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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Indonesian Journal of Medicine The Hip and Knee Journal

Santoso, Asep

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Author-ID : 1829613

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Articles

High Energy Injury Ankle Fracture-Dislocation without Neurovascular Involvement Utomo, Pamudji; Arimuqti, Zarkasyi; Santoso, Asep; Sibarani, Tangkas SMHS; Anwar, Iwan Budiwan
Indonesian Journal of Medicine Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.878 KB)

Background: Open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular damage are rarely reported.Case presentation: This study present a case of 55-year-old female with open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular injury treated with emergent debridement, open reduction, and internal fixation.Results: Six months follow-up showed complete bone and soft tissue healing with excellent functional outcome.Conclusion: Emergent debridement, open reduction, and internal fixation is needed to treat tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture.Keywords: high energy injury, ankle joint, fracture dislocationCorrespondence: Asep Santoso. Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: asepsantoso@gmail.com.Indonesian Journal of Medicine (2020), 05(03): 259-264https://doi.org/10.26911/theijmed.2020.05.03.12

EFEKTIVITAS KEPEKATAN LARUTAN SODIUM HYPOCHLORITE TERHADAP BIAKAN KUMAN STAPHYLOCOCCUS AUREUS Effendi, Fajar Ivan; Ernawan, Rieva; Utomo, Pamudji; Mariyanto, Ismail; Santoso, Asep
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 2 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Abstract Musculoskeletal infections have complex complications, making them a challenge. Most countries have experienced Staphylococcus aureus resistance to methicillin by 25% and some even over 50%. Dakin solution (0.050% to 0.025%) can be used as irrigation, cleansing, and used on moist gauze for the management or prevention of skin or tissue infections. This study aims to determine the lowest concentration level of Dakin solution / sodium hypochlorite which is the safest and most effective in the culture of Staphilococcus aureus. This research is an analytical experimental research, with the concept of comparing the Staphylococcus aureus ATCC 25923 germ cultures which are treated in the form of giving dakin solution / sodium hypochlorite 0.050%, 0.025%, 0.0125% and control using 0.9% NaCl. Observation of the effectiveness is done by measuring the formed inhibition zone. The concentration of 0.025% gives a fairly good disinfectant effect with moderate inhibition power, the concentration of 0.050% gives a good disinfectant effect with a strong inhibitory power while the concentration of 0.0125% does not have a disinfectant effect, this is the same as the 0.9% NaCl control solution. The zone of inhibition in the staphylococcus aureus bacteria culture ATCC 25923 at concentrations of 0.025% and 0.050% still gave a stable effect until evaluation within 2x24 hours (48 hours). Keywords : Dakin solution, Sodium hypoclorite, resistor zone, Staphylococcus aureus.

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)

Golden Connection Between Stem Cells and Orthopedic Services Rhatomy,MD, Sholahuddin; Santoso, Asep; Phatama, Krisna Yuarno; Budhiparama, Nicolaas C.
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Utilization of stem cells in orthopedics has increased dramatically. Consequently, stem cells were discovered to have many roles. Some researchers have used them for regenerative medicine, while some have discovered them as a natural source of immune modulators. Currently, there are several research teams studying the translational potential of stem cells, while clinicians have begun treating patients with orthopedic problems (1).Over the past fifteen years, orthopedic surgeons have prioritized Mesenchymal Stem Cell (MCSs) treatment. Several animal experiments have had favorable results, and there is rising concern over their use in human trials. In these clinical studies, stem cell operations were intended to promote fracture healing and cure nonunion, regenerate articular cartilage in degenerated joints, repair ligament or tendon injuries, and replace degenerative spinal disks (1,2).In past research, stem cells have been used for bone tissue regeneration. Bone tissue engineering presents an alternative treatment that may produce a micromilieu with osteogenic, osteoinductive, and osteoconductive properties. In recent studies, researchers have devised methods for combining MSCs with three-dimensional biodegradable polymeric scaffolds. In addition, Udehiya et al. found that the use of hydroxyapatite scaffolds in conjunction with Bone Marrow-MSCs (BM-MSC) accelerates and enhances the healing of bone segmental defects in a rabbit model compared to the use of hydroxyapatite scaffolds alone. Muwan Chen and colleagues discovered that human BM-MSC combined with hyaluronic acid and b-Tri calcium phosphate-coated polymeric scaffold stimulated osteogenic differentiation, cellular proliferation, and reorganization of the cellular matrix in vitro (1–3).Since 2010, stem cells have undergone a paradigm shift where previously stem cells can differentiate and heal injured organs. This stem cell misunderstanding has led some practitioners in the United States and around the world to advertise the availability of stem cell treatments, e.g., MSC can heal blindness, make paralyzed people walk, and makes old tissue young again. In further studies, it was found that at the site of disease, MSCs rarely or never differentiated into tissue at that location, but they do secrete bioactive factors such as growth factors and their therapeutic effects can be analyzed as a site-specific clinical outcome parameter (2–4).

