Hasil Pencarian  ::  Simpan CSV :: Kembali

Hasil Pencarian

Ditemukan 160581 dokumen yang sesuai dengan query
cover
Grace Boaz
Hasil Fungsional Operasi ORIF pada Pasien Fraktur Midface di Divisi Bedah Plastik Rumah Sakit Cipto Mangunkusumo Tahun 2009-2014 = Functional Outcome of ORIF Surgery on Midface Fracture Patients in Plastic Surgery Division Cipto Mangunkusumo Hospital from 2009-2014
"[Pendahuluan:
Fraktur yang mengenai midface akan menyebabkan gangguan fungsi baik fungsi mata maupun oklusi. Walaupun angka kejadian fraktur midface cukup tinggi, terdapat gangguan fungsional, dan membutuhkan biaya yang besar untuk tatalaksana menggunakan mini plate dan screw, tidak ada informasi mengenai hasil fungsional setelah tatalaksana fraktur midface.
Metode:
Data mengenai status fungsional pasien dengan fraktur midface sebelum operasi ORIF didapatkan dari data rekam medis dan data setelah operasi ORIF didapatkan dari pemeriksaan objektif dan subjektif. Status fungsional meliputi diplopia, gerakan bola mata, maloklusi, dan gangguan nervus fasialis dan nervus infraorbita.
Hasil:
Semua pasien yang dievaluasi menunjukkan perbaikan status fungsional setelah operasi ORIF.
Kesimpulan:
Pasien dengan fraktur midface yang telah menjalani operasi ORIF di Divisi Bedah Plastik Rumah Sakit Cipto Mangunkusumo menunjukkan adanya perbaikan pada diplopia, gerakan bola mata, oklusi, dan fungsi nervus fasialis dan infraorbita pada evaluasi jangka panjang.;Background:
Fractures involving the midface present more challenges due to the impairment on function both occlusion and visual function. In spite of the high number of occurrence, high impact to the impairment on function, and high cost in the treatment due to relatively expensive hardware required (mini plate and screw), there is inadequate information about the outcome after treating midface fracture.
Methods:
Data on functional status of patients with midface fracture before ORIF surgery collected from medical records and data after ORIF surgery gathered objectively and subjectively. Functional status including diplopia, eye motility, cranial facial nerve impairment, infraorbita nerve impairment and malocclusion.
Results:
All of the patients that have been evaluated was showing improvement in total functional status after treatment with ORIF surgery.
Conclusion:
Midface fracture patients underwent ORIF surgery in Plastic Surgery Division, Cipto Mangunkusumo hospital, resulted in the recovery of eye motility function, diplopia, malocclusion and facial and infraorbital nerve impairment at longterm evaluation., Background:
Fractures involving the midface present more challenges due to the impairment on function both occlusion and visual function. In spite of the high number of occurrence, high impact to the impairment on function, and high cost in the treatment due to relatively expensive hardware required (mini plate and screw), there is inadequate information about the outcome after treating midface fracture.
Methods:
Data on functional status of patients with midface fracture before ORIF surgery collected from medical records and data after ORIF surgery gathered objectively and subjectively. Functional status including diplopia, eye motility, cranial facial nerve impairment, infraorbita nerve impairment and malocclusion.
Results:
All of the patients that have been evaluated was showing improvement in total functional status after treatment with ORIF surgery.
Conclusion:
Midface fracture patients underwent ORIF surgery in Plastic Surgery Division, Cipto Mangunkusumo hospital, resulted in the recovery of eye motility function, diplopia, malocclusion and facial and infraorbital nerve impairment at longterm evaluation.]"
Fakultas Kedokteran Universitas Indonesia, 2014
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Risa Crisanti
Hasil estetik operasi orif pada pasien fraktur midface di divisi bedah plastik Rumah Sakit Cipto Mangunkusumo tahun 2009-2014 = Aesthetic outcome of orif surgery on midface fracture patients in plastic surgery division Ciptomangunkusumo Hospital from 2009-2014 / Risa Crisanti
"[ABSTRAK
Pendahuluan :
Fraktur Midface merupakan fraktur yang sering terjadi dapat dapat memberikan efek baik dari segi estetik dan fungsi. Fraktur Midface yang tidak ditangani dengan baik akan merubah bentuk wajah menjadi tidak proporsional, salah satunya wajah yang menjadi lebih lebar dan panjang, terdapat depresi malar. Tata laksana dengan reposisi segmen fraktur dan fiksasi interna merupakan pilihan utama.
