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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

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.

Advances in Orthopedic Trauma Wiria Aryanta
Arkus Vol. 2 No. 1 (2016): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v2i1.62

Orthopedic trauma is a broad term describing all kinds of injuries affecting the bones, joints, muscles, tendons, and ligaments in any part of the body that are caused by trauma. The term is wide - ranging and may refer to minor fractures or severely broken bones with a direct threat to the patient’s life. Orthopaedic surgeries focused on treating fractured bones and making sure the injured part of the body regains its original strength and maximum function it used to have prior to the injury.

Pembaruan pada Trauma Ortopedi Wiria Aryanta MD
Conferences of Medical Sciences Dies Natalis Vol. 1 No. 1 (2019): Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sr
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.577 KB)

Orthopedic trauma is a broad term describing all kinds of injuries affecting the bones, joints, muscles, tendons, and ligaments in any part of the body that are caused by trauma. The term is wide-ranging and may refer to minor fractures or severely broken bones with a direct threat to the patient’s life. Orthopaedic surgeries focused on treating fractured bones and making sure the injured part of the body regains its original strength and maximum function it used to have prior to the injury. The many different types of orthopedic trauma are classified based on the affected body part: Upper extremity injury, which includes a broken arm or wrist, collarbone, or ribs; Lower extremity injury, which includes a broken ankle, hip, or legs; Soft tissue injury, which affects the muscles, tendon, and ligaments.Orthopedic trauma is treated depending on its severity. Those who have minor injuries such as fractures can be easily treated by general orthopedists, although in some cases, the expertise of subspecialists may become necessary. Orthopedic trauma uses both surgical and non-surgical techniques to treat the affected bones and soft tissues. Minor fractures and dislocations of specific bones such as the scapula, humerus, and clavicle, among others, can be treated non-surgically through an external fixation method. This means that orthopedic devices such as casts, braces, and splints are placed outside the body to keep the injured part stable during the recovery period. Surgical means, on the other hand, include:Minimally invasive surgery; Conventional surgery; Internal fixation method; Bone grafting and bone/ joint transplantation; Limb lengthening; Lower limb reconstruction; Upper limb reconstruction; Soft tissue reconstruction; Tendon & nerve reconstruction. The search for the optimal treatment techniques in orthopaedic still on going up until now, including new techniques, approach, mode of fixation, implant components, and also rehabilitation protocols.

Double Limberg Flap for Stage IV Sacral Decubitus Ulcers with Compression Fracture of the First Vertebra of Lumbar Spine: A Case Report Haris, Rafki; Wiria Aryanta
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 11 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i11.880

Background: Decubitus ulcers are injuries to skin and underlying tissue resulting from prolonged pressure on the skin. There are numbers of surgical methods have been devised over a year for treatment of decubitus ulcers. Double Limberg flap is our procedure of choice, which we present here as our experience. Case presentation: The study describe a 29 years old male with chief complaint is unable to move both limbs. One month before admission the patient admitted that he had been hit by the roof of the chicken coop while cleaning it. After the incident, the patient wan unable to move his legs. The patient also admitted that he was unable to control his urination and bowel movements. The patient also complained that there were ulcers in the buttocks that were caused by being in bed for a long time. At Dr. Mohammad Hoesin General Hospital, the patient is planned to undergo posterior stabilization. After the posterior stabilization is carried out, this patient was planned to have the ulcer closure using a Limberg flap. The double limber flap survived completely. Flap necrosis was not seen in this case. The largest defect covered by this flap. There was no recurrence of pressure sores in this patient in the 6 month follow-up period. Conclusion: The Limberg flap is a fast, accurate and reliable alternative surgical technique utilizing local tissue in treating sacral decubitus ulcer. Limberg flap repair is an effective technique with short learning curve, patient comfort, early healing, and least complications and recurrence rates are the advantages of this procedure.

Efficacy of Randu Honey Supplementation on Callus Formation in Closed Fractures of the Tibia in Wistar Rats Afifurrahman; Wiria Aryanta; Mgs Irsan Saleh
Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i2.101

Introduction: Tibial fracture is one of the most common injuries. Randu honey has the potential to speed up fracture healing. This study aims to determine the efficacy of randu honey supplementation on callus formation in closed fractures of the tibia in Wistar rats. Methods: This research uses a true experimental design with post test only control group design. A total of 36 Wistar rats were divided into two groups, namely the control group and the treatment group which were given 200g/BW(gram)/day of randu honey. Fractures were made on the rat tibia and callus diameter was measured at 3 weeks after treatment. Results: The callus diameter in the treatment group was significantly larger than the control group (p<0.05) in radiological and macroscopic measurements. Conclusion: Supplementation with randu honey is effective in the formation of callus in closed fractures of the tibia in Wistar rats.

