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The Hip and Knee Journal

hipknee
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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 61 Documents

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Total Hip Replacement For Ankylosed Hip: A Case Report Pratama, Rahendra; Afrian, Jifaldi; Chilmi, Mohammad Zaim
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v3i2.107

AbstractIntoductionAnkylosis of the hip is very difficult to treat surgically and should only be attempted by an experienced surgeon together with comprehensive pre-operative planning. It is important to inform the patient about the possible complications of this procedure.Case DescriptionMale patient at the age of 68 years with severe left hip pain for the last 30 years. The pain was intermittent,mostly at night, The pain got worse during walk and subside when resting. No history of trauma, TB contact, fever, allergies, alcohol usage or smoking. There was also no history of surgery. X-Ray shows fusion of the left hip. Blood test shows no infection detected.DiscussionPosterior approach was used in this case, inability to internally rotate the hip due to bony fusion will made the osteotomy more difficult. Visualized Greater Trochanter and palpable Lesser trochanter as landmark for osteotomyConclusionTHA is an effective treatment for severe flexion ankylosed/fused hip deformity although there are high surgical complications than routine hip arthroplasties. Adequate preoperative planning will improve the clinical outcome of the hips.

Prosthetic Joint Infection Microorganism Pattern and Risk Factor Profile: A Single Center Study Fahreza Hilmy; Yoshi Pratama Djaja; Anggaditya Putra; Jamot Silitonga; Ludwig Andribert Pontoh
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Introduction: Prosthetic joint infection (PJI) is a serious complication especially following arthroplasty surgeries. The outcome of these cases is affected by the pattern of infection, causative microorganism, and antibiotic resistance. This study was aimed to evaluate the prevalence of PJI, distribution of causative microorganism, antibiotic resistance, and risk factor profiling.Methods: A retrospective review was performed by arthroplasty registry evaluation from 2008-2018, followed by a medical record review and patient interview. Distribution of causative microorganisms, antibiotic resistance patterns, and the onset of infection was extracted. Risk factor evaluation was performed by assessing preoperative (age, body mass index (BMI), frailty index) and perioperative parameters (duration of surgery, number of previous surgeries, the interval between those surgeries). Results: Seventeen patients were diagnosed with PJI (13 hip and 4 knees), with a prevalence of 1.56% and 1.77% respectively. The most common causative organism was Staphylococcus aureus and Escherichia coli with multiple antibiotic resistance patterns. These infections mostly occurred in patients with the age of 40-60 years, BMI 30kg/m2, and pre-operative frailty index of 4. The perioperative risk factor was the duration of surgery for more than 3 hours, have undergone more than 3 surgeries with an average surgical interval of 2 months.Conclusions: The prevalence of PJI in this series was 1.56% in hip and 1.77% in the knee. The risk factor profile showed that most cases have high BMI, prolonged duration of surgery, and a high number of previous surgeries within a short interval.

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)

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.

Excellent Result of Revision Total Hip Replacement with Unexpected Metallosis azmi farhadi; Kukuh Dwiputra Hernugrahanto; Jifaldiafrian Maharajadinda Sedar; Mohammad Zaim Chilmi
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

ABSTRACT Background: Metallosis is a syndrome of metal-induced synovitis with infiltration and accumulation of metallic debris into the periprosthetic structures, including soft and bony tissues. The debris causes a chronic inflammatory reaction due to joint instability, pain, osteolysis, implant loosening, or implant failure. The absence of a specific sign or symptom that indicates metallosis causes difficulty to diagnose.Presentation of Case: A 35-year-old female, history of primary left total hip replacement since seven years ago after avascular necrosis of the femoral head, presented with an eight-month history of left hip pain and limited range of motion. Radiograph results showed that there is no evidence of periprosthetic fracture or infection. The patient underwent a left revision total hip replacement, which revealed extensive necrotic black metal debris throughout the joint space.Discussion: Effective treatment requires a revision of total hip replacement to remove metal debris, bone graft area osteolysis, and to address the mechanical failure. The greatest possible of metallic debris during debridement is vital to avoid further osteolysis and prevent more extensive damage. Excellent clinical result was evaluated by Harris’s hip score in 18 months postoperatively.Conclusion: This case is a rare example of chronic metallosis presenting seven years following total hip replacement. Revision total hip replacement is the consensus management choice to avoid further destruction of the bone and joint capsule that can occur with metal-induced inflammation. Keywords:

