Article Per Year (5 Year)
p-Index From 2019 - 2024
1.817
P-Index
This Author published in this journals
All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) JURNAL WIDYA MEDIKA Jurnal Kesehatan Andalas Damianus Journal of Medicine Dental Journal (Majalah Kedokteran Gigi) Universa Medicina Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) Indonesian Journal of Medicine Majalah Kedokteran Andalas Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indian Journal of Forensic Medicine & Toxicology
Komang Agung
Department Of Orthopaedic And Traumatology, Faculty Of Medicine, Universitas Airlangga / Dr Soetomo Hospital, Surabaya
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Published : 16 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 16 Documents
Search

 1   2 
Open reduction in neglected elbow dislocation in children: a case series Irianto, Komang Agung; Parung, Raymond; Sukmajaya, William Putera
Universa Medicina Vol 38, No 1 (2019)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.794 KB) | DOI: 10.18051/UnivMed.2019.v38.63-68

Abstract

BackgroundElbow deformity in children due to neglected proper fracture management is a devastating condition. The stiffness and pain complicated the function in daily activity. Successful management of neglected elbow dislocation is a challenging problem for orthopedic surgeons. In this study, we aimed to evaluate results of open reduction for neglected elbow dislocation in children.Case DescriptionThis is a case series of 13-14 years old neglected elbow dislocations, for up to 15 months. Open reduction after external distractor and followed by intensive rehabilitation was implemented. Clinical and functional outcome were evaluated within 4-7 years. Initial average elbow flexion was 53,3°, extension was 0°, arc of flexion was 53,3°, arc of pronation-supination was 150° and Mayo Elbow Performance Index (MEPI) was 80. Clinical and functional outcome were evaluated within 4-7 years. At follow-up after open reduction, the improvement in whole range of movement was significant. Average elbow flexion was 118,3°, extension was 36,67°, arc of flexion was 81,67°, arc of pronation-supination was 133°. The average improvement of flexion was 65°, arc of flexion was 31,67°, and arc of pronation-supination was 8,3°. The average loss of flexion was 15,5%, arc of flexion was 44,2%, and arc of pronation-supination was 10,7% compared with uninjured side. The average Mayo Elbow Performance Index (MEPI) was 96,67; all with excellent results.ConclusionPlanned and well execution open reduction in pediatric neglected elbow dislocation may bring back the painless movement within normal daily function.
Comparative Study of Cross and Lateral Fixations on Supracondylar Humerus Fracture among Children Irianto, Komang Agung; Martanto, Tri Wahyu; Brahmana, Febrian; PK, Laskar
Indonesian Journal of Medicine Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (641.537 KB)

Abstract

Background: Management of Gartland type III supracondylar humerus fractures is conduc­ted by open and closed repositioning. An ade­quate re­p­o­sition and a stable and accurate fixation are des­perately needed to prevent fixation failure, defor­mi­ty, and complication. The study aims to com­pa­re the clinical and radiological results bet­ween crossed and lateral fixation techniques.Subjects and Method: The study was a retro­s­pective study toward Gartland type III SCHF children in Dr. Soetomo Hospital, Surabaya, Indonesia from 2013–2016. The dependent vari­able is Supracondylar hu­me­rus fracture. Independent variables were the type of fixation option, clini­cal functional test, degrees of satisfactory, and radiology evalua­tion. The radiology para­me­ter used was Skaggs criteria. An observation was conducted for the occurrence of complications in the form of infection and peripheral nerve injury. All data were analyzed using Kolmogorov Smirnov and Fischer exact test.Results: The study discovered 28 patients consisted of 20 males and 8 females with an age range from 3 – 13 years old with an average age in crossed fixation group was 7.6 years and in lateral fi­x­ation was 4.7 years. The injury sides were 46.4% right elbow and 53.5 % left elbow. Among the cros­sed fixation group, there were 54.5 % left elbow and 45.5 % right elbow. Among lateral fix­a­tion group, there were 50% left side and 50% right side. There was no significant difference in cli­nical fun­ctions, radiology as well as com­pli­ca­tion in the form of infection and peripheral ner­ves injury.Conclusion: There is no difference of functional clinical, radiology result as well as post-surgery com­plication in the form of infection and peri­phe­ral nerves injury between crossed fixation tech­nique and lateral fixation technique.Correspondence: Komang Agung Irianto. Department of Ortho­pe­dics and Traumatology, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo Hospital, Sura­ba­ya. Email: komang168@yahoo.com. Mo­bile­: +6281133608­0.Indonesian Journal of Medicine (2020), 05(01): 31-37https://doi.org/10.26911/theijmed.2020.05.01.05
Conservative & Operative Management of Tuberculous Spondylitis in Children Teuku Arief Dian1, Komang Agung Irianto2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.3226