Comparison of Upper Extremity Function After Operative and Non-operative Management of Distal Radius Intra-Articular Fractures with Clinical Assessment of QuickDASH Score Istiqomah, Ridnia Nur; Wiria Aryanta; Erial Bahar
Sriwijaya Journal of Surgery Vol. 7 No. 2 (2024): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v7i2.110

Introduction: Intra-articular fracture of the distal radius is a common injury and can disrupt upper extremity function. This study aims to compare upper extremity function after treatment of intra-articular distal radius fractures in productive age between operative and non-operative procedures using the QuickDASH score. Methods: This observational analytical study with a retrospective cohort design involved 80 patients with intra-articular distal radius fractures who were managed operatively (60 patients) and non-operatively (20 patients) at Dr. Mohammad Hoesin General Hospital Palembang. Data was collected from patient medical records and analyzed using the independent t-test and Chi-Square test. Results: The mean QuickDASH score in the operative group (10.53 ± 17.25) was significantly lower than the non-operative group (23.29 ± 23.82) (p = 0.012). There was a significant relationship between operative management and QuickDASH score (p = 0.023). Patients treated operatively were 1.5 times more likely to have normal upper extremity function (QuickDASH score ≤ 20). Conclusion: Operative treatment of intra-articular distal radius fractures in productive age provides better upper extremity functional outcomes compared to non-operative treatment, based on QuickDASH score assessment.

Novel Application of a Modified Small T-Plate as an Internal Joint Stabilizer for Chronic Elbow Instability: Technique and Two-Year Results Wiria Aryanta; Satria Putra Wicaksana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 6 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i6.1310

Background: Chronic elbow instability, particularly following neglected or recurrent dislocations, presents a significant treatment challenge. Restoring stability while preserving functional motion is difficult, especially when standard internal joint stabilizers (IJS) are unavailable. We explored the use of a readily available small T-plate, modified intraoperatively, as a temporary internal hinge stabilizer. Case presentation: A 33-year-old male presented with chronic left elbow instability and functional impairment persisting for 14 years after an initial injury. Previous treatments, including traditional bone setting and K-wire fixation, had failed, resulting in recurrent dislocations. Surgical exploration revealed significant fibrosis and compromised ligamentous structures. Open reduction was performed, followed by stabilization using a modified small T-plate contoured to act as an internal hinge, maintaining the ulnohumeral joint space. The implant was removed after 4 weeks. At the 24-month follow-up, the patient exhibited excellent functional outcomes, with a stable elbow, substantial improvement in range of motion (Flexion-extension: 4.2°-129.2°; Pronation-supination: 80°), and an excellent Broberg-Morrey score, enabling pain-free daily activities. Conclusion: This case demonstrated that a modified small T-plate can serve as an effective, low-cost internal hinge joint stabilizer for managing complex chronic elbow instability, particularly in resource-limited settings. It facilitated early controlled motion, promoted stable fibrous tissue healing, and resulted in excellent long-term functional outcomes. This technique presents a viable alternative when standard IJS devices are not accessible.

Novel Application of a Modified Small T-Plate as an Internal Joint Stabilizer for Chronic Elbow Instability: Technique and Two-Year Results Wiria Aryanta; Satria Putra Wicaksana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 6 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i6.1310

Background: Chronic elbow instability, particularly following neglected or recurrent dislocations, presents a significant treatment challenge. Restoring stability while preserving functional motion is difficult, especially when standard internal joint stabilizers (IJS) are unavailable. We explored the use of a readily available small T-plate, modified intraoperatively, as a temporary internal hinge stabilizer. Case presentation: A 33-year-old male presented with chronic left elbow instability and functional impairment persisting for 14 years after an initial injury. Previous treatments, including traditional bone setting and K-wire fixation, had failed, resulting in recurrent dislocations. Surgical exploration revealed significant fibrosis and compromised ligamentous structures. Open reduction was performed, followed by stabilization using a modified small T-plate contoured to act as an internal hinge, maintaining the ulnohumeral joint space. The implant was removed after 4 weeks. At the 24-month follow-up, the patient exhibited excellent functional outcomes, with a stable elbow, substantial improvement in range of motion (Flexion-extension: 4.2°-129.2°; Pronation-supination: 80°), and an excellent Broberg-Morrey score, enabling pain-free daily activities. Conclusion: This case demonstrated that a modified small T-plate can serve as an effective, low-cost internal hinge joint stabilizer for managing complex chronic elbow instability, particularly in resource-limited settings. It facilitated early controlled motion, promoted stable fibrous tissue healing, and resulted in excellent long-term functional outcomes. This technique presents a viable alternative when standard IJS devices are not accessible.

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