Metode :
Data yang diambil dari status estetik dengan menggunakan studi cross sectional pada pasien dengan fraktur midface sebelum operasi ORIF didapatkan di rekam medis, dan data setelah opeasi ORIF didapatkan dari follow up (4 years), kemudian dilakukan pengukuran dari proyeksi vertical, horizontal dan warm?s view .
Hasil :
Berdasarkan analisis fotografi dari proyeksi vertikal didapatkan 3 pasien memiliki proporsi muka yang baik, 3 pasien memiliki proporsi wajah yang baik dikarenakan perbedaan rata-rata. Berdasarkan analisis fotografi dari proyeksi horizontal didapatkan 3 pasien memiliki panjang muka yang berbeda, 2 pasien memiliki dystopia, 1 pasien memiliki enophtalmus. Berdasarkan analisi fotografi dari proyeksi worm?s eye didapatkan 4 pasien memiliki depresi malar eminensMengenai hasil estetika, didapatkan 4 pasien (66,6 %) puas dengan simetrisitas wajah setelah operasi. 2 pasien (33,3 %) mengeluhkan tidak puas dengan penampilan akhir setelah operasi
Kesimpulan :
Untuk dapat mengevaluasi hasil operasi ORIF di Divisi Bedah Plastik Rumah Sakit Ciptomangunkusumo. Tidak hanya dibutuhkan registrasi data awal yang baik, tetapi juga dibutuhkan sarana dan fasilitas untuk mendapatkan evaluasi jangka panjang pada pasien terutama lokasi pasien yang jaraknya jauh dari lokasi rumah sakit.
ABSTRACT
Background :
Midface fracture is a fracture that often occurs may be able to give a good effect in terms of aesthetics and functionality. Midface fracture that is not handled properly will change the shape of the face become disproportionate, one of which face becomes wider and longer, there is a malar depression. The management of the segment repositioning fracture and internal fixation is the main option.
Methods:
Data taken from the status aesthetic using cross sectional study in patients with fractures midface before surgery ORIF obtained in medical records, and the data after opeasi ORIF obtained from follow-up (4 years), then the measurement of the projected vertical, horizontal and warm's view.
Result:
Based on the photographic analysis of the vertical projection obtained 3 patients have a good proportion of the face, 3 patients had good facial proportions due to differences in average. Based on the photographic analysis of horizontal projection obtained 3 patients had a different face long, 2 patients had a dystopia, 1 patient had enophtalmus. Based on the photographic analysis of the worm's eye projection obtained 4 patients had a malar depression eminens.
Regarding the aesthetic results, obtained four patients (66.6%) are satisfied with simetrisitas face after surgery. 2 patients (33.3%) complained of is not satisfied with the final appearance after surgery
Conclusions:
To be able to evaluate the results of ORIF surgery in the Division of Plastic Surgery Hospital Ciptomangunkusumo. Not only the data registration needed a good start, but also the infrastructure and facilities needed to obtain a long-term evaluation of the patients, especially the location of patients that were located far from the location of the hospital, Background :
Midface fracture is a fracture that often occurs may be able to give a good effect in terms of aesthetics and functionality. Midface fracture that is not handled properly will change the shape of the face become disproportionate, one of which face becomes wider and longer, there is a malar depression. The management of the segment repositioning fracture and internal fixation is the main option.
Methods:
Data taken from the status aesthetic using cross sectional study in patients with fractures midface before surgery ORIF obtained in medical records, and the data after opeasi ORIF obtained from follow-up (4 years), then the measurement of the projected vertical, horizontal and warm's view.
Result:
Based on the photographic analysis of the vertical projection obtained 3 patients have a good proportion of the face, 3 patients had good facial proportions due to differences in average. Based on the photographic analysis of horizontal projection obtained 3 patients had a different face long, 2 patients had a dystopia, 1 patient had enophtalmus. Based on the photographic analysis of the worm's eye projection obtained 4 patients had a malar depression eminens.
