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All Journal Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indonesian Journal of Cancer
Gardjito, Fajar Baskoro
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Total Knee Replacement of Synovial Haemangioma of The Knee Joint in a 44-Year-Old Male: A Case Report Idulhaq, Mujaddid; Saputra, Rhyan Darma; Wasita, Brian; Sabariyah, Lely; Gardjito, Fajar Baskoro; Nursulistyo, Fajar
Indonesian Journal of Cancer Vol 18, No 1 (2024): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i1.911

Abstract

Introduction: Synovial hemangioma is a rare illness frequently misdiagnosed, leading to years of inaction. In this study, we aim to discover the consequences of untreated hemangioma of the knee joint. Case Presentation: Our patient was a 44-year-old male who experienced recurring pain in his left knee. The previous year, the patient experienced pain in his left knee while walking, which has subsided with rest. Although he has been performing radiography at multiple hospitals since 2019, no problems have been recorded. We detected a mass after performing magnetic resonance imaging. The T1-weighted sequence + contras near the medial femoral condyle revealed a homogeneous mass with high intensity. We decided to conduct surgical intervention and total knee replacement. Postsurgical, the patient regained symptom-free. Conclusions: Because of the limited radiographic capacity, synovial hemangioma is uncommon and challenging to diagnose on an outpatient basis. Magnetic resonance imaging and angiography are highly beneficial. If intraarticular hemangiomas are not considered, they can cause bony dysplasia and multiple clinical manifestations. Initial total excision can be conducted to decrease the chance of hemarthrosis.
Biological Reconstruction with Liquid Nitrogen for Osteosarcoma of the Distal Tibia: A Case Report Idulhaq, Mujaddid; Gardjito, Fajar Baskoro; Wiranegara, Tanri Hadinata
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Airlangga

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Abstract

Background: Osteosarcoma, a primary malignant bone tumor, typically requires limb salvage surgery to maintain function while ensuring complete tumor resection. This case report presents a rare instance of distal tibial osteosarcoma treated through biological reconstruction utilizing liquid nitrogen.Case Report: This report describes a 17-year-old female patient who was initially diagnosed with low-grade osteosarcoma via biopsy, but was later confirmed to have high-grade osteosarcoma after undergoing wide excision and reconstruction using a liquid nitrogen-treated autograft. After the extensive removal of the tumor, the resected bone was devitalized using liquid nitrogen, followed by treatment with liquid nitrogen, reimplantation, and stabilization using double-plate fixation.Discussion: This method significantly diminished the likelihood of local recurrence while restoring both the structural integrity and biological function of the bone defect. This case highlights the benefits of biological reconstruction, specifically the use of recycled autografts with liquid nitrogen, as a cost-effective and sustainable approach for limb preservation in osteosarcoma patients. Conclusion: In this instance, biological reconstruction utilizing liquid nitrogen demonstrated efficacy as a limb salvage method. Liquid nitrogen freezing and inactivation provide a precise and effective method for devitalizing tumor bone while maintaining structural integrity and biological potential.
Co-Authors Brian Wasita Idulhaq, Mujaddid Nursulistyo, Fajar Sabariyah, Lely Saputra, Rhyan Darma Wiranegara, Tanri Hadinata