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Suryo Saputra Perdana
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INDONESIA
The Hip and Knee Journal
Published by Indonesian Hip and Knee Society
ISSN : 27237818     EISSN : 27237826     DOI : http://dx.doi.org/10.46355/hipknee.v4i1.151
Core Subject : Health, Science, Education,
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Neuroscience
The journal publishes original research articles, review articles, case reports, and short communications. In addition, the regular content includes letters to the Editor and conference proceedings. Submitted papers must be written in English for an initial review stage by editors and further review process by a minimum of two reviewers. The topics covered include, but are not limited to: Basic sciences include: Anatomy, physiology, biomolecular, and biomechanics Imaging and diagnostic studies; Trauma; Surgery includes: Arthroplasty, Arthroscopy and Sports Injury, Trauma, Joint preservation surgery Rehabilitation and advances in the development of prosthetic, orthotic and augmentation devices of hip and knee joint
Arjuna Subject : Kedokteran - Ortopedi dan Kedokteran Kesehatan
Articles 6 Documents
 1 
Search results for , issue "Vol 3, No 1 (2022): February" : 6 Documents clear
Simultaneous Gradual Correction of Bilateral Late Onset Tibia Vara using High Tibial Osteotomy with a Mono-Axis Dynamic External Fixator: A Case Report Triharto Banjaran Sakti; Natan Kevin Partogu Siagian; Wongso Kesuma; Andreas Marojahan Haratua Siagian
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (558.082 KB) | DOI: 10.46355/hipknee.v3i1.115

Abstract

Tibia vara is a disease characterized by an abrupt angulation of the tibia into varus in the proximal end. This condition is caused by developmental growth defect of the proximal tibia physis. Tibia Vara can be classified into groups according to the age of the patient and the mainstay treatment is either acute or gradual surgical correction.A 21 year-old man with chief complaint bowing of the legs with leg pain since 3 years ago. Physical examination showed bilateral genu varum. The anteroposterior long leg standing X-Ray found that the deformity was of osseous origin at the proximal part of the tibia in varus position. Medial osteotomy of the proximal tibia was performed and a dynamic external fixator was installed. Gradual correction was performed at a rate of 1 mm per day. After 3 months, radiological evaluation showed good union and target angle of correction with acceptable mechanical axis was achieved. Patient had no complaint of pain or instability post-surgery.Gradual correction using external fixator provides a more flexible angle correction with lower risk of neurovascular compromises; but with its own disadvantage such as loss of correction after removal of the external device. In this case, gradual correction of late onset tibia vara using dynamic external fixator provides satisfactory outcome and enable a more fine-tuned angle correction.  It also potentially eliminate the need for a second surgery to remove the external device; thus reducing the length of hospitalization.
Modified Stoppa Approach For Concomitant Anterior And Posterior Pelvic Ring Fracture: A case report Arif - Wibowo; Mohammad Zaim Chilmi
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (811.897 KB) | DOI: 10.46355/hipknee.v3i1.104

Abstract

BACKGROUNDModified Stoppa approach was performed to access the site of anterior column fracture instead of the Ilioinguinal approach to reduce morbidity.CASE SUMMARYA 24-year-old female suffered a serious traffic accident when she was riding a motor cycle collided with a car from the front and fell off when dodged a hole on the road. Then, the patient was beneath a moving car after falling. Several hours after accident at the hospital, she diagnosed as closed pelvic fracture of right superior inferior pubic rami and right sacroiliac joint disruption, closed fracture of right shaft femur. After improvement the condition in the ward, open reduction and internal fixation for the femoral fracture and for the pelvis fracture were performed using a modified stoppa approach to access the fracture site.CONCLUSION Treatment using the modified Stoppa approach was suitable for anterior column fracture, in which pelvic fractures were sufficiently exposed, the fracture was conveniently reduced, less complications occurred, and curative effect was satisfactory.
The Prospect Science of Meniscus Preservation Asep Santoso; Krisna Yuarno Pratama; Sholahuddin Rhatomy; Nicolaas C. Budhiparama
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.098 KB) | DOI: 10.46355/hipknee.v3i1.121

Abstract

The meniscus plays a role in stabilizing (secondary) knee joints by load transmission and reducing the contact stresses on knee joint cartilage. Meniscal tear more commonly involves the young patient and may be associated with ligament injuries. Meniscal injury also can be associated with some congenital anomaly. The meniscus injury treatment is challenging and most commonly treated with excision.Excision of the meniscus is associated with poor clinical outcomes, and high chance of early cartilage degeneration. Current meniscus repair techniques are still associated with common re-admission for surgery and poor clinical outcomes. To improve the patient- reported outcomes, the current basic research project should focus on enhancing meniscus healing and replacing meniscus tears.
AO Reconstruction Plate as Buttressing for Greater Trochanter in Hemiarthroplasty Procedure Luthfi Hidayat; Aditya Fuad Robby Triangga; Rahadyan Magetsari
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.326 KB) | DOI: 10.46355/hipknee.v3i1.53