Regarding the aesthetic results, obtained four patients (66.6%) are satisfied with simetrisitas face after surgery. 2 patients (33.3%) complained of is not satisfied with the final appearance after surgery
Conclusions:
To be able to evaluate the results of ORIF surgery in the Division of Plastic Surgery Hospital Ciptomangunkusumo. Not only the data registration needed a good start, but also the infrastructure and facilities needed to obtain a long-term evaluation of the patients, especially the location of patients that were located far from the location of the hospital]"
2015
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Marpaung, Yanthi
Analisis praktik klinik Keperawatan Kesehatan Masyarakat Perkotaan (KKMP) pada pasien fraktur radius ulna di Rumah Sakit Cipto Mangunkusumo = The analysis of clinical practice of Urban Nursing on patient with radius ulna fracture at Cipto Mangunkusumo Hospital
"[ABSTRAK
Keperawatan kesehatan masyarakat perkotaan merupakan bagian keperawatan
komunitas yang memfokuskan pelayanan pada penyelesaian masalah kesehatan.
Masyarakat perkotaan memiliki karakteristik yaitu padat penduduk, tingginya angka
pertumbuhan kendaraan bermotor, dan mobilitas yang tinggi. Karakteristik ini
mempengaruhi pola aktivitas masyarakat, salah satunya penggunaan alat transportasi
untuk efektivitas waktu. Faktor mobilitas yang tinggi, tingginya angka pertumbuhan
kendaraan, dan ketidakdisiplinan pengemudi kendaraan menimbulkan risiko
kecelakaan yang berdampak pada masalah kesehatan salah satunya fraktur. Selama
praktik di ruang bedah RSUP Cipto Mangunkusumo penulis mengambil kasus klien
fraktur radius ulna dengan ansietas tinggi selama hospitalisasi. Penulis menganalisis
salah satu tindakan keperawatan untuk mengurangi ansietas klien.ABSTRACT Urban health nursing is part of the community nursing service that focuses on
addressing health problems in urban areas. Urban community is characterized by
dense population, a high rates in the growth of motor vehicles, and high mobility of
the society. These characteristics affect the pattern of community activities, one of
which is in the use of motor vehicle for transportation. High mobility factor, a high
rates of growth in motor vehicle and inappropriate behavior may increase the risk of
accidents that may impact on health, one of which is a fracture. During the practice in
the surgery department of Cipto Mangunkusumo Hospital, the author cared for the
patient with fracture of the radius ulna with high anxiety during hospitalization. The
authors analyze done of the nursing intervention provided to reduce client anxiety;Urban health nursing is part of the community nursing service that focuses on
addressing health problems in urban areas. Urban community is characterized by
dense population, a high rates in the growth of motor vehicles, and high mobility of
the society. These characteristics affect the pattern of community activities, one of
which is in the use of motor vehicle for transportation. High mobility factor, a high
rates of growth in motor vehicle and inappropriate behavior may increase the risk of
accidents that may impact on health, one of which is a fracture. During the practice in
the surgery department of Cipto Mangunkusumo Hospital, the author cared for the
patient with fracture of the radius ulna with high anxiety during hospitalization. The
authors analyze done of the nursing intervention provided to reduce client anxiety;Urban health nursing is part of the community nursing service that focuses on
addressing health problems in urban areas. Urban community is characterized by
dense population, a high rates in the growth of motor vehicles, and high mobility of
the society. These characteristics affect the pattern of community activities, one of
which is in the use of motor vehicle for transportation. High mobility factor, a high
rates of growth in motor vehicle and inappropriate behavior may increase the risk of
accidents that may impact on health, one of which is a fracture. During the practice in
the surgery department of Cipto Mangunkusumo Hospital, the author cared for the
patient with fracture of the radius ulna with high anxiety during hospitalization. The
authors analyze done of the nursing intervention provided to reduce client anxiety, Urban health nursing is part of the community nursing service that focuses on
addressing health problems in urban areas. Urban community is characterized by
dense population, a high rates in the growth of motor vehicles, and high mobility of
the society. These characteristics affect the pattern of community activities, one of
which is in the use of motor vehicle for transportation. High mobility factor, a high
rates of growth in motor vehicle and inappropriate behavior may increase the risk of
accidents that may impact on health, one of which is a fracture. During the practice in
the surgery department of Cipto Mangunkusumo Hospital, the author cared for the
patient with fracture of the radius ulna with high anxiety during hospitalization. The
authors analyze done of the nursing intervention provided to reduce client anxiety]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Sahrudin
Analisis praktik keperawatan kesehatan masyarakat perkotaan pada pasien post Open Reduction Internal Fixation (ORIF) fraktur tibia fibula tertutup dengan intervensi ambulasi di Ruang Angrek tengah kanan RSUP Persahabatan. = Analysis of professional practice of urban health nursing in patients post Open Reduction Internal Fixation (ORIF) tibia fibula closed fracture with ambulation intervention in Anggrek tengah kanan ward At Persahabatan Hospital.
