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Davin Caturputra Setiamanah
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Health Professions Medicine & Pharmacology Nursing Public Health

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TENDON TRANSFERS FOR RADIAL NERVE PALSY Nur Rachmat Lubis; Wiria Aryanta; Davin Caturputra Setiamanah
Majalah Kedokteran Sriwijaya Vol 52, No 3 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i3.12509

Abstract

Background: High radial nerve palsy mostly caused by injury of nerve branching from proximal to the elbow resulting in function loss of wrist, finger and thumb extension, as well as thumb abduction. Tendon transfers are the most common technique for motor reconstruction indicated in high radial nerve palsy if the patients fail to achieve nerve regeneration and recovery. This procedure will restore finger, thumb, and wrist function, without foisting other motoric deficits on the hand, with satisfying results. Case: 19 years old male was referred to RSUP dr. Mohammad Hoesin Palembang with right wrist joint instability and limited range of motion (ROM). Past history of fracture at the middle third of the right humerus 6 months ago. Physical examination showed total loss of active wrist extension, thumb extension and abduction, and finger extension at metacarpophalangeal (MCP) joints. The patient is diagnosed as a high lesion of radial nerve palsy. Tendon transfers procedure were prepared to restore better wrist function and ROM. Tendon transfers performed with Riordan method, using pronator teres as extensor carpi radialis brevis for wrist extension, flexor carpi ulnaris to extensor digitorum communis for finger extension, palmaris longus to extensor pollicis longus for thumb extension. Conclusion: Tendon transfers for high radial nerve palsy is an effective technique to restore the function of wrist extension, finger extension, and power of handgrip.
Pirani Score Difference in CTEV Patients Treated with Ponseti’s Serial Cast in RSUP dr. Mohammad Hoesin Palembang Davin Caturputra Setiamanah; Nur Rachmat Lubis; Indri Seta Septadina
Majalah Kedokteran Sriwijaya Vol 52, No 1 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i1.11427

Abstract

Congenital talipes equinovarus (CTEV) is a congenital deformity involving calcaneo-navicular complex. It is best understood with mnemonic CAVE which includes cavus, adduction, varus, and equinus of the foot. Ponseti’s method, the gold standard of treating CTEV, includes strapping and tapping technique, manipulation, serial casting, and functional therapy. The purpose of this study is proving that there is a significant Pirani score difference in CTEV patients treated with Ponseti’s serial casts. It is an observational study with time series design. Observation and evaluation to the CTEV patients were conducted during the period of August-December 2017 at The Orthopedics Clinic in RSUP dr. Mohammad Hoesin Palembang. All the data were analyzed with Wilcoxon test using IBM SPSS version 24. Total 14 CTEV feet were treated with Ponseti method. From all of the 7 patients, four were females (57.1%) and three were males (42.9%). Every patient had bilateral deformity and less than a year in age. Mean Pirani score of the study group after the second plaster cast were 3.78 ± 2.05 for the left feet and 4.07 ± 1.66 for the right feet. Mean post-treatment Pirani score of the study group, respectively left and right feet, were 0.57 ± 0.60 and 0.28 ± 0.39. Total 92% of the feet were treated successfully by Ponseti’s serial casts. There is a significant difference in Pirani score before and after the treatment of CTEV using Ponseti’s serial casts (p < 0.05).
Co-Authors Indri Seta Septadina Nur Rachmat Lubis Wiria Aryanta