Modified Two-Stage Exchange for MRSA Periprosthetic Joint Infection in Total Knee Arthroplasty: Case Report RMSN, Magetsari; Mulyadi, Dicky
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Periprosthetic joint infection (PJI) of the knee is a catastrophic complication that occurs in 1-2 % of patients after total knee arthroplasty. As the number of primary knee arthroplasty procedures increases, thus will the number of periprosthetic infections continues to be a major challenge with a significant financial burden and physical and psychological morbidity for patients. This report presents a case of MRSA Periprosthetic joint infection in TKA with a two-stage exchange as a treatment. A 79-year-old woman had a painful, swollen knee with a sinus tract with purulent discharge at her left knee. The KSS Knee Score was 25, and the Function Score was 15. According to the findings, the patient was diagnosed with Periprosthetic Joint Infection by the Modified MSIS criteria and underwent a two-stage revision surgery with rifampicin and ciprofloxacin antibiotic administration. PJI is a rare complication, with more than 50% of the cases caused by gram-positive cocci, Staphylococcus coagulase-negative, and Staphylococcus aureus. The treatment of PJI must be tailored according to the patient's clinical characteristics. Prosthesis exchange in one or two stages is the first choice of procedure. Two-stage revision surgery for knee PJI with dual antibiotics of rifampicin and ciprofloxacin is adequate to control infection and reinfection in a one-year follow-up.

The Inaugural Issue of The Hip & Knee Journal Nicolaas C. Budhiparama; Sholahuddin Rhatomy; Asep Santoso
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Correlation Realignment Mechanical Tibiofemoral Angle With Clinical Outcome On Patients Knee Osteoarthritis Valgus Deformity Perforemed Total Knee Arthroplasty at prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta Warman, Fanny Indra; Islami, Umar Kharisma; Utomo1, Pamudji; Anwar, Iwan Budiwan; Sibarani, Tangkas SMHS
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Knee osteoarthritis (OA) are the most important because of the high prevalence of pain and disability in older adults. Angular deformities around the knee joint necessitate special consideration to restore normal alignment during TKA. In the region of 10–15% of patients requiring a primary TKA present with a valgus deformity (VD), the accurate correction of which still poses a challenge. In Ranawat grade-III the axis deviation is more than 20°. The aim of this research to savy correlation realignment mechanical tibiofemoral angle with clinical outcome on patients knee osteoarthritis valgus deformity performed TKA with non-constrained imlpant. This research is an analytics observational with cross sectional that group patients knee osteoarthritis valgus deformity underwent total knee arthroplasty and performed correlation realignment tibiofemoral angle as well as clinical outome with total sampling method on patients knee osteoarthritis valgus deformity Kellgren Lawrence grade III–IV, have radiological knee x-ray and lower extremity scanogram underwent TKA one side by orthopaedic surgeon sub adult reconstruction. Evaluation has performed to pain scale used Visual Analog Scale (VAS) score, clinical outcome with Knee Society Score (KSS), realigment mechanical tibiofemoral angle before and after TKA. Data were analyzed using t-test and correlation test with SPSS version 16. The result with analyzed 28 (male 6, female 22) patients with a mean age 65,75 years, which divided into three group Ranawat grade I was 14 patients, grade II was 9 patients and III was 5 patients. They were evaluated for VAS score, KSS objective and functional, mechanical tibiofemoral angle have significant result (P 0,05). There was also significantly correlation between improvement mechanical tibiofemoral angle with KSS knee score based value (P 0,05). In this study we found that TKA with non-constrained implant on knee osteoarthrits valgus deformity provides significant result in reducing pain scale and increased clinical outome.

Definitive Management Option of Pelvic Ring Injury Mohammad Zaim Chilmi; Ismail Hadisoebroto Dilogo
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Pelvic ring injury is a rare condition with the incidence of hip fracture about 3% to 8% of all fractures. However, the majority of pelvic fracture patients have a high morbidity rate that could threaten their survival. The majority cause of hip fracture is high energy blunt trauma and is related to polytrauma incident. The main goals of management for pelvic ring injury are to restore the form and stability of the pelvic. The main goal is to prevent nonunion and malunion, which lead to chronic pain and disability. This review is focused on the strengths and weaknesses of the management option, approach and complication for pelvic ring fracture surgery. Complications of pelvic ring fracture surgery are bleeding, nerve damage, DVT, pulmonary embolism, soft tissue injury, sepsis, and malunion of the pelvis and nonunion. Management for pelvic ring fracture surgery is used based on the location and configuration of the fracture, implant availability, surgeon’s preference, and experience.

