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All Journal Majalah Kedokteran Bandung Althea Medical Journal Jurnal Sistem Kesehatan Majalah Kedokteran Andalas Journal Orthopaedi and Traumatology Surabaya (JOINTS) The Hip and Knee Journal

Dicky Mulyadi

Departemen Orthopaedi Dan Traumatologi, Fakultas Kedokteran, Universitas Padjadjaran

Author-ID : 532372

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

Published : 15 Documents Claim Missing Document

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Open reduction, acetabular and femoral head fixation of Pipkin type IV fracture in an adolescent: A Case Report Bastomi, Ismail; Mulyadi, Dicky
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Femoral head fracture is extremely rare in adolescent. There are few studies that focus on cases treated of pipkin type IV. A 15-year-old male adolescent suffered a serious traffic accident when he was sitting on the front seat of car. Several hours after accident at the local hospital, he diagnosed as posterior dislocation of the right hip with drop foot , and treat closed reduction immobilisation with skin traction. After first operation he transferred to another hospital. Pelvic radiograph computed tomography revealed a head femoral fracture and large acetabular rim fracture. This was diagnosed as a Pipkin type IV acetabular and femoral head fracture with dislocation. An open reduction Inion Freedom bioscrew fixation of head femur and 4.5 cortical screw fixation of acetabular fracture was performed via a Kocher Langenbeck approach. After 1-year follow-up, the patient could walk without aid and participate in physical activities. The X-ray results showed that the fractures healed well with no evidence of complications. Open reduction, fixation both acetabular and femoral head is an available therapy to treat Pipkin type IV in adolescent

Proximal Tibial Sliding Osteotomy as an Alternative Solution for Patients With Proximal Tibial Bone Defect After Neglected Tibial Plateau Fractures Undergoing Total Knee Arthroplasty: A Case Report Riyadli, Muhammad; Mulyadi, Dicky
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Trauma case to the joints, especially the knee joint is a difficult and challenging case to manage. In the initial conditions of trauma, this case may be relatively more rational to do reduction and fixation. However, in cases of delayed treatment, it will be a challenge for an orthopedic, where in the late condition, the knee joint will degenerate earlier and becomes early osteoarthritis. The therapy that can be done depends on the severity of the joint damage itself. One of the actions that can be taken in severe conditions of osteoarthritis is Total Knee Arthroplasty (TKA). But if the defect is very large, a special additional tool is usually needed, which will also be more expensive. We report a 51 years old female patient with secondary osteoarthritis and severe depressed in the medial proximal tibia due to neglected tibial plateau fracture. The patient had a total knee arthroplasty performed with an oblique osteotomy on the medial side of the tibial plateau and shifting it proximally to cover the defect area. The operation went smoothly and the implant used was a primary Posterior Stabilized (PS) TKA implant without metal augmentation. After the procedure, the patient's knee is reassessed. There was improvement in knee deformity, with good stability and full range of motion of the knee. The purpose of this paper is to demonstrate a sliding osteotomy technique for medial proximal tibia in Total Knee Arthroplasty, with the hope of being an alternative solution and reducing additional costs for osteoarthritis cases with a severe defect in the medial proximal tibia.

Femoral neck rotational osteotomy for femoral head osteonecrosis ficat arlet stage III: A Case Report Putra, Satria Prawira; Mulyadi, Dicky
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.v4i2.136

Peritrochanter osteotomy for treatment AVN head femur has a techinacally demanding because excecsive rotation would tighten the retinaculum that contain blood supply for proximal femur and most complication is non union greater trocanter.based on this point of view,the retinaculum was release during surgery and rotational osteotomy was performed at the based of femoral neck

Modified Two-Stage Exchange for MRSA Periprosthetic Joint Infection in Total Knee Arthroplasty: Case Report RMSN, Magetsari; Mulyadi, Dicky
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Periprosthetic joint infection (PJI) of the knee is a catastrophic complication that occurs in 1-2 % of patients after total knee arthroplasty. As the number of primary knee arthroplasty procedures increases, thus will the number of periprosthetic infections continues to be a major challenge with a significant financial burden and physical and psychological morbidity for patients. This report presents a case of MRSA Periprosthetic joint infection in TKA with a two-stage exchange as a treatment. A 79-year-old woman had a painful, swollen knee with a sinus tract with purulent discharge at her left knee. The KSS Knee Score was 25, and the Function Score was 15. According to the findings, the patient was diagnosed with Periprosthetic Joint Infection by the Modified MSIS criteria and underwent a two-stage revision surgery with rifampicin and ciprofloxacin antibiotic administration. PJI is a rare complication, with more than 50% of the cases caused by gram-positive cocci, Staphylococcus coagulase-negative, and Staphylococcus aureus. The treatment of PJI must be tailored according to the patient's clinical characteristics. Prosthesis exchange in one or two stages is the first choice of procedure. Two-stage revision surgery for knee PJI with dual antibiotics of rifampicin and ciprofloxacin is adequate to control infection and reinfection in a one-year follow-up.

Economic Burden of Periprosthetic Joint Infection Mulyadi, Dicky; RMSN, Magetsari
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Total knee arthroplasties (TKAs) and total hip arthroplasties (THAs) have been proven to help improving the quality of life of numerous patients and have been regarded as successful standard operations in orthopaedic surgeries. However, there is still a lingering devastating complication in the form of peri-prosthetic joint infection (PJI). This condition can be difficult to diagnose and may present at any time after arthroplasty requiring surgical intervention, often multiple times. Surgical revisions due to infection requires multiple visits and longer length of stay resulting in greater hospital costs. As the number of arthroplasty procedures increases so does the number of PJIs and therefore revisions. In 2010 there were estimated 8 136 PJI cases associated with hips and 17 781 cases associated with the knee and it is projected to grow in 2020 to be 16 584 cases for hip and 48 971 cases for knee. This also translated in the increase of estimated cost from around $785 million in 2010 to $1.62 billion in 2020.

Co-Authors Adam Fajar Ahmad Ramdan Asep Sulaeman, Asep Bangkit Primayudha Darmawan, Dwi Indra Diki Julkarnain Fachry A. Tandjung Fachry Tandjung Fadlyansyah Farid Fathurachman Fathurachman Hermawan Nagar Rasyid Ismail Bastomi, Ismail M. Rizal Chaidir Mohammad Rizal Chaidir Muhammad Ramdhani Muhammad Ramdhani, Muhammad Nita Arisanti Nita Arisanti Nucki Nursjamsi Hidajat Nucki Nursjamsi Hidajat Nucki Nursjamsi Hidajat, Nucki Nursjamsi Putra, Satria Prawira Riyadli, Muhammad RMSN, Magetsari Tandjung, Fachry A. Taufan Herwindo Dewangga Yoyos Dias Ismiarto

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