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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya JMM (Jurnal Masyarakat Mandiri) JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Journal Orthopaedi and Traumatology Surabaya (JOINTS) SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL The Hip and Knee Journal

Mohammad Zaim Chilmi

Departement Of Orthopedic And Traumatology, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya

Author-ID : 4339776

Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

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Epidemiology of pelvic fracture in the emergency room at Dr. Soetomo General Hospital between 2016-2018 Yuga Ramadana; M Zaim Chilmi
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 6, No 1 (2022): Journal Qanun Medika Vol 6 No 01
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v6i1.7519

ABSTRACT Pelvic fracture is a rare case. The incidence is about 3% to 8% of the whole kind of fractures. The most common cause is high energy trauma and is associated with multi-trauma. The amount of pelvic trauma patients is 63,000 and is associated with increased mortality rates. The scientific data is needed because it is helpful for trauma prevention and management. This research is a descriptive observational study that examines the epidemiology of pelvic trauma. The population was patients with pelvic trauma who came to the ER RSUD Dr. Soetomo in 2016-2018. The total sample was 229 patients. A total of 149 patients (65.1%) were male, and 80 patients (34.9%) were female. Traffic accidents caused 173 patients (76%) cases. Tile A classification was most frequent in 117 patients (51.1%). There were 178 patients (77.7%) who were multi-trauma patients. The most common treatment was pelvic bandage with 95 patients (41.5%). There were 178 multi-trauma patients, 109 patients (61.2%) who underwent emergency surgery for trauma, and 69 patients (38.8%) who did not. The most common cause of pelvic fracture in Dr. Soetomo general hospital during 2016-2018 was trauma with high energy due to traffic accidents. The most common type of pelvic fracture was Tile A. The more severe the pelvic trauma, the treatment should be more aggressive.

Ankle Arthrodesis with Cannulated Screw: Case Series Andre Triadi Desnantyo; Muhammad Zaim Chilmi; Hizbillah Yazid
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACT Ankle osteoarthritis patients are young and lack of available long last treatment. Ankle arthrodesis remains the gold standard and is the procedure of choice for younger patients who are heavy laborers. These case series evaluate and report five patients undergone ankle arthrodesis at RSUD Dr. Soetomo Surabaya on 2012-2016. The data were collected from patient files, radiographs, and a recent physical examination. The outcome has been assessed with SF-36 score and clinical scoring system Ankle-Hind foot American Foot and Ankle Society. Three male patients and two female patients underwent ankle arthrodesis with cannulated screw, caused by neglected severe ankle dislocation. One patient had open dislocation. Based on SF-36 scoring, the five patients had average score 76,7 with highest and lowest score were 95,9 and 56,7. Based on clinical score ankle-hind foot American Ankle and Foot Society, the average score was 68(51 – 88). The scoring result includes general health, physic, emotional, and social. And clinical scoring ankle-hind foot American Foot and Ankle Society evaluation includes pain, function, and alignment. It shows that there was patient that gains an almost perfect result. Patient with the lowest score also had knee osteoarthritis contralateral from the operated ankle. Early weight bearing on ankle arthrodesis with cannulated screw was the major factor caused unsatisfactory result of this patient. Ankle arthrodesis with cannulated screw has satisfactory result eventhough remain complain on one patient. Nevertheless, ankle arthrodesis with cannulated screw still has an important role in the treatment of choice on ankle reconstruction.Keywords : Ankle arthrodesis, cannulated screw, ankle joint fusion

EFFECT OF PLATELET RICH FIBRIN AND MESENCHYMAL STEM CELL ON MYOBLAST AND FIBROBLASTS RATIO IN RABBIT MUSCLE DEFECT Dwikora Novembri Utomo; Mohammad Zaim Chilmi; Angga Fiandana
Journal Orthopaedi and Traumatology Surabaya Vol. 7 No. 2 (2018): October 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v7i2.2018.95-105

Background: One of the problems in Orthopedics which often results in less satisfactory outcomes is the muscle injuries treatment. This is due to slow healing process and outcome has not been optimal because it produces scar tissue.Purpose: To evaluate effect of platelet rich fibrin and allogenic mesenchymal stem cell on muscle regeneration through comparation of myoblast and fibroblast ratio.Methods: This research is true experimental with randomized pre and post test with control group design. The treatment group included administering allogenic mesenchymal stem cells (MSC), rich fibrin platelets (PRF), and a combination of both. The study subjects were New Zealand White Rabbit which gastrocnemius muscle is incised. Muscle quality evaluation was done in the second and fourth weeks through histology examination in the form of myoblast cell ratio to fibroblast.Results: In the second week evaluation, administering allogenic MSC combined with PRF gave significant results to an increase in myoblast cell ratio to fibroblast. While evaluation of fourth week, giving of three treatment groups gave significant result to myoblast cell ratio to fibroblast.Conclusion: Allogenic MSC administration combined with PRF can improve New Zealand White Rabbit muscle healing quality by histological examination.