"[ABSTRAK
Mayoritas populasi masyarakat dunia menepati daerah perkotaan. Akibat dari
kepadatan penduduk di daerah perkotaan timbul masalah yang berkaitan dengan lalulintas
salah satunya adalah tingginya jumlah kecelakaan lalu-lintas. Fraktur
merupakan salah satu akibat dari kecelakaan lalu-lintas yang memerlukan
penanganan segera untuk mempertahankan anatomi dan fungsi tubuh seperti semula.
Pasien post ORIF tibia dan fibula memerlukan tindakan ambulasi untuk
memperlancar sistem peredaran darah pasien. Karya ilmiah ini bertujuan untuk
menganalisis intervensi keperawatan ambulasi yang diberikan pada pasien post ORIF
fraktur tibia dan fibula di Ruang Angrek tengah kanan RSUP Persahabatan. Pasien
yang dilakukan tindakan ambulasi secara bertahap adalah pasien dapat terhindar dari
komplikasi akibat vaskularisasi yang buruk, dapat mempercepat proses penyembuhan
serta memperpendek masa perawatan pasien di rumah sakit.ABSTRACT The majority of world's population lived in urban areas. As a result of population
density in urban areas, problem relating to traffic is the high number of traffic
accident. Fracture is one result of a traffic accident that requires immediate action to
preserve the anatomy and function of the body as before. The tibia and fibula
fractures post ORIF patient requires ambulation intervention to expedite the
circulatory system of the patient. This scientific work aimed to analyze ambulation of
the nursing intervention which given to tibia and fibula fractures post ORIF patient
at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the
gradually ambulation intervention can avoid the complications due to poor
vascularization, accelerate the healing process, and shorten patient care in hospital.;The majority of world's population lived in urban areas. As a result of population
density in urban areas, problem relating to traffic is the high number of traffic
accident. Fracture is one result of a traffic accident that requires immediate action to
preserve the anatomy and function of the body as before. The tibia and fibula
fractures post ORIF patient requires ambulation intervention to expedite the
circulatory system of the patient. This scientific work aimed to analyze ambulation of
the nursing intervention which given to tibia and fibula fractures post ORIF patient
at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the
gradually ambulation intervention can avoid the complications due to poor
vascularization, accelerate the healing process, and shorten patient care in hospital.;The majority of world's population lived in urban areas. As a result of population
density in urban areas, problem relating to traffic is the high number of traffic
accident. Fracture is one result of a traffic accident that requires immediate action to
preserve the anatomy and function of the body as before. The tibia and fibula
fractures post ORIF patient requires ambulation intervention to expedite the
circulatory system of the patient. This scientific work aimed to analyze ambulation of
the nursing intervention which given to tibia and fibula fractures post ORIF patient
at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the
gradually ambulation intervention can avoid the complications due to poor
vascularization, accelerate the healing process, and shorten patient care in hospital., The majority of world's population lived in urban areas. As a result of population
density in urban areas, problem relating to traffic is the high number of traffic
accident. Fracture is one result of a traffic accident that requires immediate action to
preserve the anatomy and function of the body as before. The tibia and fibula
fractures post ORIF patient requires ambulation intervention to expedite the
circulatory system of the patient. This scientific work aimed to analyze ambulation of
the nursing intervention which given to tibia and fibula fractures post ORIF patient
at Angrek tengah kanan ward RSUP Persahabatan. The patient who performed the
gradually ambulation intervention can avoid the complications due to poor
vascularization, accelerate the healing process, and shorten patient care in hospital.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
PR-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Annas Sumeru
Analisis praktik residensi keperawatan medikal bedah pada pasien dengan multiple fraktur dan sindroma kompartemen dengan penerapan model teori adaptasi roy di Rumah Sakit Umum Pusat Fatmawati Jakarta dan Rumah Sakit Orthopedi Prof Soeharso Surakarta = Analysis of medical surgical nursing clinical practise of residency on patient with multiple fracture and compartment syndrome using roy adaptation model approach in RSUP Fatmawati Jakarta and RSOP Prof Soeharso Surakarta
