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Lukas Widhiyanto, dr., SpOT(K)
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joints@fk.unair.ac.id
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(+6231) 5501481
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Jl. Prof. Dr. Moestopo 6-8, Surabaya
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Journal Orthopaedi and Traumatology Surabaya (JOINTS)
Published by Universitas Airlangga
ISSN : 2722712X     EISSN : 24608742     DOI : 10.20473/joints.v10i2.2021.39-45
Core Subject : Health,
Health Professions Medicine & Pharmacology
The JOINTS research topics are relating to education and training in the field of orthopedics and traumatology, including research reports, case reports, and literature reviews.
Arjuna Subject : Kedokteran - Ortopedi dan Kedokteran Kesehatan
Articles 6 Documents
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Search results for , issue "Vol. 11 No. 2 (2022): October 2022" : 6 Documents clear
Prolotherapy Perineural Injection in Carpal Tunnel Syndrome with Bifid Median Nerve: A Case Report Tresna Angga Basunanda; Arfano Januar Sangkai
Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 2 (2022): October 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i2.2022.61-69

Abstract

Background: Carpal tunnel syndrome (CTS) is a common neuropathy condition caused by entrapment of  the median nerve. Perineural injection therapy with 5% dextrose or prolotherapy becoming a common method for treating carpal tunnel syndrome. Although it is effective, some anatomical variaton of the median nerve could effect the outcome of the prolotherapy in CTS. Case Report: A 43-year-old woman suffered from diurnal, nocturnal numbness and paraesthesia of the first, second, third and radial surface in the fourth finger of the right hand. She also complained pain in the same area with the VAS score of 8, and muscle weakness. Physical examination showed positive Tinel’s sign, Phalen’s sign and Durkan’s compression test. The Boston questionnare score showed a symptom average of 3.27 and a difficulty average of 3.25. USG examination showed that the patient had a bifid median nerve anatomy variaton. Discussion: Variation of median nerve branches has been reported as one of the prevalence of median nerve entraptment. In this case, a bifid median nerve variation was found through the USG imaging. Prolotherapy has been reported to be an effective method to treat carpal tunnel syndrome. But the bifid median nerve could affect the effectiveness of prolotherapy injection. Conclusion: In the case of a bifid median nerve, it is necessary to modify the injection technique so it would be more able to reach the whole of the bifid median nerve.
Giant Cell Tumor of The Proximal Phalanx of The Index Finger of The Hand: A Rare Case Report Mouli Edward; Ferdiansyah Mahyudin; Muhammad Hardian Basuki; Yunus Basrewan; Caesar Haryo Bimoseno
Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 2 (2022): October 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i2.2022.49-55

Abstract

Background: Giant cell tumor (GCT) of bone is a relatively common type of benign tumor involving the epiphyseal region of tubular bones, but GCT rarely occurs at hand (1–4% of all GCT). GCT within the hand tends to be more aggressive and recurs more rapidly in hand than in other locations. Most authors prefer curettage or resection with reconstruction to maintain anatomical and functional integrity.Case Report: A 27-year-old man with a chief complaint of an enlarged lump and pain in the index finger of his left hand. These lumps appeared three months ago. Plain radiographs showed lytic, eccentric, geographic lesions with well-defined borders and narrow transition zones. Magnetic resonance imaging (MRI) showed a primary aggressive bone tumor with extension to the surrounding soft tissue. Fine Needle Aspiration Biopsy (FNAB) revealed the lesion as a Bone Giant Cell Tumor. The patient then underwent local resection and reconstruction using an allograft. Range of movement (ROM) measurements and DASH scores were evaluated.Discussion: Radiographic and MRI examinations showed characteristic cortical breach, and FNAB showed multinucleated giant cell spread. After treatment, the patient was found to be pain-free, have an improved ROM, and reduced disability. There was no recurrence observed. Conclusion: Despite the tendency for hand GCT to be more aggressive, local resection and reconstruction using an allograft with adjuvant hydrogen peroxide can reduce recurrence and disability.
Do NSAID/COX-2 Inhibitors Increase Nonunion After Fracture Surgery? Dilemma and Consideration In Use Azmi
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 2 (2022): October 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i2.2022.70-77

Abstract

Background: Nonunion accounts for 2% to 10% of fracture complications, diminishing quality of life and increasing mortality risk. Several factors, including smoking, metabolic disorders, dietary inadequacy, and nonsteroidal anti-inflammatory drugs (NSAIDs), may predict nonunion development. NSAIDs are frequently used to treat postoperative pain, including in orthopedic conditions, particularly for fracture pain management. However, NSAID/cyclooxygenase (COX)-2 inhibitor use has been controversial for many years. Many orthopedic surgeons avoid using them in fracture surgery due to their potential adverse effects on osteogenesis and subsequent nonunion risk.Literature Review: An updated literature review was conducted using digital databases such as PubMed, Cochrane, Ovid-SP, Springer Link, and Science Direct, with the search terms "NSAIDs" OR "COX-2 inhibitor" AND "nonunion" AND "fracture surgery." Seven publications that met the inclusion criteria were summarized. This review revealed that while NSAIDs/COX-2 inhibitors have been shown to temporarily inhibit fracture union in some studies, the safety of NSAIDs following fracture fixation without notable interference in bone healing has been demonstrated in others. The association of COX-2 inhibitors or non-selective NSAIDs with nonunion remains unclear.Summary: Prolonged NSAID use interferes with successful bone healing. Short-duration (<2 weeks of treatment) and low-dose NSAID use are considered safe and efficacious for postoperative fracture pain.
Full Endoscopic Surgery of Bullet Removal of The Spine: A Case Report Wildan Malik; Nugroho Setyowardoyo
Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 2 (2022): October 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i2.2022.56-60

