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All Journal Sumatera Medical Journal Journal Orthopaedi and Traumatology Surabaya (JOINTS)
Irsyam, Ilham Abdullah
Department Of Orthopaedic And Traumatology, Faculty Of Medicine, Universitas Sumatera Utara, Indonesia, 20155
Health Professions Immunology & microbiology Medicine & Pharmacology

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LONG TERM FUNCTIONAL EVALUATION AUTOFIBULAR STRUT GRAFT IN CASE OF FRACTURES NECK FEMUR IN RSUD DR SOETOMO SURABAYA Sjarwani, Achmad; Irsyam, OK Ilham Abdullah
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 7 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v7i1.2018.55-64

Abstract

Background: Neck femur fracture has a poor prognosis due to its anatomical structure. Fractures that occur in the elderly often have a heavy comorbid so that the mortality rate in 1 year in this case reaches 30-50%. The techniques that have been developed at this time are not satisfactory results with non-union rate of about 30%.Purpose: Assessing the long-term effectiveness of fibular auto strut graft techniques for neck femoral fracture therapy.Methods: The study was conducted retrospectively using primary data in the form of clinical evaluation and secondary data in the form of medical record data and questionnaires of neck femur fracture patients who performed non-vascularized autofibular strutgraft therapy in the period January 2005 to August 2015 in operating room IRD RSUD Dr. Soetomo Surabaya. Patients were evaluated with Harris Hip Score.Result: Medical record data shows that surgery was performed in January 2005 until August 2015 in the IRD hospital operating room. Soetomo Surabaya with 15 patients that fit criteris inclusion. The final result of Harris Hip Score is excellent in 66.66% of patients, good in 20% of patients, and poor on 13.33% of patients. It can be seen that in large part, the technique of autofibular strutgraft (Surabaya Technique) gives good results to the sufferer.Conclusion: Autofibular strutgraft and reinforcement with cancellous lag screw on neck femur fracture can generally provide good functional results in long term evaluation. From the assessment of functional aspects, abnormal anatomical conditions, and Range of Motion (ROM), obtained satisfactory results. This supports autofibular strutgraft as a neck femur fracture therapy as a major therapeutic option at a young age.
OSTEOCHONDROMA FRACTURE IN YOUNG ATHLETE: A CASE REPORT Ilham Abdullah Irsyam; Andriandi Andriandi; Nehemia Meliala
Journal Orthopaedi and Traumatology Surabaya Vol. 10 No. 1 (2021): April 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v10i1.2021.28-31

Abstract

Background: Osteochondroma is a benign bone tumor that most cases are asymptomatic. The symptoms may occur as a complication of osteochondroma, which is rarely happened. Surgical intervention is needed to treat the complications.Case:  A 20-year old male football athlete presented with pain on his left thigh's lump after he fell during his training. Mass and tenderness on the medial side of the left distal femur were found. Plain X-Ray showed an irregular mass on the left distal femur's surface with a fracture through the stalk of pedunculated osteochondroma. The patient underwent total excision of the osteochondroma.Discussion: The fracture of the osteochondroma often occurs in teenagers because they are more active physically. It happens due to direct or indirect injury. The treatment of this fracture is controversial between observation or surgical excision. In this case report, the patient could demonstrate full weight-bearing right after the surgery.Conclusion: Fracture as a complication in osteochondroma often happens to teenagers, and surgery proved to give a good outcome in this case.
Vacuum-Assisted Closure and Muscle Flap as An Alternative Modality for Infected Wound After Orif of Tibial Fracture: Case Report OK Ilham Abdullah Irsyam; Saraswati Hastika; Hendra Hendra; Andrew Budiartha Budisantoso; Tesar Akbar Nugraha
Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 1 (2022): April 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i1.2022.16-21

