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The influence of hamstring autograft diameter on patient-reported functional scoresfollowing anterior cruciate ligament (ACL) reconstruction Rhatomy, Sholahuddin; Widjaya, Muhammad; Ghazali, Said; Setyawan, Riky; Budhiparama, Nicolaas C.
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 51, No 4 (2019)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.481 KB) | DOI: 10.19106/JMedSci005104201904

Abstract

Anterior cruciate ligament (ACL) reconstruction using hamstring tendon autograft is a common procedure in orthopedic surgery to treat ACL rupture. Graft diameter is very important in successfulness of ACL reconstruction. The purpose of this study was to evaluate the influence of hamstring autograft diameter on patient-reported functional scores following ACL reconstruction. The diameter of grafts were collected retrospectively from medical records of the patients who underwent primary ACL reconstruction with hamstring autograft in the Soeradji Tirtonegoro General Hospital, Klaten, Central Java. The patient-reported functional scores data according to the International Knee Documentation Committee (IKDC) score and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected by phone call interview from the patients after more than six months post-reconstruction. The comparison between graft diameter and patient-reported functional scores was analyzed by independent t test. A p<0.05 was considered significant.Thirty-two patients who fulfilled the inclusion and exclusion criteria were involved in the study who were divided into two groupswith 16 patients in each group i.e.Group 1 with graft diameter ≤8mm and Group 2 with graft diameter >8mm.The result showed significant difference in KOOS and IKDC score between the both groups (p<0.05). Patients who underwent ACL reconstructionwith graft diameter >8mm (Group 2) had higher KOOS and IKDC score compared to graft diameter ≤8mm (Group 1) (p<0.05). In conclusion, ACL reconstructionwith increased hamstring autograft diameter >8 mm associated with better patient-reported functional scores in 6 monthsfollow-up after ACL reconstruction.
The Inaugural Issue of The Hip & Knee Journal Nicolaas C. Budhiparama; Sholahuddin Rhatomy; Asep Santoso
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1045.368 KB) | DOI: 10.46355/hipknee.v1i1.29

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The Prospect Science of Meniscus Preservation Asep Santoso; Krisna Yuarno Pratama; Sholahuddin Rhatomy; Nicolaas C. Budhiparama
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.098 KB) | DOI: 10.46355/hipknee.v3i1.121

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The meniscus plays a role in stabilizing (secondary) knee joints by load transmission and reducing the contact stresses on knee joint cartilage. Meniscal tear more commonly involves the young patient and may be associated with ligament injuries. Meniscal injury also can be associated with some congenital anomaly. The meniscus injury treatment is challenging and most commonly treated with excision.Excision of the meniscus is associated with poor clinical outcomes, and high chance of early cartilage degeneration. Current meniscus repair techniques are still associated with common re-admission for surgery and poor clinical outcomes. To improve the patient- reported outcomes, the current basic research project should focus on enhancing meniscus healing and replacing meniscus tears.
The Pandemic Hits Us Hard, but We Don’t Lose Hope Krisna Yuarno Phatama; Sholahuddin Rhatomy, MD; Asep Santoso; Nicolaas C. Budhiparama
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (968.087 KB) | DOI: 10.46355/hipknee.v2i1.72

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At the end of 2019, we faced a new variant of the coronavirus that can cause pneumonia and acute respiratory distress syndrome-like symptoms. It started in Wuhan, Hubei Province, China, and spread quickly to the whole world.This new virus is called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and can manifest as a disease called coronavirus disease 2019 (COVID-19). On March 13th, 2020 World Health Organization (WHO) declared COVID-19 as a global pandemic, and the story of frightening pandemic begin.
Robot-Assisted in Hip and Knee Surgery: Are we ready? Sholahuddin Rhatomy,MD; Krisna Yuarno Phatama; Asep Santoso; Kukuh Dwiputra Hernugrahanto; Nicolaas Budhiparama
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (907.819 KB) | DOI: 10.46355/hipknee.v2i2.111