"Sistem muskuloskeletal memberikan perlindungan terhadap organ vital tubuh gangguan pada sistem tersebut memberikan dampak serius bagi kondisi kesehatan seseorang kualitas hidup keuangan kenyamanan fisik dan kesehatan psikologis Penyakit dan cidera di Indonesia paling banyak merupakan kejadian patah tulang Pada kondisi patah tulang dapat mengakibatkan insufisiensi vaskuler dan kompresi saraf serta sindroma kompartemen Perawat spesialis medikal bedah berperan penting dalam penatalaksanaan asuhan keperawatan melalui pendekatan Model Adaptasi Roy pada kasus multipel fraktur dan sindroma kompartemen penerapan pemberian edukasi singkat dan latihan relaksasi nafas dalam sebagai upaya menurunkan nyeri pada klien post operasi ORIF Open Reduction Intra Fixation serta peran sebagai inovator melalui pengembangan program SBAR Situation Background Assessment Recommendation dalam handover perawat ruangan Hasil analisis praktik menunjukkan bahwa Model Adaptasi Roy sesuai dalam pengelolaan asuhan keperawatan pada multipel fraktur dan sindroma kompartemen Pemberian edukasi singkat dan latihan relaksasi nafas dalam mampu menurunkan tingkat nyeri secara efektif hingga hari ke 7 setelah operasi pemasangan ORIF Pengembangan program SBAR dilakukan melalui pembuatan panduan berdasarkan kasus yang sering terjadi di ruangan bedah orthopedi RSUP Fatmawati sehingga melalui panduan tersebut perawat dapat melakukan timbang terima menggunakan SBAR khususnya pada pasien dengan gangguan muskuloskeletal Kata kunci Model Adaptasi Roy fraktur multipel Edukasi singkat dan nafas dalam SBAR Depok 21 Agustus 2015 Mengetahui Suvervisor Utama Mahasiswa Dr Debie Dahlia S Kp MHSM Annas Sumeru.
The musculoskeletal system provides protection against the body 39 s vital organs disturbances in the system create serious implications for a person 39 s health condition quality of life financial physical comfort and psychological health Disease and injury in Indonesia mostly caused by incidence of fractures Fractures could possibly lead to vascular insufficiency and nerve compression as well as compartment syndrome Medical surgical nurse specialist plays an important role in the management of nursing care by Roy Adaptation Model approach in the case of multiple fractures and compartment syndrome the application of brief educational and breathing relaxation exercises to reduce pain level of patient attempt ORIF Open Reduction Intra Fixation as well as a role as innovator through the development of SBAR Situation Background Assessment Recommendation programs for nurse handover The results of the analysis of practices shows that Roy Adaptation Model fit in the management of nursing care in multiple fractures and compartment syndrome Giving a brief educational and breathing relaxation exercises able to effectively reduce pain until the 7th day after ORIF surgery SBAR program development is done through the creation of guidelines based on the case that often occur in orthopedic ward of RSUP Fatmawati so that through the guidance of nurses can using SBAR particularly in patients with musculoskeletal disorders Keywords Roy Adaptation Model multiple fracture brief educational and breathing relaxation exercise SBAR Depok 21 Agustus 2015 Mengetahui Suvervisor Utama Mahasiswa Dr Debie Dahlia S Kp MHSM Annas Sumeru."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Panjaitan, Troydimas
Efek inhibisi enzim konversi angiotensin pada proses penyembuhan fraktur model delayed union uji eksperimental pada tikus sprague dawley = Inhibition effect of angiotensin converting enzyme to fracture healing in delayed union model experimental study in sprague dawley rats
