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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Journal Orthopaedi and Traumatology Surabaya (JOINTS)
Satyaksa, Khrisna Purwa
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Health Professions Medicine & Pharmacology

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Profile and Clinical Outcome Lateral Condyle Humerus Fracture in Children’s Patients in National Orthopedic Hospital (2022-2024) Kumara, Hendra Cahya; Satyaksa, Khrisna Purwa
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 10 No 01 (2026): Qanun Medika Vol 10 No 01 January 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v10i01.27789

Abstract

The lateral condyle fracture is the second most prevalent elbow fracture in pediatric populations. Fractures of the distal humerus present challenges regarding diagnosis, treatment, and associated complications. This study aimed to describe the demographic characteristics, treatment modalities, and radiologic outcomes of pediatric lateral condyle humerus fractures managed at Prof. Soeharso Hospital between January 2022 to July 2024. This was a descriptive, retrospective study of pediatric patients diagnosed with lateral condylar humerus fractures during the study period. Patients were classified according to sex, age, treatment method, and outcomes. Data were obtained from hospital medical records and analyzed using Microsoft Excel. Between January 2022 and July 2024, 23 pediatric patients were identified, consisting of 15 boys and 8 girls. The majority of patients (n = 12, 52.2%) were aged 6–10 years. Most patients (n = 21) underwent surgical treatment, while two were treated conservatively. All surgical cases were managed with open reduction and internal fixation (ORIF): 20 patients with 2–3 Kirschner wires and one with a screw. Follow-up radiographs at 6–12 months postoperatively showed bone union in 15 patients, malunion in five, and nonunion in one. Among the conservatively treated patients, one developed a malunion and one a nonunion. In conclusion, pediatric patients treated at Prof. Dr. R. Soeharso Orthopaedic Hospital with open reduction and internal fixation achieved satisfactory union rates and remain the preferred technique for managing displaced lateral condyle fractures in children.
Functional Outcome of Patients with Proximal Humerus Bone Tumors after Tikhoff–Linberg Procedure and Reconstruction Using Hemiarthroplasty in a National Orthopaedic Hospital (2020–2023) Satyaksa, Khrisna Purwa; Idulhaq, Mujaddid
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 15 No. 1 (2026): April 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v15i1.2026.10-16

Abstract

Background: The proximal humerus is a common site for primary and metastatic bone tumors. Limb-salvage surgery aims to achieve oncologic clearance while preserving function. The Tikhoff–Linberg procedure combined with hemiarthroplasty is one reconstructive option; however, functional outcomes remain variable. This study aimed to evaluate functional outcomes following this procedure at a tertiary orthopaedic center.Methods: A retrospective observational study was conducted on patients who underwent Type I Tikhoff –Linberg resection with hemiarthroplasty for proximal humerus tumors at Prof. Dr. R. Soeharso National Orthopaedic Hospital between January 2020 and December 2023. Functional outcomes were assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) and Musculoskeletal Tumor Society (MSTS) scores at a minimum follow-up of 6 months.Results: Eleven patients met the inclusion criteria (6 males, 5 females; mean age 51.2 years). Four patients (36%) had benign tumors and seven (64%) had malignant tumors. The mean DASH score was 42.3, and the mean MSTS score was 15.4. Patients with benign tumors demonstrated better functional outcomes (DASH 39.4; MSTS 17.6) compared to those with malignant tumors (DASH 46.9; MSTS 13.2). Shoulder range of motion was limited, particularly in flexion and abduction, although distal upper limb function was preserved.Conclusion: Tikhoff–Linberg resection with hemiarthroplasty provides acceptable functional outcomes, particularly in terms of hand and elbow function. However, shoulder mobility remains limited. Careful patient selection is required based on functional demand and prognosis.
Co-Authors Idulhaq, Mujaddid Kumara, Hendra Cahya