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All Journal Jurnal Prima Medika Sains Cermin Dunia Kedokteran Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara
Winanto, Iman Dwi
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Humanities Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Jurnal Prima Medika Sains

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Urgent release of constriction band syndrome of the leg with single-stage Z-plasty procedure in neonates: A case series Winanto, Iman Dwi; Sofyan, Jefryan; Muchtar, Muhammad Arafat; Guci, Ricovially Davya
Jurnal Prima Medika Sains Vol. 6 No. 2 (2024): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i2.5597

Abstract

The congenital constriction band syndrome (CCBS) is a group of fetal abnormalities with myriad of clinical presentation that is characterized by the presence of a fibrous band that encircles fetal tissues in utero. It is a rare disease with a reported incidence of 1/15,000 live births. The disease is treated with release of the constricting band with Z-plasty, where it is classically done as a two-stage procedure. Single stage z-plasty is a relatively new approach that still needs more reports regarding to its result. Our cases described successful release with a single stage Z-plasty reconstruction in the setting of an urgent surgery in neonates aged less than 48 hours.
Recurrent anterior dislocation of radial head treated with ulnar distraction osteotomy and reconstruction of annular ligament using palmaris longus tendon with bioabsorbable screw anchoring: A case report Winanto, Iman Dwi; Siregar, Alamsyah Faritz; Nugraha, Tesar Akbar
Jurnal Prima Medika Sains Vol. 6 No. 2 (2024): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i2.5663

Abstract

Introduction: Radial head dislocation in children may be either congenital, an isolated injury or more commonly part of a complex injury to the elbow. Isolated traumatic radial head dislocation in children is a rare and easily missed condition.The reported case shows various treatment and intervention with ulnar osteotomy and annular ligament reconstruction in order to reach the definitive reduction of recurrent dislocation of radial head. Case Presentation: Male 9 years old with anterior dislocation of the radial head, came with difficulty on flexing his elbow due to bony prominence on his anterior elbow. He had recurrent radial head dislocation with redundant annular ligament. From the physical examination there was a prominent radial head on anterior region of elbow. From x-ray examination we found anterior dislocation of ulnar head without any fracture or deformity of ulna. Patient underwent ulnar distraction osteotomy to achieve radial traction and allow stable reduction of radial head. After 5 months he had reconstruction of annular ligament with palmaris longus tendon graft and anchoring with bioabsorbable screw in order to reduce and stabilize the radial head. Conclusion: In this case we found ulnar osteotomy may gave improvement for the reduction of the radial head. But additional annular ligament reconstruction give stability of the radial head which will held in place with full range of motion of the elbow. So this combined procedures hopefully can gave best achievement and satisfactory results of the children and last a lifetime.
Co-Authors Guci, Ricovially Davya Muchtar, Muhammad Arafat Nugraha, Tesar Akbar Siregar, Alamsyah Faritz Siregar, Otman Sofyan, Jefryan Sutanto, Nico