"Latar Belakang Hipertensi dan fraktur merupakan masalah kesehatan yang sering terjadi ACE inhibitor telah dilaporkan dapat mempromosikan diferensiasi osteoblas meningkatkan mineralisasi dan sekresi matriks tulang sehinga konsumsinya diharapkan mampu mempercepat penyembuhan Tujuan Penelitian bertujuan mengetahui efek pemberian ACE inhibitor terhadap proses penyembuhan fraktur model delayed union Metode Enam belas femur tikus yang dibuat sesuai model delayed union dibagi secara acak menjadi kelompok kontrol kelompok perlakuan Captopril dosis 4 mg kgBB kelompok perlakuan Captopril dosis 8 mg kgBB dan kelompok Captopril dosis 16 mg kgBB Evaluasi dilakukan pada minggu ke 4 secara radiologis foto polos dan histomorfometri Hasil Pada histomorfometri minggu ke 4 didapatkan peningkatan area penulangan yang bermakna terhadap kontrol p 0 033 terutama pada pemberian Captopril dosis 8 mg kgBB p 0 008 dan dosis 16 mg kgBB p 0 015 Penurunan area fibrosa yang bermakna terhadap kontrol p 0 042 terjadi pada Captopril dosis 4 mg kgBB p 0 020 dan dosis 8 mg kgBB p 0 012 Secara radiologis didapatkan peningkatan skor RUST semua kelompok perlakuan yang bermakna terhadap kontrol p 0 021 Kesimpulan Pemberian Captopril dapat menstimulasi proses penyembuhan fraktur pada model delayed union secara radiologis dan histomorfometri Captopril dosis 8 mg kgBB menunjukkan efek yang paling signifikan dalam proses penyembuhan fraktur."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Persepsi klien fraktur yang mengalami nyeri pada teknik relaksasi napas dalam yang diberikan untuk menurunkan nyeri
"Penelitian ini bertujuan untuk mengetahui persepsi klien fraktur yang mengalami nyeri pada teknik relaksasi napas dalam. Desain peneiitian yang digunakan adalah deskriptif sederhana. Responden di ambil di RSUPN Cipto Mangunkusumo IRNA A lantai H1 kiri dan lantai IV kanan dengan kriteria klien fraktur yang pemah melakukan napas dalam. Instrumen pengumpulan data berupa kuisioner dengan 4 data tentang demografi dan 17 pertanyaan tentang persepsi. Hasil penelitian menunjukkan 75% klien persepsinya positif dan 25% yang lain persepsinya negatif terhadap napas dalam. Keberhasilan napas dalam yang dilakukan oleh klien salah satunya dipengaruhi oleh keterlibatan perawat dalam memberikan penjelasan tentang cara melakukan napas dalam dengan tepat. Kondisi dilapangan menunjukkan. 42% perawat memberikan penjelasan kepada klien sedangkan 58% lainnya tidak. Penelitian ini akhirnya menyimpulkan bahwa persepsi klien fraktur pada napas dalam cukup positif."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2001
TA5067
UI - Tugas Akhir  Universitas Indonesia Library
cover
Andika Dwiputra Djaja
Pengaruh pajanan extreme low frequency pulsed electromagnetic field dalam proses penyembuhan fraktur delayed union femur tikus sprague dawley kajian terhadap skor radiologi rust dan failure load dari pemberian gaya radiologi rust dan failure load dari pemberian gaya aksial = The effect of extreme low frequency pulsed electromagnetic field exposure in the healing process of sprague dawley mouse delayed union femur fracture study of rust radiology score and failure load of axial force
"Pendahuluan: Fraktur adalah salah satu penyakit yang menjadi permasalahan yang cukup besar dalam bidang kesehatan di dunia, terutama di negara berkembang. Secara umum fraktur dapat sembuh dengan normal. Pada beberapa kondisi, penyembuhan fraktur mengalami komplikasi seperti delayed union atau non union. Penyembuhan fraktur yang sukses merupakan suatu interaksi yang kompleks antara proses angiogenesis dan osteogenesis. Stimulus fisika berupa pajanan PEMF (pulsed electromagnetic fields) menunjukkan pengaruh proses osteogenesis baik dalam tahap perkembangan penulangan embrio dan tahap penyembuhan fraktur.
Tujuan: Penelitian ini bertujuan untuk mengetahui penyembuhan fraktur tulang delayed union pada hewan coba pada pemberian ELF-PEMF dengan melihat skor radiologi RUST dan Failure Load dari Pemberian Gaya Aksial.
Metode: Dilakukan uji eksperimental pada 56 hewan coba di Laboratorium Hewan Departemen Gizi, Fakultas Kedokteran Universitas Indonesia, dengan membandingkan nilai RUST Score dan Load Score pada kedua kelompok hewan coba.
Hasil: Penelitian dilakukan selama Agustus-September 2018. Tidak ada perbedaan karakteristik hewan coba pada penelitian. Didapati bahwa terdapat perbedaan bermakna Rust Score pada kelompok perlakuan dan kelompok kontrol pada setiap minggu pemeriksaan dan terdapat perbedaan bermakna Load Score pada minggu keempat dan kelima.
Kesimpulan: Penelitian ini menyimpulkan terdapat perbaikan penyembuhan fraktur delayed union pasca pemberian ELF-PEMF dilihat dari perbedaan nilai Rust score dan load score.
Background: Fracture is a major health problem in the world, especially in developing countries. Usually, fractures can heal normally. In some conditions, the healing process becomes delayed union or non union. Successful healing of fractures is a complex interaction between angiogenesis and osteogenesis. Physical stimuli such as exposure of PEMF (pulsed electromagnetic fields) influences the osteogenesis process both in the development stage of embryo reinforcement and the fracture healing stage.