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

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.

Biofilms: Microbial Communities and Their Crucial Impact on Healthcare Rhatomy,MD, Sholahuddin; Santoso, Asep; Phatama, Krisna Yuarno; Budhiparama, Nicolaas C.
The Hip and Knee Journal Vol 5, No 1 (2024): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v5i1.157

Treatment of Chronic Prosthetic Joint Infection after Total Knee Arthroplasty with Two-stage Revision Rizaldy, Muhammad Bayu; Santoso, Asep; Mariyanto, Ismail; Sibarani, Tangkas; Anwar, Iwan Budi
The Hip and Knee Journal Vol 5, No 1 (2024): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v5i1.135

Periprosthetic joint infection (PJI) is common among complications of knee arthroplasty. Treatment is based on many factors in each patient individually, especially the time onset of infection whether it is acute or chronic. Two stage revision is the best method in chronic PJI case under certain circumstances. There are few patients in three years period whom diagnosed with chronic PJI after Total Knee Arthroplasty (TKA). All patients diagnosed more than three months postoperatively, confirmed by clinically sinuses on the knee, and some patients have blood test and radiological sign of infection. All treated with two stage revision which is debridement, removal all implant put articulating knee spacer in the first operation, continue with arthroplasty with constrain implant in the second operation after infection confirmly eradicated and treated by one consultant surgeon in the same hospital. All patients treated with the same method have good results which are no pain, stable knee and satisfying knee Range of motion (ROM) following different recovery time. Two-stage revision have a good success rate in chronic PJI treatment as long as the patient fulfill the treatment criteria.

Total knee arthroplasty in severe valgus deformity of knee osteoarthritis with non-constrained implant: A Case Report Limbong, Suyenci; Santoso, Asep; Anwar, Iwan Budiwan; Sibarani, Tangkas; Mariyanto, Ismail
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.v4i2.134

Osteoarthritis (OA) is main cause of musculoskeletal disability all over the world. The incidence and prevalence of OA increase with aging . The treatment for grade four of knee osteoarthritis (OA) as classified by Kellgren and Lawrence classification is knee replacement, approximately 10% of patient need TKA have valgus deformity and 15% of it is severe deformity. type-III deformity (severe osseous deformity) with an incompetent medial soft-tissue sleeve, which is best managed with a constrained or hinged total-knee design, but it is not always available due to insurance limitation. In this case we choosed to manage the type III deformity using non constrained or hinged total knee design and achieve knee balancing by a soft tissue procedure (MCL tightening). Presetasion of case with Reporting female patient Mrs. S, a 61-year-old with painful and valgus deformity on the right knee. Her range of motion preoperatively was 5-10° with 30° fixed valgus deformity on the right knee. We performed total knee arthroplasty used non-constraint implant with additional soft tissue procedure to gain ligament balance by shifted MCL origin with its bone (epicondyle ) superior and anteriorly. Intra operative we were able to correct valgus deformity and achieved 5-90 range of motion. Discussion in this study with total knee arthroplasty is a procedure that contains two main steps, bone cut and soft tissue balancing. In valgus knee tightness found at lateral site with loosening at medial site. In its severe condition medial collateral ligament may be found disfunctioned . Selective soft tissue release was effective to achieve good ROM and aligment without prosthetic constraint needed which was helped to manage patient when the constraint implant was not accessible. The conclusion after 3 month post operative we found patient was able to stand and walk without pain and device with 0-80° range of motion, stable and corrected valgus deformity.

Co-Authors Anwar, Iwan Budi Arimuqti, Zarkasyi Effendi, Fajar Ivan Ernawan, Rieva Iwan Budiwan Anwar Limbong, Suyenci Mariyanto, Ismail Nicolaas C. Budhiparama Phatama, Krisna Yuarno Rhatomy, Sholahuddin Rhatomy,MD, Sholahuddin Rizaldy, Muhammad Bayu Sibarani, Tangkas Sibarani, Tangkas SMHS Utomo, Pamudji

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