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All Journal International Journal of Health, Economics, and Social Sciences (IJHESS)
Aga Shahri Putera Ketaren
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Economics, Econometrics & Finance Public Health Social Sciences

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Status of Ulnar Nerve in Patients After Open Reduction Surgery Internal Fixation of Distal Humerus Fracture at Adam Malik Hospital Medan Aga Shahri Putera Ketaren; Muhammad Hidayat Siregar; Rama Dhanianda Siregar
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.8839

Abstract

Background: Distal humerus fractures are complex injuries that often require internal fixation open reduction surgery (ORIF). One of the complications that often accompanies is an ulnar nerve injury, which is reportedly related to the surgical approach technique. This study aims to analyze the relationship between the type of surgical approach and the incidence of post-ORIF ulnar nerve injury in distal humerus fractures. Methods: An analytical observational study with a cross-sectional design was conducted on 45 patients undergoing distal humerus fracture ORIF at Adam Malik Hospital Medan for the 2020-2024 period. Data were collected from medical records and postoperative neuroimaging results using McGowan's classification. The surgical approaches studied are: paratricipital, triceps splitting, Chevron osteotomy. Results: The mean age of patients was 42.02±12.46 years, with the majority being male (60%). The most frequent injury mechanism was falling (46.67%). The paratricipital approach is most commonly used (44.44%), followed by chevron osteotomy (35.56%) and triceps splitting (20%). Postoperative ulnar nerve injury was found in 3 patients (6.67%), with the highest proportionally incidence on the triceps splitting approach (11.1%). Analysis with Kolmogorov-Smirnov showed an insignificant association between surgical approach and ulnar nerve injury (p = 0.786). Conclusions: No significant association was found between the surgical approach of ORIF and the incidence of ulnar nerve injury. These findings may be a consideration in the selection of a safe surgical approach to the ulnar nerve in distal humerus fractures.
Comparison of Clinical Outcomes Between Autologous Cryosurgery Reconstruction and Bone Cement Reconstruction in Osteosarcoma Irvan; Andriandi; Aga Shahri Putera Ketaren
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10932

Abstract

Background: Osteosarcoma is a primary malignant bone tumor that commonly affects adolescents and young adults. Limb-salvage surgery has become a preferred approach over amputation, with various reconstruction techniques such as autologous cryosurgery and bone cement reconstruction. However, the comparative clinical outcomes of these methods remain a subject of ongoing investigation. Objective: This study aims to compare the clinical outcomes between autologous cryosurgery reconstruction and bone cement reconstruction in osteosarcoma patients. Methods: A retrospective cohort study with a post-test only control group design was conducted using medical records of osteosarcoma patients treated at H. Adam Malik Hospital, Medan, from January 2022 to December 2025. A total of 22 patients were included and divided into two groups: cryosurgery (n=11) and bone cement reconstruction (n=11). Clinical outcomes were evaluated using MSTS scores, relapse rates, and metastasis incidence. Statistical analysis was performed using appropriate comparative tests with a significance level of p<0.05. Results: The results showed no statistically significant differences between the two groups in terms of MSTS scores (p=0.51), relapse rates (p=0.06), and metastasis incidence (p=0.64). Although the bone cement group demonstrated slightly higher MSTS scores, the difference was not significant. Similarly, relapse and metastasis rates were comparable between groups. Conclusion: Autologous cryosurgery and bone cement reconstruction provide comparable functional and oncological outcomes in osteosarcoma patients undergoing limb-salvage surgery. Both methods can be considered viable reconstruction options, with selection tailored to patient condition, resource availability, and clinical considerations. Further studies with larger sample sizes and prospective designs are recommended.
Co-Authors Andriandi Andriandi Irvan Muhammad Hidayat Siregar Rama Dhanianda Siregar