Abstract

Background: Tuberculosis is a deadly disease worldwide. Tuberculosis usually occurs in the lung, but there are other tuberculosis most commonly afflicted by the patient and involves the spine and is called tuberculosis of bones and joints. Management of tuberculous spondylitis is conservative and operative. Aim: This study aimed to compare the results of conservative and operative therapy in the management of tuberculous spondylitis in children. Methods: The sample used was teaching with tuberculous spondylitis in Dr. Soetomo General Hospital who underwent operative and conservative therapy that became group 1 and group 2. Inclusion criteria included patients aged <18 years old, suffering from tuberculous spondylitis by conservative or operative therapy in Dr. Soetomo Hospital. Results: In patients receiving conservative therapy, the Visual analog scale (VAS) decreased significantly (p = 0.001), while frankle improved but not significantly (p = 0.157). Cobb’s angle of patients receiving conservative therapy increased significantly (p = 0.007). Patients who received operative therapy showed significant improvement of VAS and Frankle (p = 0.001 and p = 0.011). The patient’s Cobb’s angle after surgery decreased but it was not significant (p = 0.575). Conclusion: The role of surgical action has an important role in the treatment of tuberculous spondylitis and gives better results than conservatives in patients with pain, neurological deficits and Cobb’s angle progression.
Effective perioperative scoring in orthopedic surgery to prevent Covid-19 infection Irianto, Komang Agung; Adityawardhana, Taufan
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.99-109

Abstract

BackgroundThe pandemic has placed health-care workers (HCW) under an unprecedented strain where surgeries are being delayed and health care workers’ deaths because of COVID-19 are prominent and causing staff shortages. An effective, fast, and concise approach to preoperative screening is very much needed. Hospitals are suggested to develop their own algorithm to minimize delays and complications. The objective of this study was to optimize HCW safety by developing a working system based on the hospital’s service capability in treating orthopedic surgeries. Methods A retrospective study was conducted involving 305 HCW. Data were collected on the application of a novel elective and emergency orthopedic surgery clinical pathway and scoring method based on questionnaires, and laboratory and radiographic chest examinations for several months to ensure the safety of HCW. HCW COVID-19 status was routinely checked as the indicator of HCW’s safety. Results Mean age of all patients was 47.0 ± 22.41 years. The screening process was done in a series of questionnaires and laboratory examinations, with the majority of patients (82 or 35.9%) having a score of 0. Patients with a score of 3 or more and testing positive for COVID-19 were immediately referred to a hospital having adequate facilities to prevent delays. There were 51 patients (16.7%) with positive rapid test results, and 21 patients (6.8%) with positive PCR tests. There were 4 (1.3%) COVID-19 positive HCW. Conclusions Despite COVID-19 being a new threat, we have shown that developing an effective perioperative clinical pathway could eventually optimize healthcare worker safety.
The Role Of Rose (Rapid Onsite Evaluation) On Spinal Lesion Surgery Decision . Sindrawati; Komang Agung; Carlos Binti; Anggita Dewi
JURNAL WIDYA MEDIKA Vol 5, No 1 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.414 KB) | DOI: 10.33508/jwm.v5i1.2000

Abstract

Introduction: Exposure and instrumentation of the spine must be meticulous and thorough regardless the techniques and approach selected. Management of the whole surgery process should be decided based on the best available evidence whenever possible. ROSE (Rapid Onsite Evaluation) cytology wrap up the surgical decision. Case Description: Fifteen cases comprise of lytic lesions and/or single pathological fractures of the corpus vertebrae will be presented and discuss as to how the surgical techniques and approaches are assisted by ROSE. ROSE cytology was performed in the operating theater during the surgery. Samples were taken after exposure of the minimal lesion using (18–21) G trocar needle or under fluoroscopy guided. Direct smear, air dried fixation, and Diff Quik staining would take about 10 minutes. Pathologist evaluated the specimen and provided the result in about 20 minutes. The overall 30 minutes allowed surgeon to prepare the further steps. Results would be malignant or benign without pursuing further detail diagnostic. Benign results should be categorized as infection, suspicious of granulomatic tuberculosis, or normal host population cells. The cases outcome were 8 normal host population cells advanced for vertebroplasty to fill the porotic bone. Three spondylitis tuberculosis were debrided without unnecessary instrumentation, and four malignant processes were assured to have enough samples for immunohistochemistry evaluation afterward. All ROSE cytology was confirmed accordingly by the histopathology result afterward. Conclusion: ROSE is easy and offers accurate sampling from the lesion itself. It is quick, therefore during surgery surgeon could decide the best management for the patient.
Medial Condyle Fracture pada Anak-anak Komang Agung Irianto; Ronaa Nuqtho Hidayatullah
Jurnal Kesehatan Andalas Vol 6, No 3 (2017)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v6i3.759