Objective: The aim is to determine the healing of delayed union fractures in experimental animals after exposure to ELF-PEMF.
Methods: The experimental study was conducted at Department of Nutrition Animal Laboratory, Faculty of Medicine, Universitas Indonesia with 56 experimental rats. The study was conducted by comparing the RUST Score and Load Score values ​​in the two experimental animal groups
Result: The study was conducted during August-September 2018 There was no difference in animal characteristics in the study. There was significant difference in Rust Score in both groups in each examination week and there were significant differences in Load Score in the fourth and fifth weeks.
Conclusion: There was improvement in delayed union fracture healing after the administration of ELF-PEMF as seen from the difference in Rust score and load score."
Depok: Fakultas Kedokteran Universitas Indonesia, 2018
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Rizki Hidayat
Analisis Faktor yang Mempengaruhi Luaran Klinis dan Radiologis Fraktur Distal Radius di RSUPN Cipto Mangunkusumo Tahun 2014-2018 = Analysis of Factor Affecting Clinical and Radiological Outcome of Distal Radius Fracture at RSUPN Cipto Mangunkusumo in 2014-2018
"Latar Belakang: Fraktur distal radius merupakan salah satu fraktur yang paling sering terjadi pada berbagai kelompok usia. Terdapat berbagai faktor yang mempengaruhi luaran fraktur distal radius. Studi mengenai epidemiologi dan faktor-faktor yang mempengaruhi luaran fraktur distal radius pada populasi Asia, terutama Indonesia, masih sangat minim. Penelitian ini bertujuan untuk mengetahui faktor yang mempengaruhi luaran klinis dan radiologis fraktur distal radius.
Metode: Dilakukan studi potong lintang pada 84 subjek yang mengalami fraktur distal radius dan menjalani tindakan di RSCM pada Januari 2014-Desember 2018. Dilakukan pengumpulan profil usia, jenis kelamin, tingkat pendidikan, mekanisme cedera, keterlibatan sendi, klasifikasi fernandez, jenis fiksasi, presensi fisioterapi. Hasil kemudian dihubungkan dengan luaran radiologis (radial height, radial inclination, ulnar variance, palmar tilt), luaran klinis objektif (ROM), dan subjektif (PRWE).
Hasil: Dari 84 subjek (40 laki-laki dan 44 perempuan) didapat median usia 55,5 tahun (rentang 19 - 88 tahun), yang menjalani tindakan cast sebanyak 71 subjek (84,5%) dan plate and screw sebanyak 13 subjek (15,5%). Berdasarkan analisis bivariat, terdapat hubungan antara jenis kelamin dengan luaran radiologis radial height dan ulnar variance, serta mekanisme cedera dengan palmar tilt. Terdapat pula hubungan tingkat pendidikan dan keterlibatan sendi dengan luaran objektif ROM supination, jenis fiksasi dengan ROM extension, dan presensi fisioterapi dengan ROM ulnar deviation. Terdapat korelasi antara luaran radiologis ulnar variance dengan luaran objektif ROM radial deviation, serta antara radial height dengan luaran subjektif skor PRWE. Dilakukan analisis multivariat, didapatkan korelasi antara luaran objektif ROM wrist flexion dan radial deviation dengan luaran subjektif PRWE.
Diskusi: Jenis kelamin dan mekanisme cedera mempengaruhi luaran radiologis, sedangkan tingkat pendidikan, keterlibatan sendi, jenis fiksasi dan presensi fisioterapi mempengaruhi luaran objektif berupa ROM. Terdapat korelasi antara luaran radiologis dengan luaran objektif dan subjektif. Terdapat pula kolerasi antara luaran objektif dan luaran subjektif (PRWE).
Background: Distal radius fracture is one of the most common fracture among various age groups. Several factors affect the functional outcome of distal radius fracture. Studies regarding the epidemiology and factors affecting the outcome of distal radius fracture on Asian population, especially Indonesia, are still very limited. This study aims to find out factors related with clinical and radiological outcome of distal radius fracture.
Methods: A cross sectional study was done on 86 subjects who had distal radius fracture and underwent surgical or non-surgical treatment at RSCM during January 2014-December 2018. Demographic (age, gender, and education) and clinical profiles (mechanism of trauma, joint involvement, fernandez classification, fixation type, presence of physiotherapy) was collected. The results were than compared with the radiological outcome (radial height, radial inclination, ulnar variance, palmar tilt) objective clinical outcome (ROM) and subjective outcome (PRWE).