Abstract

Background: In the past decade, the endoscopic technique has been applied as a feasible and less invasive approach to orthopedic surgeries. Minimally invasive, full-endoscopic surgery has gained considerable attention in managing air gun injuries to the spine. Sacrum injuries among air gun wounds are rare and few have been published in case reports. Here, we present the management of air gun-bullet injury to the pediatric spinal spine in a 5-year-old child using endoscopic surgical intervention.Case Report: A 5-year-old girl was accidentally shot in the lower back with an air gun. The CT scan imaging shown a retained projectile in the pedicle of S1 vertebrae without vascular injury or unstable vertebral fracture. A minimally invasive, full-endoscopic surgical technique was applied to remove the bullet in this patient. On post-surgical follow-up, the patient was in a good recovery state.Discussion: Surgical intervention is needed for decompression, stabilization, and diminished risks of lead toxicity. The percutaneous endoscopic approach is the least invasive intervention performed to ensure a targeted approach through the anatomical openings of the spine and through intervertebral discs and bone structures, thereby further reducing spinal instability, blood loss, and infection risk.Conclusion: The endoscopic operation of minimally invasive surgical techniques is an effective operative approach not only limited in spinal stenosis cases, but also in air gun injuries.
Characteristics of CTEV Patients at Orthopedic and Traumatology Outpatient Clinic in Datu Beru General Hospital Takengon Central Aceh Period August 2018-July 2022 Ongko Setunggal Wibowo; Subhan Thaib
Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 2 (2022): October 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i2.2022.33-39

Abstract

Background: Congenital Talipes Equinovarus (CTEV) is a congenital disorder commonly occurring in newborns. The word talipes equinovarus comes from Latin: tali mean ankle, pes means foot, equino means plantar flexion, and varus means midline deviation. CTEV cases occur 1-2: 1000 live births, cases in males are more frequent than in females and can occur unilateral or bilateral. Bilateral conditions occur in half of the total number of cases. The aim of this study is that, in the future, especially parents know about this disorder so there will be no misinformation. Methods: This study uses a descriptive research method with a cross-sectional design that aims to determine the characteristics of CTEV patients at the Orthopedic and Traumatology Outpatient Clinic in Datu Beru General Hospital Takengon Central Aceh for August 2018-July 2022. Sampling was carried out by non-probability sampling and using the purposive sampling technique. This is a non-random sampling technique with specific considerations from the researcher (inclusion and exclusion criteria). Results: The number of births in Central Aceh Regency from August 2018-July 2022 amounted to 15,206. The incidence of CTEV in that period was 22 cases with a ratio of 1.4: 1000 live births. Conclusion: Males 15 cases (53.6%) and females 13 cases (46.4%). The age of patient's brought by parents was mostly1-6 months, with as many as 12 cases (42.9%). Bilateral conditions were 13 cases (46.4%), and 15 (53.6%) were unilateral. On average, patients with CTEV were corrected 5.2 times using the Ponseti method.
Epidemiology of Genu Varum Patients In Dr. Soetomo General Academic Hospital Surabaya 2010-2018: A Retrospective Study Hidayatullah, Ronaa Nuqtho; Martanto, Tri Wahyu
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 11 No. 2 (2022): October 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v11i2.2022.40-48

Abstract

Background: Genu varum is a condition where the legs bend inward, resembling the letter "O," leading to gait disturbances and other lower-limb deformities. Data on genu varum, particularly regarding its prevention, is still lacking. This study aimed to identify the epidemiological characteristics of patients with genu varum to improve prevention, management, and prognosis, and to provide data for future research.Methods: This descriptive study employed a retrospective research design. Total sampling was used, including all genu varum patients from the Department of Orthopedics and Traumatology database at Dr. Soetomo General Academic Hospital Surabaya between 2010 and 2018. Data was collected from medical records and patient home visits.Results: Thirty-one patients were included in the study, with 21 males (68%) and 10 females (32%). The mean age of the patients was 4.3 years, with an average age at first complaint of 1.8 years. The average birth weight was 3.49 kg, and the average body mass index was 26.3. Langenskiold stage distribution was as follows: I (3%), II (70%), III (3%), IV (8%), V (3%), and VI (13%). Eighteen patients (58%) had bilateral Blount disease, seven (23%) had unilateral Blount disease, and six (20%) had physiological genu varum. Eighteen patients underwent conservative treatment, and 13 underwent operative treatment.Conclusion: Blount disease is the most common cause of genu varum at Dr. Soetomo General Academic Hospital, particularly in the infantile group. The majority of patients were male and received conservative treatment.

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