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Abstrak :
Pendahuluan Kaki Diabetik merupakan penyebab utama amputasi ekstremitas non traumatik. Pengenalan dan manajemen awal terhadap faktor-faktor predisposisi amputasi dapat mencegah tindakan amputasi. Metode Kami mengumpulkan data klinis dan laboratorium, data komplikasi-komplikasi diabetes, dan data riwayat komorbiditas pada 242 pasien yang dirawat dengan permasalahan kaki diabetik untuk menilai faktor-faktor predisposisi amputasi. Kami membagi pasien-pasien ini menjadi 2 grup (amputasi dan tidak amputasi) dan melakukan anasisis komparatif menggunakan variabel faktor-faktor predisposisi amputasi pada kedua grup. Hasil Dari dua buah grup dibandingkan apakah terdapat hubungan yang signifikan dengan faktorfaktor predisposisi amputasi sebagai variabel independen.Secara analisis univariat didapatkan pada grup amputasi terdapat insidens yang lebih tinggi signifikan (p<0,05) pada faktor predisposisi sepsis, ketoasidosis, neuropati perifer dan iskemia diabetik. Didapatkan odds ratio 2,57 untuk sepsis (95% CI:1,44-4,60; P=0,001); 2,67 untuk ketoasidosis (95% CI:1,16-2,58; P=0,018); 1,79 untuk iskemia diabetik (95% CI:0.970-3,37; P=0,041); dan 4,30 untuk neuropati perifer (95% CI:0.95-19,2; P=0,030). Kesimpulan Sepsis, ketoasidosis, neuropati perifer dan iskemia diabetik merupakan faktor-faktor predisposisi amputasi yang signifikan pada pasien-pasien kaki diabetik. ......Introduction Diabetic foot is the main cause of nontraumatic lower extremity amputation. Early recognition and management of predisposing factors for amputation may prevent amputations. Method We collected clinical and laboratory data, details of diabetes complications and history of comorbidities in 242 patients who were admitted for management of diabetic foot to determine the predisposing factors of amputation in these patients. We devided these patients into two groups, those whose treatment included amputation and those who were treated conservatively and carried out a comparative analysis of the variables in the two groups. Result From the two groups we compared if there is significant relationship with the predisposing factors for amputation as independent variable. In univariat analysis we found higher incidence (p<0,05) of sepsis, ketoacidosis, peripheral neuropathy and diabetic ischemia on amputated group. Univariat adjusted odds ratios was 2,57 for sepsis (95% CI:1,44-4,60; P=0,001); 2,67 for ketoacidosis (95% CI:1,16-2,58; P=0,018); 1,79 for diabetic ischemia (95% CI:0.970-3,37; P=0,041); and 4,30 for peripheral neuropathy (95% CI:0.95-19,2; P=0,030). Conclusion Sepsis, ketoacidosis, peripheral neuropathy and diabetic ischemia are significant predisposingfactors for amputation in patients hospitalized for diabetic foot lesions.

Abstrak :
Tujuan: Membuktikan kesahihan dan keandalan Foot and Ankle Ability Measure (FAAM) dalam versi Bahasa Indonesia Metode: Desain uji potong lintang. Penelitian dilakukan pada 42 orang tentara pasukan khusus dengan instabilitas pergelangan kaki. Setiap responden mengisi kuesioner FAAM versi Bahasa Indonesia yang sudah diujicobakan terlebih dahulu. Kemudian dilakukan pengisian kuesioner SF-36 sebagai baku emas kuesioner kualitas hidup untuk menilai kesahihan konvergen. 2 minggu dari pengisian pertama dilakukan pengisian kembali kuesioner FAAM untuk menilai keandalan test-retest. Hasil: Didapatkan korelasi bermakna dengan nilai korelasi sedang untuk antara FAAM subskala aktivitas keseharian dengan skor komponen mental dan skor komponen fisik terhadap dengan nilai r secara berurutan 0,417, dan 0,458. Didapatkan korelasi bermakna dengan nilai korelasi sedang untuk antara FAAM subskala olahraga dengan skor komponen fisik dan fungsi fisik terhadap dengan nilai r secara berurutan 0,430 dan 0,464. Didapatkan konsistensi internal dengan cronbach alpha 0,917 dan 0,916 untuk subskala aktivitas keseharian dan subskala olahraga. Didapatkan nilai korelasi interkelas sedang untuk subskala olahraga sebesar 0,78. Kesimpulan: FAAM versi Bahasa Indonesia memiliki kesahihan dan keandalan yang baik. ......Objective: to assess validity and realibility of Foot Ankle Ability Measure in Indonesia version . Method : design of this study is cross sectional study. This research was to 42 special force army personal with ankle instability. Every subject was asked to fill out Indonesian version of Foot and Ankle Ability Measure quetionairre. And SF-36 quetionairre as gold standard of quality of life to assess validity. After 2 weeks, subject is asked to fill FAAM quetionairre again to assess test-retest realibility. Result : There was significant correlation with moderate value between FAAM-I activity daily living subscale and mental component summary and physical component summary with r 0,417 and 0,458 respectively. There was also significant correlation with moderate value between FAAM-I sport subscale with r 0,430 and 0,464 respectively. The internal consistency with cronbach alpha was 0,917 and 0,916 for ADL subscale and sport subscale. Interclass correlation for sport subscale was 0,78. Conclusion : Indonesian version of FAAM have good validity and realibility.

Abstrak :
The most complex fields are often the most challenging to teach; thankfully, Principles and Management of Pediatric Foot and Ankle Deformities and Malformations was written by the most renowned teacher in pediatric foot and ankle surgery, offering orthopedists, foot and ankle surgeons and podiatrists an invaluable and comprehensive guide to the assessment and treatment of children's feet. This text was designed to be practical, accessible, and immediately applicable-focusing on principles of treatment rather than reductive ""cookbook"" approaches that privilege piecemeal techniques over holist

Abstrak :
A comprehensive textbook of some of the most common and difficult to deal with pathologies. The first truly international, multidisciplinary manual of foot and ankle surgery by the specialty’s leaders and most experienced surgeons. The management of various conditions in the foot and ankle will be approached by authors in different parts of the world. Authors will be invited to provide radiographs, diagrams, and intra-operative pictures to illustrate the procedures described. Current up to date trends and techniques using a scientific approach including evidence based guidelines where applicable.