Excellent Result of Revision Total Hip Replacement with Unexpected Metallosis azmi farhadi; Kukuh Dwiputra Hernugrahanto; Jifaldiafrian Maharajadinda Sedar; Mohammad Zaim Chilmi
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

ABSTRACT Background: Metallosis is a syndrome of metal-induced synovitis with infiltration and accumulation of metallic debris into the periprosthetic structures, including soft and bony tissues. The debris causes a chronic inflammatory reaction due to joint instability, pain, osteolysis, implant loosening, or implant failure. The absence of a specific sign or symptom that indicates metallosis causes difficulty to diagnose.Presentation of Case: A 35-year-old female, history of primary left total hip replacement since seven years ago after avascular necrosis of the femoral head, presented with an eight-month history of left hip pain and limited range of motion. Radiograph results showed that there is no evidence of periprosthetic fracture or infection. The patient underwent a left revision total hip replacement, which revealed extensive necrotic black metal debris throughout the joint space.Discussion: Effective treatment requires a revision of total hip replacement to remove metal debris, bone graft area osteolysis, and to address the mechanical failure. The greatest possible of metallic debris during debridement is vital to avoid further osteolysis and prevent more extensive damage. Excellent clinical result was evaluated by Harris’s hip score in 18 months postoperatively.Conclusion: This case is a rare example of chronic metallosis presenting seven years following total hip replacement. Revision total hip replacement is the consensus management choice to avoid further destruction of the bone and joint capsule that can occur with metal-induced inflammation. Keywords:

Definitive Management Option of Pelvic Ring Injury Mohammad Zaim Chilmi; Ismail Hadisoebroto Dilogo
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Pelvic ring injury is a rare condition with the incidence of hip fracture about 3% to 8% of all fractures. However, the majority of pelvic fracture patients have a high morbidity rate that could threaten their survival. The majority cause of hip fracture is high energy blunt trauma and is related to polytrauma incident. The main goals of management for pelvic ring injury are to restore the form and stability of the pelvic. The main goal is to prevent nonunion and malunion, which lead to chronic pain and disability. This review is focused on the strengths and weaknesses of the management option, approach and complication for pelvic ring fracture surgery. Complications of pelvic ring fracture surgery are bleeding, nerve damage, DVT, pulmonary embolism, soft tissue injury, sepsis, and malunion of the pelvis and nonunion. Management for pelvic ring fracture surgery is used based on the location and configuration of the fracture, implant availability, surgeon’s preference, and experience.

Choosing between the Conventional Plates, Locking Plates, or Iliosacral Screws for Sacroiliac Joint Dislocation: A Biomechanical Comparison Study Trixie Brevi Putri; Erwin Ramawan; Mohammad Zaim Chilmi; Kukuh Dwiputra Hernugrahanto; Jifaldi AMD Sedar; Fundhy S I Prihatanto
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: This study examines the comparison of biomechanical strengths of three kinds of the most familiar implants available in Indonesia: conventional and locking sacroiliac plates and screws, also iliosacral screws. Despite the common thought that iliosacral screws are preferred compared to conventional plates and screws due to its biomechanic superiority, this study tested whether the locking plates and screws could offer an alternative.Materials and Methods: This study was an in vitro experimental study with a Randomized Post Test - Only Control Group Design using pelvic bones from male cadavers aged 20-50 y.o. Twelve samples were divided into three treatment groups and one control group. Group P1 was fixed with two conventional plates, P2 was fixed with two locking plates, P3 was fixed with two iliosacral screws, and control group K with sacroiliac joint was intact. Each group was given an increasing load until a vertical shift of the sacroiliac joint ≥ 2.0 mm was obtained.Results: The average force load for 2 mm displacement among the fixation systems being tested shows a statistically significant difference (p0.05). Load failure force for 2 mm displacement in the locking plate and screw group has the highest average (591.33 ± 56.08 N) compared to the iliosacral screw group (583.67 ± 73.56 N) and conventional plate and screw group (574 ± 106.05 N).Conclusions: Biomechanically, the fixation system using two locking anterior sacroiliac plates and screws is more stable than the iliosacral screws and conventional sacroiliac plates and screws.

Modified Stoppa Approach For Concomitant Anterior And Posterior Pelvic Ring Fracture: A case report Arif - Wibowo; Mohammad Zaim Chilmi
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

BACKGROUNDModified Stoppa approach was performed to access the site of anterior column fracture instead of the Ilioinguinal approach to reduce morbidity.CASE SUMMARYA 24-year-old female suffered a serious traffic accident when she was riding a motor cycle collided with a car from the front and fell off when dodged a hole on the road. Then, the patient was beneath a moving car after falling. Several hours after accident at the hospital, she diagnosed as closed pelvic fracture of right superior inferior pubic rami and right sacroiliac joint disruption, closed fracture of right shaft femur. After improvement the condition in the ward, open reduction and internal fixation for the femoral fracture and for the pelvis fracture were performed using a modified stoppa approach to access the fracture site.CONCLUSION Treatment using the modified Stoppa approach was suitable for anterior column fracture, in which pelvic fractures were sufficiently exposed, the fracture was conveniently reduced, less complications occurred, and curative effect was satisfactory.