Abstract

Angka kejadian patah tulang medial condyle anak-anak dan dewasa sekitar 11%-20% dari seluruh patah tulang sekitar siku atau kurang dari 1% dari seluruh fraktur. Tinjauan pustaka yang membahas tentang kasus ini sangat sedikit, tercatat hanya ada 13 kasus dalam literatur di Inggris. Penulis mengumpulkan pustaka, contoh kasus dan tatalaksana agar dapat digunakan sebagai bahan acuan saat menemukan kasus tersebut. Hasil akhir dari tatalaksana operatif dan konservatif didapatkan bahwa presentase union pada operatif sebesar 92,5 % dan 49,2 % pada konservatif. Yang tidak kalah penting adalah penjelasan kepada pasien dan keluarga tentang prognosis dan kemungkinan komplikasi dikemudian hari akibat kerusakan lempeng pertumbuhan.
Intermediate Screw pada Unstable Thoracolumbar Fracture: Case Series dan Review Article Komang Agung Irianto; Dionisius Bramta Putra
Jurnal Kesehatan Andalas Vol 7, No 3 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i3.891

Abstract

Area thorakolumbar merupakan hampir 90% dari semua spinal injuries dan 10% dari cedera tersebut merupakan burst fracture yang membutuhkan intervensi operatif. Terapi burst fracture thorakolumbar meliputi restorasi dari alignment, stabilisasi spinal, koreksi kifotik, dan dekompresi spinal kanal. Pertimbangan penggunaan intermediate screw masih menjadi topik perdebatan. Penambahan intermediate pedicle screw dipercaya dapat menambah stabilitas dan membantu koreksi kifosis pada long segment, short segment fixation. Penelitian ini merupakan systematic literature review. Pencarian literatur menggunakan mesin pencari elektronik PubMed, MEDLINE, PMC, Cochrane Library, Nature, Taylor and Francis Online dan Springerlink, dari tanggal 28 Desember 2017 sampai 20 Februari 2018. Kriteria inklusi: burst fracture dari mekanisme traumatik, fraktur tulang belakang bagian thorax atau lumbal, intermediate pedicle screw dan penelitian dari tahun 2010 sampai 2017. Ditemukan 10 artikel (15,15%) artikel yang masuk kedalam kriteria inklusi. Terdapat tiga penelitian level 1, satu penelitian level 2, empat penelitian level 3 yang mendukung teknik SSPF+IS dengan hasil reduksi fraktur dan evaluasi radiologis yang baik, correction loss dan implant failure yang lebih rendah, mengurangi nyeri pascaoperasi. Teknik SSPF+IS merupakan teknik yang aman dan efektif memberikan hasil fiksasi yang stabil, hasil evaluasi akhir radiologis serta hasil evaluasi akhir klinis yang baik.
POLA SENSITIVITAS ANTIBIOTIK PADA PENYAKIT MUSKULOSKELETAL DI RUMAH SAKIT ORTHOPEDI DAN TRAUMATOLOGI SURABAYA Nabila Ananda Kloping; David Nugraha; Andro Pramana Witarto; Komang Agung Irianto
Bahasa Indonesia Vol 19 No 1 (2020): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v19i1.1273

Abstract

Introduction: Indiscriminate use of antibiotics contributes to the increasing resistance of more than one type of bacterias. Research on new antibiotic therapies and agents cannot keep up with the rapid antibiotic resistance. This study aimed to describe the patterns of antibiotic sensitivity and resistance at the Orthopedic and Traumatology Hospital (RSOT) Surabaya. Methods: This was a cross-sectional descriptive study. Secondary data from medical records year 2016-2018 were retrieved from patients treated at RSOT Surabaya who received antibiotic therapy. Only those with data of antibiotic sensitivity test results were included Results: The sensitivity test results of all b-lactamase inhibitors and cephalosporin antibiotics showed a decrease in sensitivity each year with a variety of coverage patterns. The fluoroquinolone group had increased sensitivity during the observation period. Conversely, a reduction in gentamicin sensitivity was followed by an increase in the resistance. This increase in resistance was also observed in meropenem with various sensitivity patterns. Linezolid sensitivity increased, while the sensitivity of teicoplanin remained 100.00%. Conclusion: There is no particular pattern in antibiotic sensitivity and bacterial resistance in RSOT Surabaya, except for cephalosporin, which shows a rising resistance and a decrease in sensitivity each year.
Surgical outcome of scoliosis in Marfan syndrome: a case series report komang agung irianto; Gestana R Wardana
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 2 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.959 KB) | DOI: 10.19106/JMedSci005002201814