Results: 84 subjects (40 male and 44 female) with median age 55,5 (range 19-88 years old), underwent cast about 71 subject (84,5%) and plate and screw 13 subject (15,5%). Based on bivariate analysis, there was association between gender and radial height with radiological outcome ulnar variance, also between mechanism of injury with palmar tilt. There was association between level of education and articular involvement with objective outcome (ROM) supination, fixation type with ROM extension and presence of physiotherapy with ROM ulnar deviation. There was a correlation between ulnar variance with ROM radial deviation, and radial height with PRWE. Based on multivariate analysis, there was correlation between ROM wrist flexion and radial deviation with PRWE score.
Discussion: Gender and mechanism of injury affect the radiological outcome of distal radius fracture. Level of education, articular involvement, fixation type and presence of physiotherapy affect the objective clinical outcome (ROM). There was correlation between radiological outcome, ROM and PRWE score."
[Jakarta, Depok]: Fakultas Kedokteran Universitas Indonesia, 2019
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Donna Savitry
Penutupan efek periorbita di subbagian bedah plastik rsupn cipto mangunkusumo tahun 2003-2004
"Tumor sekitar mata dan struktur yang berdekatan sering memerlukan pembuangan bulbus okuli (enukleasi) atau seluruh isi orbita (eksenterasi). Pembedahan dan radioterapi juga memiliki konsekuensi mutilasi pada orbits. Tidak adanya mata dan disharmoni wajah merupakan kecacatan psikis dan fisik bagi pasien. Tujuan mendasar semua prosedur rekonstruksi daerah periorbita adalah untuk memperbaiki hubungan fungsional antara orbita, bulbus okuli dan palpebra, serta untuk meyakinkan proteksi mata dan preservasi penglihatan. Penghargaan struktur anatomi dan fungsi palpebra sangat membantu dalam sebuah rekonstruksi.
Kemampuan untuk rekonstruksi defek yang kompleks pascaablasi kanker kepala dan leher telah berubah secara signifikan sejak kemajuan tehnik bedah mikro. Flap bebas memberi kesempatan pada ahli bedah untuk memindahkan berbagai jaringan yang berbeda pada semua lokasi di wajah dengan angka kesuksesan yang sangat tinggi.
Usaha-usaha untuk merekonstruksi palpebra yang berfungsi dengan dimasukkannya prostesis telah memerlihatkan hasil yang buruk sehingga dianjurkan menggunakan patch, kacamata hitam dan prostesis eksternal yang direkatkan (cosmetic patch) daripada melakukan rekonstruksi.
Rekonstruksi anophialmic orbit merupakan sesuatu yang kompleks, memerlukan pengetahuan yang menyeluruh tentang anatomi orbita, dikombinasi dengan tehnik bedah khusus. Rencana penatalaksanaannya menggambarkan ruang dan waktu, dan secara berhati-hati diadaptasikan pada pasien anophtalmic yang memiliki kondisi psikis yang
rapuh dan berubah-ubah. Rekonstruksi anophtalmic orbit mengikuti sekuens yang mengharuskan pasien berkonsultasi ke ahli-ahli onkologi, radiologi, ophtalmologi dan psikologi. Rencana pembedahan yang akan dilakukan didisain dengan computed tomography scans serta foto premorbid dan saat ini, dan keinginan pasien dipertimbangkan secara hati-hati oleh tim multidisipliner.
Di subbagian Bedah Plastik RSUPN Cipto Mangunkusumo sendiri belum terbentuk suatu tim multidisipliner yang menangani masalah rekonstruksi periorbita yang kompleks Pasien-pasiennyapun tidak terjaring banyak (dalam pengamatan selama satu setengah tahun didapatkan 4 orang pasien). Selain itu penggunaan prostesis belum menjadi salah satu pertimangan seperti di luar negeri.
Tulisan ini bertujuan memberikan gambaran masalah yang dihadapi pasien-pasien di subbagian Bedah Plastik RSUPN Cipto Mangunkusumo dalam kurun waktu tersebut dan bagaimana pasien-pasien tersebut mendapatkan terapi rekonstruksinya. Selain itu tulisan ini juga merupakan tulisan akhir dalam menyelesaikan program studi bedah plastik di Fakultas Kedokteran Universitas Indonesia.
"
Depok: Universitas Indonesia, 2004
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
<<   1 2 3 4 5 6 7 8 9 10   >>