Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal International Journal of Health, Economics, and Social Sciences (IJHESS)
Nino Nasution
Unknown Affiliation
Economics, Econometrics & Finance Public Health Social Sciences

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Comparison of Clinical Outcomes of Neglected Posterior Elbow Dislocation Managed with Open Reduction With and Without K-Wire Fixation Luthfi Wal Ilkram; Nino Nasution; Benny
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.v7i4.8983

Abstract

Neglected posterior elbow dislocation presents a significant surgical challenge due to chronic soft tissue contractures and joint stiffness. Open reduction is the standard treatment, but the benefit of additional K-wire fixation remains uncertain. This observational analytic study with a case-control design was conducted at Haji Adam Malik General Hospital, Medan. A total of 50 patients with neglected posterior elbow dislocation treated between January 2020 and December 2024 were included. Patients were divided into two groups: open reduction with K-wire fixation (n = 25) and without fixation (n = 25). Clinical outcomes were assessed using the qDASH score, range of motion (ROM), and joint instability. Data were analyzed using Chi-square and Fisher’s exact tests with a significance level of p < 0.05. There were no significant differences between the two groups in qDASH scores (p = 0.551), ROM (p = 0.529), or joint instability (p = 0.773). Most patients (64%) achieved minimal disability, 72% had normal ROM, and 78% showed no signs of instability postoperatively. Open reduction of neglected posterior elbow dislocation yields comparable functional outcomes with or without K-wire fixation. The addition of K-wire does not appear to significantly influence disability scores, range of motion, or elbow stability. Surgical success may depend more on soft tissue management and rehabilitation than on internal fixation.
Radiological External Picture of Proximal Humerus Fracture After Surgery at Haji Adam Malik Hospital Teuku Reza Syahputera Sofyan; Nino Nasution; Pranajaya Dharma Kadar
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.v8i2.10985

Abstract

Proximal humerus fractures are among the most common musculoskeletal injuries, particularly in elderly patients with decreased bone density. Open Reduction and Internal Fixation (ORIF) is a widely used surgical technique aimed at restoring anatomical alignment and achieving stable fixation. This study aimed to evaluate postoperative radiological outcomes of proximal humerus fractures treated with ORIF at H. Adam Malik Hospital, Medan. This research employed a descriptive observational design with a cross-sectional approach using retrospective data from medical records of patients treated between January 2021 and December 2024. A total of 25 patients who met the inclusion criteria were analyzed. Radiological parameters assessed included neck-shaft angle (NSA), humeral head height (HHH), medial offset (MO), medial hinge gap (MHG), and acromiohumeral interval (AHI). Measurements were conducted by two independent observers, and inter-observer reliability was evaluated using the Intraclass Correlation Coefficient (ICC). The results showed that the majority of patients were female (68%), with the largest age group being 18–49 years (44%). The inter-observer reliability demonstrated excellent agreement (ICC = 0.947). The mean values of radiological parameters were: NSA 127.83° ± 7.28°, HHH 8.87 ± 1.72 mm, MO 8.74 ± 2.97 mm, MHG 2.28 ± 0.73 mm, and AHI 7.60 ± 1.37 mm. These findings indicate that most parameters were within normal limits, although NSA tended toward mild varus alignment and MHG exceeded the ideal anatomical threshold. In conclusion, postoperative radiological outcomes of proximal humerus fractures treated with ORIF generally showed acceptable alignment and fixation stability. However, attention to medial support restoration is necessary to prevent complications such as varus collapse. Radiological evaluation remains essential for assessing surgical success and predicting functional outcomes.
Co-Authors benny Luthfi Wal Ilkram Pranajaya Dharma Kadar Teuku Reza Syahputera Sofyan