkan bahwa THA dan Acetabuloplasty memberikan hasil terapi terbaik pada pasien Osteoarthritis dengan defek acetabulum, meliputi kemampuan menahan beban tubuh, fungsi , rentang gerak dan stabilitas sendi.Kata Kunci: Osteoartritis Hip, Defek Acetabulum, THA, Total Hip Artroplasty, Acetabuloplasty, Harris Hip Score ABSTRACTTotal hip arthroplasty (THA) is an option for almost all patients with hip joint abnormalities that cause discomfort and disruption of significant function. This is because of good long-term results that the endoprosthetic device gives regarding the ability of weight-bearing, function, range of motion and stability of hip joint. We try to evaluate the functional hip score  of  hip  osteoarthritis patients with defects in the acetabulum, performed THA with acetabuloplasty in X Orthopaedic Hospital since January until September 2016. Then we evaluated for patient’s functional outcome before and after operation using Harris Hip Score (HHS). From 32 patients were reviewed and identified, there were 18 females and  14 males,  mean age was 57,5 y.o (range 49-66 y.o). All had primary THA and Acetabuloplasty. There were  10 patients have excellent functional outcome(90-100 based on Harris Hip Score/HHS),  13 patients have good functional outcome (80-0), 9 patients  have fair functional outcome (70 – 79),  no patient have poor functional outcome (60 – 69) and have failed functional outcome (below 60). In this study we concluded that THA and acetabuloplasty  gives  best treatment for osteoarthritis patient with acetabular defects , regarding the ability of weight-bearing, function, range of motion and stability of hip joint. Keyword : Osteoartritis Hip, Acetabular Defect, THA, Total Hip Arthroplasty,Acetabuloplasty, Harris Hip’s Score
Giant Cell Tumor of the Phalanx of Finger: Case Reports Utomo, Pamudji; Idulhaq, Mujaddid; Mudigdo, Ambar; Sentana, Okkie Mharga
Indonesian Journal of Medicine Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (566.605 KB)

Abstract

Background: Giant cell tumor (GCT) of bone arising from aphalanx of finger is extremely rare. Although, the occurrence of GCT in the hands is a rare, it has been reported that GCT of the small bones (small-bone GCT) carries a higher risk of local recurrence and metastasis than conventional GCT.Subjects and Method: We report two cases of GCT arising from a phalanx of a hand finger. First patient was treated with wide excision of the tumor and fusion with fibular bone graft with the help of a K-wire. Second patient was treated by excision of tumour (Curretage) with allograft bonegraft for bone defect.Results: At their most recent follow-ups (4 months, respectively), both were recurrence free and had returned to their previous occupational and recreational activities.Conclusion: The effectiveness of these methods in the treatment and prevention of recurrence is still under discussion and there is no gold standard for treating GCT.Keywords: GCT, phalanx of finger, excision, illiac crest bonegraft, allograftCorrespondence: Pamudji Utomo. Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: utomodr@yahoo.com.Indonesian Journal of Medicine (2019), 4(1): 65-74https://doi.org/10.26911/theijmed.2019.04.01.11
A 25 Years Old Female with Meloheostosis: A Case Report Utomo, Pamudji; Warman, Fanny Indra; Idulhaq, Mujaddid; Mudigdo, Ambar
Indonesian Journal of Medicine Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.325 KB)

Abstract

Background: Melorheostosis is a rare sclerosing bone dysplasia characterized by its classic radiographic feature of flowing/dripping candle wax. It usually affects one limb, more often the lower extremity, and rarely the axial skeleton. The etiology remains unknown and various theories have been proposed to explain the pathogenesis of this disease. It often has an insidious onset in early adult life. Symptoms include pain, oedema, and limitation of joint movement.Case presentation: A patient aged 25 year old male complaint of pain on the left lower extremity for the last 3 years. There is muscle atrophy at left extremity, bowing of the thigh, awelling at the foot. There is palpable mass at the left bottom, solid consistency and fixed. There are also limitation ROM of hip, knee and ankle. From the radiography examination showed inhomogen thickening of the periosteal cortical and endosteal, dripping candle wax appearance, and sclerotic lesion at soft tissue.Conculsion: X-ray is a sufficient method for diagnosis of melorheostosis.Other imaging techniques are essential for decision about therapeutic intervention (CT or MRI). Laboratory findings are usually in physiological range. Symptomatic therapy proved to be sufficient in subjective symptoms management.Keywords: Melorheostosis, sclerosing bone dysplasia, dripping candle waxCorrespondence: Pamudji Utomo. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: utomodr@yahoo.com.Indonesian Journal of Medicine (2019), 4(1): 59-64https://doi.org/10.26911/theijmed.2019.04.01.10
Functional Knee Score in Knee Osteoarthritis with Tibial Defect Performed Total Knee Arthroplasty with Screw Augmentation Mariyanto, Ismail; Idulhaq, Mujaddid; Utomo, Pamudji; Gardjito, Fajar Baskoro; Perdana, Arief Indra
Indonesian Journal of Medicine Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.926 KB)

Abstract

Background: Long-standing knee osteoarthritis also is a common cause of severe bone deficiency (especially proximal tibia). Total knee arthroplasty is indicated in patient with knee osteoarthritis who did not able to perform activity daily living. This study aimed to evaluate the functional knee score of the patient with knee osteoarthritis who performed total knee arthroplasty with screw augmentation.Subjects and Method: This was an analytic observational study conducted at Soeharso Orthopaedic Hospital, Surakarta, Central Java, from January to December 2016. A sample of 30 patients with knee osteoarthritis with tibial defect who performed total knee arthroplasty with screw augmentation was selected for this study. The dependent variable was functional knee score. The independent variable was knee arthroplasty with screw augmentation. Knee function was measured by knee society score. The difference of knee function score between before and after total knee arthroplasty with screw augmentation was analyzed by t test.Results: There were 30 patients (25 females and 5 males) with age between 54 to 73 years old. Mean of knee society score post operative (mean= 82.7; SD= 6.29) was higher than pre operative (mean= 30.5; SD= 6.74) and it was statistically significant (p=0.001).Conclusion: Knee society score after total knee arthroplasty with screw augmentation is higher than before surgery.Keywords: functional knee score, osteoarthritis, screw augmentationCorrespondence: Fajar Baskoro Gardjito, Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi Hospital/Prof. Dr. R. Soeharso Orthopaedic Hospital. Email: baskovic9237@gmail.com.Indonesian Journal of Medicine (2018), 3(3): 134-138https://doi.org/10.26911/theijmed.2018.03.03.02