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All Journal The Hip and Knee Journal
Hernugrahanto, Kukuh Dwiputra
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Neuroscience

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Simultaneous Femoral Osteotomy and Primary Total Knee Arthroplasty in Patient with Severe Extra-articular Deformity : A Case Report Brahmana, Febrian; Hernugrahanto, Kukuh Dwiputra
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v3i2.125

Abstract

Correction of an extra-articular deformity of the femur and tibia during total knee arthroplasty (TKA) in advanced knee osteoarthritis (OA) is a technically demanding procedure. The challenge is in the implications of the femoral and tibial realignment osteotomy in both coronal and sagittal planes either as step-by-step or simultaneous procedure. We herein describe an unusual case of knee OA characterized by fixed severe varus knee deformity, tibio-femoral bowing, and lower limb internal rotation. The patient underwent distal femoral osteotomy correction accompanied by TKA to restore mechanical and rotational alignment at the same time. A standard primary posterior stabilized (PS) implant was used. The procedure successfully provided stability, restored alignment and delivered good functional outcome. This case highlights the arthroplasty surgeon’s challenges, especially those who work in limited facilities.
All-epiphyseal All-Inside Technique for Anterior Cruciate Ligament Reconstruction in Prepubescent Patient: A Case Report Lumban Gaol, Imelda; Hernugrahanto, Kukuh Dwiputra; muslim, Jeffry andrianus; utomo, Dwikora novembri
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.v4i2.139

Abstract

Anterior cruciate ligament injuries are common seen in active and young patients. The ACL reconstruction technique in skeletally immature patients tries to minimize the growth disturbance. All physeal sparing technique is technically demanding. In this paper, we described physeal sparing technique of ACL reconstruction in skeletally immature patient. This is an all-epiphyseal all-inside ACL reconstruction with retrodrill of the femoral and the tibial sockets. Both sockets are within epiphysis. This technique used free loop system. This free loop system allows us to make a socket with length 15 mm, that is safe from the physis. This socket also allows us to tension the graft adequately with minimum sockets length. We present a case of 16 years old male who underwent all-epiphyseal all inside reconstruction with our rehabilitation protocol.
Co-Authors Brahmana, Febrian Dwikora Novembri Utomo Lumban Gaol, Imelda muslim, Jeffry andrianus