Abstract

INTRODUCTIONThe trend of intertrochanter fractures has gradually increased leading to a high frequency of difficulties and damage as the result of the increased age and risk factors. Accordingly, the aim of stable fixation in these fractures is designed with appropriate surgical procedures and patient care. The contribution of a stable fixation is due to several considerations including fracture shape and assurance, bone quality, comminution pattern, implant choice, and surgical technique. This study aimed to assess the functional outcomes of the patients with an intertrochanteric fracture who underwent hemiarthroplasty with AO recon as buttressing.MATERIALS AND METHODSThis was a case series study conducted in Gadjah Mada University Academic Hospital in Yogyakarta from July 2017 to August 2018. Patients with Evans unstable intertrochanteric femoral fractures who underwent simultaneous bipolar hemiarthroplasty and fixation with AO reconstruction plate and SS wire as buttressing were evaluated. Pre and postoperative radiographs, postoperative Visual Analog Scale (VAS) score, walking ability using Harris Hip Score (HHS), and Lower Extremity Functional Score (LEFS) were the outcome parameters.RESULTSA total of 6 patients, 4 of whom were male with an average age of 81 years old were included in this study. All the mechanisms of injury were low-energy trauma. The mean VAS score was decreased, from 7 pre-operatively to 1.5 post-operatively at final follow-up (p-value 0.05). The patients had a mean HHS of 82.5 and a LEFS mean of 56.7.CONCLUSIONButtress plate fixation using an AO reconstruction plate for trochanteric fracture following bipolar hemiarthroplasty resulted in a good functional outcome. 
State of the Art : Current Acetabulum Fracture Management Ismail Hadisoebroto Dilogo; Bernadus Riyan Hartanto; Milton Lee Chip Routt
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3854.131 KB) | DOI: 10.46355/hipknee.v3i1.119

Abstract

The annual incidence of acetabulum fractures is estimated to be 8.1 per 100.000 patients. In young adults, high energy trauma is the primary mechanism, but in the elderly, low energy trauma is the primary mechanism. Comorbidities, poor bone quality, and delayed presentation are all linked to a poor outcome. From diagnosis to treatment, the goal of this study is to describe the required procedures in reaching a satisfactory result.It is essential to be able to correctly classify acetabular fractures using the Joudet and Letournel classifications, especially when planning definitive therapy. Non-surgical and operative treatment methods are available for acetabulum fractures. All acetabulum fractures that result in hip joint instability and/or incongruity require surgical treatment. Although the prognosis is lower than in younger patients, Open Reduction Internal Fixation (ORIF) remains the mainstay of therapy for most elderly acetabular fractures. Central fracture dislocation of the hip with medial migration of the quadrilateral plate is common in patients with both column, transverse, T-shaped, and anterior column-posterior hemi-transverse fractures. Failure to repair the quadrilateral plate will result in an incongruent hip and a poor outcome since it has a thin medial wall that fractures with less force than the superior weight-bearing portion of the acetabulum.The goals of postoperative care are to maximize the patient's function, allow a quick return to function, and detect early problems. Complications with acetabulum fractures might occur with any treatment option. Post-traumatic arthritis is the most common complications, followed by Deep Vein Thrombosis (DVT), heterotrphic ossification, infection, and iatrogenic sciatic nerve damage.
Functional and Radiological Outcome of Revision Total Hip Arthroplasty in the Indonesian National Referral Hospital Immanuel Panca Sitorus; Ismail Hadisoebroto Dilogo
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (979.304 KB) | DOI: 10.46355/hipknee.v3i1.116

Abstract

Background: Revision total hip arthroplasty (rTHA) rate has increased until 12-20% in the past few decades, despite the 95% success rate of THA approach in 10 years and 80% in 20 years. The most common causes of rTHA are dislocation, periprosthetic fracture, aseptic loosening, and periprosthetic joint infection. This study is aimed to describe the outcome of rTHA in Indonesia where there are limited types of revision implant and funding. Material and Methods: An analytic cross-sectional study was conducted on 31 rTHA in the Indonesian national referral hospital from January 2014 to December 2019. Data on the causes of rTHA was extracted. All subjects met the criteria underwent examination for functional outcome (Harris hip score) and radiological outcome (Harris or Engh criteria). All complications and outcomes after rTHA were identified. Results: Sixteen subjects met the criteria with the mean age of 48.13 (18.74). The most common causes of rTHA were dislocation, aseptic loosening, and perirosthetic joint infection (five cases each, 31.25%). The Harris hip score after complete rTHA was 79.42 (SD 6.14, range 70.50 – 91) with the mean follow up of 29.50 (SD 16.88, range 7 – 70 months). Only one possible loosening was identified in hybrid prosthesis (femoral component) from radiological exam. Three complications were observed, i.e. drop foot, recurrent dislocation, and extension knee contracture. Conclusion: Revision THA produces fair to good results in terms of functional outcome and no loosening in radiological exam. Revision THA is still a reliable technique to manage complications of THA.  

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