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Journal : Indonesian Journal of Global Health research

Combination of Zadek Osteotomy and Achilles Tendon Re-Attachment in Severe Haglund Deformity: A Case Report Kusuman, Kevin; Subawa, I Wayan; Ismail, Mohamad Dimas
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5679

Abstract

Haglund deformity refers to a bony exostosis on the posterosuperior aspect of the calcaneus, often causing retrocalcaneal bursitis and Achilles tendinopathy. Conservative treatments, including physiotherapy and medication, may not relieve symptoms in severe cases. Surgical intervention is indicated when non-operative treatments fail. This report highlights a case of severe Haglund deformity managed with Zadek osteotomy and Achilles tendon re-attachment.Case Presentation: A 45-year-old female presented with 2 months of severe right heel pain and a 2-year history of a prominent bump. Physical therapy yielded no improvement. Clinical and radiographic evaluation confirmed Haglund deformity with insertional Achilles tendinopathy. Surgical treatment involved Zadek osteotomy, fixation with screws, and Achilles tendon re-attachment using a suture anchor. The combined approach addressed both the bony deformity and tendon degeneration. Post-operative outcomes showed significant improvement. At the 3-month follow-up, the patients Visual Analog Scale (VAS) pain score decreased from 7/10 to 1/10, and the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score improved from 55 to 90. The range of motion was near normal, and functional recovery was excellent. This case demonstrates the effectiveness of combining Zadek osteotomy and Achilles tendon re-attachment for treating severe Haglund deformity. This approach provided significant pain relief and functional recovery, making it a viable option for patients with similar conditions refractory to conservative management.
Identification of Potential Regulatory Genes Associated with Chondrosarcoma using Integrated Bioinformatic Analysis Ismail, Mohamad Dimas; Hasan, Firman; Chendra, Wijaya Johanes
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v5i4.2111

Abstract

Identifying the novel critical regulatory genes in the molecular processes driving chondrosarcoma (CS) growth is essential for establishing targeted therapeutic approaches. Objective: This study aims to investigate the core regulatory genes implicated in the molecular mechanisms of CS progression. Method: We conducted a dataset search from the Gene Expression Omnibus (GEO) database using “chondrosarcoma” as the keyword. DAVID database was utilised to obtain the Gene Ontology (GO) and pathways enrichment of DEGs. Interaction between the proteins network was constructed using the STRING database and visualised by Cytoscape (3.10.0) software. Subsequently, the essential genes were identified as the intersected genes from cytoHubb and MCODE plugin. Furthermore, we analysed these genes based on their expression and survival using the UALCAN database. Additionally, the cBioPortal database and Tumor Immune Estimation Resource (TIMER) were utilised to obtain the genetic alteration and immune cell infiltration associated with the hub genes. Moreover, the NetworkAnalyst database was deployed to construct the interactions between microRNAs (miRNAs) and the hub genes. Results: 114 common DEGs were found between two datasets (GSE30844 and GSE48418). These genes are predominantly associated with Focal Adhesion. Seven hub genes were identified which include CCND1, CDK6, CAV1, MLC1, SQSTM1, GAPDH, and FOXO1. The validation analysis revealed a diagnostic value amidst the hub genes, particularly CDK6 and FOXO1 genes associated with unfavorable outcome in sarcoma patients. The miRNAs analysis demonstrated that miR-15a-5p has a potential binding with CDK6 and FOXO1. Conclusions: This study revealed seven core genes and indicated a putative regulatory molecule associated with CS progression. Taken together, this study's findings suggest that the CDK6, FOXO1, and miR-15a-5p have a potential role in regulating CS progression.