Abstract

Scoliosis in marfan syndrome (MFS) manifests on 60% patients. Moreover, the scoliosisnoticeable in earlier age is more progressive, refracted, and rigid compared to idiopathicadult scoliosis. The surgical correction provides notorious higher perioperative risk,whereas conservative treatment using brace is not effective to prevent progressivityof the scoliosis. In this a case report, we reported the surgical outcome of MFS scoliaispatients with MFS who operated using posterior fusion instrumentation by mean of thequality of life SF-36 questioner. This was a retrospective case series involving five MFSscoliosis patients who underwent posterior fusion instrumentation with initial Cobb angleof 87.417.57o and initial kyphotic angle of 32.8 ± 14.52o. Clinical, radiological andquality of life of the patients based on SF-36 questionnaire were evaluated within 6-36months follow up. Post-operative showed the Cobb angle become 46.2 ± 16.3o and thekyphotic angle become 21.6 ± 9.94o. No intraoperative or post-operative complicationswere observed. After 6-36 months follow up, the Cobb angle became 45.2 ± 17.48oand the kyphotic angle became 21.6 ± 9.94o. In addition, all patients had physical andmental health scored similar to 2 years post-surgery scoliosis scoring according to SF-36 orthopedic scoring guidelines. I conclusion, the surgical outcome of posterior fusioninstrumentation in MFS scoliosis showed good correction of Cobb angle and Kyphoticangle. The quality of life of the patients based on physical and mental health questionnaireis satisfactory.
The severity and direction prevalence rate of patients with a mandible deviation compared to Cobb’s angle Kimberly Clarissa Oetomo; I Gusti Aju Wahju Ardani; Thalca Hamid; Komang Agung Irianto
Dental Journal (Majalah Kedokteran Gigi) Vol. 54 No. 2 (2021): June 2021
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v54.i2.p74-77

Abstract

Background: Patients with mandible deviation often have idiopathic scoliosis, which might affect the result of orthodontic and orthopaedic treatment. Orthodontic treatment not only focuses on aesthetic and functional but also orthopaedic stability. A thorough examination is needed to obtain orthopaedic stability by evaluating the occlusion and posture to establish the best strategy of treatment and interdisciplinary approach. Purpose: This study was conducted to assess the correlation between mandible deviation and idiopathic scoliosis. Methods: This is a descriptive-analytic study with a cross-sectional approach. From 60 samples, 35 patients were chosen based on the inclusion criteria of the total sampling technique. Patients were referred to have skull posteroanterior (PA) and a thoracolumbar PA radiograph taken. Skull PA radiographs were analysed with Grummon’s method using the Orthovision program. Cobb’s angle analysis was used by the radiologist to analyse the thoracolumbar PA radiographs. The data gathered was then further analysed using the Spearman test and the Crosstabs test, using SPSS 23.0. Results: Correlation between mandible deviation and the severity of idiopathic scoliosis is not significant (p=0.866). The direction prevalence of mandible deviation towards Cobb’s angle is 54.3% to the right and 45.7% to the left. All patients with mandible deviation have Cobb’s angle. Conclusion: There is no correlation between mandible deviation and the severity of idiopathic scoliosis. However, many cases showed that the direction of mandible deviation and of idiopathic scoliosis is the same.
Co-Authors . Sindrawati Achmad Fachrizal Adhinanda Gema Adityawardhana, Taufan Ameria Pribadi Andro Pramana Witarto Anggita Dewi Brahmana, Febrian Carlos Binti David Nugraha Dionisius Bramta Putra Gestana R Wardana Hizbillah Yazid I. G. Ng. Dodo M. Ranuh Ilham Abdullah Irsyam Kimberly Clarissa Oetomo Laskar Pradnyan Kloping Nabila Ananda Kloping Oen Sindrawati Parung, Raymond PK, Laskar Ronaa Nuqtho Hidayatullah Sukmajaya, William Putera Sulis Bayusentono Thalca Hamid Tri Wahyu Martanto William Putera Sukmajaya Yudhistira Pradnyan Kloping