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The word 'robot' is derived from the Polish word "robota," which means forced labor. It describes a machine that carries out various tasks either automatically or with minimal external input, especially one that is programmable. There are two main types of robotic surgery systems: haptic and autonomous. Haptic or tactile systems allow the surgeon to use or drive the robot to perform a surgical procedure. This technology requires constant input by the surgeon for the procedure to proceed. In contrast, autonomous robotic systems require the surgeon to perform the approach and set up the machine, but once engaged, the robot completes the surgery without the surgeon's help. The use of robotic technology has, in some cases, facilitated minimally invasive surgery, which has gained popularity with some patients. In spinal surgery, robotic technology has been successfully used to increase the accuracy of implant placement. Furthermore, robotic technology can improve the radiological alignment of implants following the pre-operative plan.1,2
Golden Connection Between Stem Cells and Orthopedic Services Rhatomy,MD, Sholahuddin; Santoso, Asep; Phatama, Krisna Yuarno; Budhiparama, Nicolaas C.
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 | Full PDF (262.721 KB) | DOI: 10.46355/hipknee.v3i2.132

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Utilization of stem cells in orthopedics has increased dramatically. Consequently, stem cells were discovered to have many roles. Some researchers have used them for regenerative medicine, while some have discovered them as a natural source of immune modulators. Currently, there are several research teams studying the translational potential of stem cells, while clinicians have begun treating patients with orthopedic problems (1).Over the past fifteen years, orthopedic surgeons have prioritized Mesenchymal Stem Cell (MCSs) treatment. Several animal experiments have had favorable results, and there is rising concern over their use in human trials. In these clinical studies, stem cell operations were intended to promote fracture healing and cure nonunion, regenerate articular cartilage in degenerated joints, repair ligament or tendon injuries, and replace degenerative spinal disks (1,2).In past research, stem cells have been used for bone tissue regeneration. Bone tissue engineering presents an alternative treatment that may produce a micromilieu with osteogenic, osteoinductive, and osteoconductive properties. In recent studies, researchers have devised methods for combining MSCs with three-dimensional biodegradable polymeric scaffolds. In addition, Udehiya et al. found that the use of hydroxyapatite scaffolds in conjunction with Bone Marrow-MSCs (BM-MSC) accelerates and enhances the healing of bone segmental defects in a rabbit model compared to the use of hydroxyapatite scaffolds alone. Muwan Chen and colleagues discovered that human BM-MSC combined with hyaluronic acid and b-Tri calcium phosphate-coated polymeric scaffold stimulated osteogenic differentiation, cellular proliferation, and reorganization of the cellular matrix in vitro (1–3).Since 2010, stem cells have undergone a paradigm shift where previously stem cells can differentiate and heal injured organs. This stem cell misunderstanding has led some practitioners in the United States and around the world to advertise the availability of stem cell treatments, e.g., MSC can heal blindness, make paralyzed people walk, and makes old tissue young again. In further studies, it was found that at the site of disease, MSCs rarely or never differentiated into tissue at that location, but they do secrete bioactive factors such as growth factors and their therapeutic effects can be analyzed as a site-specific clinical outcome parameter (2–4).
High Tibial Osteotomy for knee joint preservation: “Old but Gold”! Santoso, Asep; Phatama, Krisna Yuarno; Rhatomy, Sholahuddin; Budhiparama, Nicolaas Cyrillus
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.v4i2.154

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One of the most common chronic diseases affecting the elderly is knee osteoarthritis (OA) that significantly impairs the activity of the daily living. Change of mechanical axis of the knee causes impairment on the three compartments of knee. If the medial compartment is affected, it will cause varus knee deformity, whereas, involvement of lateral compartment will result in valgus knee deformity. Deformities of angular and/or rotational nature can be corrected using the knee osteotomy technique, consequently realigning the bone axis.The osteotomy technique has been developed for centuries. Current growing interest in developing minimally invasive techniques for high tibial osteotomy (HTO) using smaller incisions, arthroscopy-assisted osteotomy, patients specific instrumentation (PSI) and computer-guided navigations systems. These techniques aim to reduce surgical trauma, minimize scarring, and facilitate faster recovery.
Biofilms: Microbial Communities and Their Crucial Impact on Healthcare Rhatomy,MD, Sholahuddin; Santoso, Asep; Phatama, Krisna Yuarno; Budhiparama, Nicolaas C.
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.v5i1.157

Abstract