Choosing between the Conventional Plates, Locking Plates, or Iliosacral Screws for Sacroiliac Joint Dislocation: A Biomechanical Comparison Study Trixie Brevi Putri; Erwin Ramawan; Mohammad Zaim Chilmi; Kukuh Dwiputra Hernugrahanto; Jifaldi AMD Sedar; Fundhy S I Prihatanto
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: This study examines the comparison of biomechanical strengths of three kinds of the most familiar implants available in Indonesia: conventional and locking sacroiliac plates and screws, also iliosacral screws. Despite the common thought that iliosacral screws are preferred compared to conventional plates and screws due to its biomechanic superiority, this study tested whether the locking plates and screws could offer an alternative.Materials and Methods: This study was an in vitro experimental study with a Randomized Post Test - Only Control Group Design using pelvic bones from male cadavers aged 20-50 y.o. Twelve samples were divided into three treatment groups and one control group. Group P1 was fixed with two conventional plates, P2 was fixed with two locking plates, P3 was fixed with two iliosacral screws, and control group K with sacroiliac joint was intact. Each group was given an increasing load until a vertical shift of the sacroiliac joint ≥ 2.0 mm was obtained.Results: The average force load for 2 mm displacement among the fixation systems being tested shows a statistically significant difference (p0.05). Load failure force for 2 mm displacement in the locking plate and screw group has the highest average (591.33 ± 56.08 N) compared to the iliosacral screw group (583.67 ± 73.56 N) and conventional plate and screw group (574 ± 106.05 N).Conclusions: Biomechanically, the fixation system using two locking anterior sacroiliac plates and screws is more stable than the iliosacral screws and conventional sacroiliac plates and screws.

Modified Direct Anterior Approach for Total Hip Arthroplasty in an Indonesian Population with Primary Standard Instruments of Total Hip Arthroplasty: Our Experiences and Short-term Follow-up Septiawan, Eko Medio; Laurentia, Claudia Bella; Al Mashur, Muslich Idris
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

The direct anterior approach (DAA) for total hip arthroplasty (THA) is a very sophisticated and complicated surgery typically performed using a specialized operating room table and instruments. In our clinic, this procedure was performed with a modified incision to avoid dependence on a special operating room table and we could use ordinary THA instruments. There is an obvious absence of literature regarding this subject. The method in this study a total of 31 patients (31 hips) were recruited for primary THAs from January 1, 2020 to December 31, 2021 who underwent THAs using the DAA in the supine position with modified incision. The technical feasibility and early results were evaluated. The results is orientation of the acetabular component average cup inclination was 41.57o ±6.7o, (23o-57o) and the mean cup anteversion was 17.36o ± 5o, (11o-38o). The incidence of neutral coronal femoral stem alignment were 30 hips (97%), varus was 1 (3%), neutral sagittal alignment were 30 hips (97%), and flexion was 1 (3%). The preoperative Harris Hip Score (HHS) was 57.89 points (range: 17-68 points), whereas the postoperative HHS was 89.97 points (range: 82-100 points). There were no postoperative problems such as proximal femur fracture, hematoma, superficial wound complications, deep vein thrombosis, lateral femoral cutaneous nerve damage, heterotopic ossification, loosening of the acetabular component, loosening of the stem, dislocation, infection, or postoperative periprosthetic fracture. Conclusion DAA supine for THA with modified incision may be a valuable alternative in the absence of a special operating room table or special instruments for DAA. This technique also seems to provide satisfactory clinical and radiographic outcomes with acceptable complications in our early follow-up.

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thehipkneejournal@gmail.com

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Dki jakarta

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Suryo Saputra Perdana

Contact Email thehipkneejournal@gmail.com

Phone +6281298563988

Journal Mail Official thehipkneejournal@gmail.com

Editorial Address https://thehipkneejournal.id/index.php/hipknee/pages/view/editorial

Location Kota adm. jakarta selatan, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Suryo Saputra Perdana

Contact Email
thehipkneejournal@gmail.com

Phone
+6281298563988

Journal Mail Official
thehipkneejournal@gmail.com

Editorial Address
https://thehipkneejournal.id/index.php/hipknee/pages/view/editorial

Location
Kota adm. jakarta selatan,

Dki jakarta

INDONESIA