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The influence of hamstring autograft diameter on patient-reported functional scoresfollowing anterior cruciate ligament (ACL) reconstruction Rhatomy, Sholahuddin; Widjaya, Muhammad; Ghazali, Said; Setyawan, Riky; Budhiparama, Nicolaas C.
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 51, No 4 (2019)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.481 KB) | DOI: 10.19106/JMedSci005104201904

Abstract

Anterior cruciate ligament (ACL) reconstruction using hamstring tendon autograft is a common procedure in orthopedic surgery to treat ACL rupture. Graft diameter is very important in successfulness of ACL reconstruction. The purpose of this study was to evaluate the influence of hamstring autograft diameter on patient-reported functional scores following ACL reconstruction. The diameter of grafts were collected retrospectively from medical records of the patients who underwent primary ACL reconstruction with hamstring autograft in the Soeradji Tirtonegoro General Hospital, Klaten, Central Java. The patient-reported functional scores data according to the International Knee Documentation Committee (IKDC) score and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected by phone call interview from the patients after more than six months post-reconstruction. The comparison between graft diameter and patient-reported functional scores was analyzed by independent t test. A p<0.05 was considered significant.Thirty-two patients who fulfilled the inclusion and exclusion criteria were involved in the study who were divided into two groupswith 16 patients in each group i.e.Group 1 with graft diameter ≤8mm and Group 2 with graft diameter >8mm.The result showed significant difference in KOOS and IKDC score between the both groups (p<0.05). Patients who underwent ACL reconstructionwith graft diameter >8mm (Group 2) had higher KOOS and IKDC score compared to graft diameter ≤8mm (Group 1) (p<0.05). In conclusion, ACL reconstructionwith increased hamstring autograft diameter >8 mm associated with better patient-reported functional scores in 6 monthsfollow-up after ACL reconstruction.
Fight against Periprosthetic Joint Infection Phatama, Krisna Yuarno; Santoso, Asep; Rhatomy, Sholahuddin
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.523 KB) | DOI: 10.46355/hipknee.v4i1.151

Abstract

High Tibial Osteotomy for knee joint preservation: “Old but Gold”! Santoso, Asep; Phatama, Krisna Yuarno; Rhatomy, Sholahuddin; Budhiparama, Nicolaas Cyrillus
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.154

Abstract

One of the most common chronic diseases affecting the elderly is knee osteoarthritis (OA) that significantly impairs the activity of the daily living. Change of mechanical axis of the knee causes impairment on the three compartments of knee. If the medial compartment is affected, it will cause varus knee deformity, whereas, involvement of lateral compartment will result in valgus knee deformity. Deformities of angular and/or rotational nature can be corrected using the knee osteotomy technique, consequently realigning the bone axis.The osteotomy technique has been developed for centuries. Current growing interest in developing minimally invasive techniques for high tibial osteotomy (HTO) using smaller incisions, arthroscopy-assisted osteotomy, patients specific instrumentation (PSI) and computer-guided navigations systems. These techniques aim to reduce surgical trauma, minimize scarring, and facilitate faster recovery.