Management of Secondary Osteoarthritis with Proximal Femoral Deformity due to Previous Coxitis Hip: A Case Report Renaldi, Rizal; Afrian, Jifaldi; Chilmi, Mohammad Zaim
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Most proximal femoral deformities encountered during hip arthroplasty are secondary to degenerative processes, previous osteotomy, or fracture and could be a challenged for surgeons. Femoral deformity may be angular, rotational, or one of bone diameter or length. Fully understanding the anatomy of the deformity is the first element in deciding how to best treat the deformity during Total Hip Arthroplasty (THA). Female 31 years old complaint of pain on her left hip with restricted motion, with a leg length discrepancy (LLD) of 2 cm and a history of operation due to left hip infection when she was a baby. THA was performed with carefully evaluating the abductor muscle to maintain hip stability. Postoperatively the patient has an equal leg length, with less pain on the hip, a good ROM, and able to walk dependently using a cane. Slight tightness on the abductor and adductor muscle was noted postoperatively and the patient undergone physiotherapy. Multiple important factor must be considered before considering THA in patients with proximal femoral deformity, including abductor function, osseous anatomy, hip stability and LLD. One must be careful of correction of LLD greater than 3 cm because possible effect on abductor strength, hip stability and sciatic nerve function. In this case, we demonstrated that a successful THA can be achieved despite altered anatomy due to secondary developmental changes. In the setting of sufficient abductor strength and bony stock amenable to implant fixation, THA is a viable option for management and careful preoperative planning helps predict prosthesis requirements and technical challenges.

The Combined Hip Procedure: Open Reduction Internal Fixation Combined with Total Hip Arthroplasty for the Management of Severe Acetabular Fractures in the Elderly: A Case Report Pramukti, Rolandi Indra; Chilmi, Mohammad Zaim; Sedar, Jifaldi A.M.D.
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.v5i1.124

Acetabular fractures in the elderly are marked by many variability in terms of patient and fracture characteristics. Successful outcomes depend on application of highly individualized (tailor made) management principles. The indications and outcomes associated with various management options, including closed treatment, open reduction internal fixation, and direct or staged total hip arthroplasty. Proper initial management choices are critical, as early failures and subsequent salvage surgery can be accompanied with morbidity. Clinical results after ORIF closely follow the quality of articular reduction and the ability to maintain a congruent reduction of the hip joint. Fracture characteristics and ability to achieve anatomic-articular reduction, should be treated with ORIF. However, fracture characteristics predictive, prior to early post-traumatic arthritis should be treated with simultaneous ORIF and THA (Combine Hip Procedure, CHP). The case presented is one referral institutions treatment algorithm and management approach in dr. Soetomo general hospital.

Total Hip Replacement For Ankylosed Hip: A Case Report Pratama, Rahendra; Afrian, Jifaldi; Chilmi, Mohammad Zaim
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v3i2.107

AbstractIntoductionAnkylosis of the hip is very difficult to treat surgically and should only be attempted by an experienced surgeon together with comprehensive pre-operative planning. It is important to inform the patient about the possible complications of this procedure.Case DescriptionMale patient at the age of 68 years with severe left hip pain for the last 30 years. The pain was intermittent,mostly at night, The pain got worse during walk and subside when resting. No history of trauma, TB contact, fever, allergies, alcohol usage or smoking. There was also no history of surgery. X-Ray shows fusion of the left hip. Blood test shows no infection detected.DiscussionPosterior approach was used in this case, inability to internally rotate the hip due to bony fusion will made the osteotomy more difficult. Visualized Greater Trochanter and palpable Lesser trochanter as landmark for osteotomyConclusionTHA is an effective treatment for severe flexion ankylosed/fused hip deformity although there are high surgical complications than routine hip arthroplasties. Adequate preoperative planning will improve the clinical outcome of the hips.

Co-Authors Abdul Latief Afan Fatkhur Akhmad Afrian, Jifaldi An Yuliani Angga Fiandana Arif - Wibowo azmi farhadi Damayanti Tinduh Desnantyo, Andre Triadi Dwikora Novembri Utomo Erwin Ramawan Febrian, Firas Fundhy S I Prihatanto Gana Adyaksa Hafidlotul Mu’awanah Hanif, Hanan Hizbillah Yazid Irianto, Komang A. Ismail Hadisoebroto Dilogo Jifaldi AMD Sedar Jifaldiafrian Maharajadinda Sedar Kukuh Dwiputra Hernugrahanto Kukuh Dwiputra Hernugrahanto Lukas Widhiyanto Maria Ulfa Pramukti, Rolandi Indra Pratama, Rahendra Renaldi, Rizal Santoso, Pradana Mahendra Sedar, Jifaldi A.M.D. Seshy Tinartayu Trixie Brevi Putri Varianidia Veterini Wardhani, Indrayuni Lukitra Yuga Ramadana

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