Abstract

Background: The blood supply of a bone can be decreased due to the use of an implant, leading to wound-bed bacterial colonization and the development of the SSI. The principle of vacuum-assisted closure (VAC) is to use a negative pressure environment in the wound to promote increased wound healing. The case shows that VAC application and muscle flap therapy provide the definitive healing of infected wounds after ORIF. Case Report: A 45 years-old male presented with a close comminuted proximal third right tibia fracture and tense skin. The fracture was openly reduced and internally fixated with plate fixation and a skin flap on the fracture area. Still, the wound could not be closed due to difficulty covering the wound, so a counter incision was made. After four days, the patient developed necrosis in the post-operation wound and subsequently underwent debridement and muscle flap with VAC application. Discussion: SSI can be treated by applicating of appropriate antibiotic and surgical procedures. In this case, the infection was treated using third-generation cephalosporin antibiotic, debridement, dissection, and re-elevation of gastrocnemius muscle flap covering the exposed plate area in inferior, split skin graft above the muscle flap and VAC above skin graft with 75 mmHg pressure. Conclusion: Debridement with muscle flap and application of VAC in the deep infected wound of open reduction and internal fixation was found to be successful methods in minimizing complications and obtaining an optimal outcome. This finding was associated with accompanying morbidities or a good wound healing process.
Bone Mineral Density Values Using Radiofrequency Echographic Multi-Spectrometry in Premenopausal Breast Cancer Patients Receiving Tamoxifen Therapy Russarianto, Heru; Irsyam, Ilham Abdullah; Bariqi, Muhammad Ilmam; Kadar, Pranajaya Dharma; Mohd Kamil, Muhammad Kashani
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i1.2025.19-25

Abstract

Background: Breast cancer (BC) is the most prevalent malignancy in women. Tamoxifen produces varying effects on the bone according to menopausal status. This study was performed at Adam Malik Hospital to analyze the risk factors for osteoporosis, focusing on bone mineral density (BMD) and length of tamoxifen therapy in premenopausal breast cancer patients. This research also used radiofrequency echographic multi-spectrometry (REMS) to evaluate BMD as a potential alternative to dual x-ray absorptiometry (DXA) in the diagnosis of osteoporosis patients. Methods: This case-control study analyzed and interviewed 20 premenopausal breast cancer patients who received at least one year of tamoxifen therapy. The stadium of cancer, type of tamoxifen therapy, and BMD of each patient were determined using REMS. Results: The study of 20 breast cancer patients showed a mean age of 50.4 ± 5.61 years. The average length of tamoxifen therapy was 2.65 years, with a standard deviation of 1.13 years. Most patients presented with osteopenia status, namely 16 patients (80%), whereas three patients (15%) of the total sample presented with osteoporosis. REMS showed excellent accuracy in distinguishing between various tissue types, providing detailed information on tissue composition and structure. Conclusions: Based on the conducted research, it was determined that the use of tamoxifen for more than four years in premenopausal breast cancer patients influenced the incidence of osteoporosis. REMS shows potential as an alternative to DXA for the diagnosis of osteoporosis.
Association of Multiple Trauma Referral Distance with Mortality in H. Adam Malik General Hospital Medan Nasution, Ahmad Akbar; Irsyam, OK Ilham Abdullah; Siregar, M. Hidayat
Sumatera Medical Journal Vol. 6 No. 2 (2023): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v6i2.11196

Abstract

Background: The increasing distance from the location of the trauma to the trauma center can cause an increase in mortality. The farther the distance from the trauma center, the higher the mortality of trauma patients. Geographical variations in care may contribute to the effect of the relationship between distance and mortality in trauma patients. Objective: This study wanted to determine the relationship between multiple traumas referral distances and mortality based on ISS at Haji Adam Malik General Hospital Medan. Methods: The study design was an analytic study with the independent variable being the patient's referral distance and the dependent variable being the predictor of mortality in multiple traumas. The approach used in this research design is a retrospective approach. Results: The mean age of the patients was 31.08±17.82 years. Most of the patients were male, most died, and the average referral distance was 79.67 ± 63,244 km. The majority of the ISS scores were 16. The relationship between referral distance and death in the hospital has a P value of < 0.05. Conclusion: There is a significant relationship between multiple trauma patients' referral distance and hospital mortality.
Co-Authors Andrew Budiartha Budisantoso Andriandi Andriandi Bariqi, Muhammad Ilmam Hendra Hendra Kadar, Pranajaya Dharma Mohd Kamil, Muhammad Kashani Nasution, Ahmad Akbar Nehemia Meliala Russarianto, Heru Saraswati Hastika Siregar, M. Hidayat Sjarwani, Achmad Tesar Akbar Nugraha