The Hip and Knee Journal
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
Articles
61 Documents
<![CDATA[Comparison of Mortality Rate Between Bipolar Hemiarthroplasty and Proximal Femoral Nail Anti-rotation for Intertrochanteric Fractures in Sanglah Hospital, Bali ]]>
<![CDATA[Dusak, I Wayan Suryanto]]>;
<![CDATA[Aryana, I Gusti Ngurah Wien]]>;
<![CDATA[Dharmayuda, Cokorda Gde Oka]]>;
<![CDATA[Subawa, I Wayan]]>;
<![CDATA[Nugraha, Hans Kristian]]>;
<![CDATA[Susila, Made Arya]]>;
<![CDATA[Mahadhana, Sri]]>
<![CDATA[ The Hip and Knee Journal Vol 1, No 1 (2020): August ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v1i1.25
<![CDATA[Introduction: Intertrochanteric fractures occur in about 50% of all hip fracture events, with a mortality rate within 1 year after fracture reaching 15 to 20%. The most common treatment nowadays is either the bipolar hemiarthroplasty procedure or proximal femoral nail anti-rotation (PFNA), although there is still no consensus regarding which is better from the two, especially on patient mortality.Method: This study was an observational study using a retrospective cohort design. A total of 102 study subjects who met the inclusion requirements were grouped into 2 groups, one with bipolar hemiarthroplasty fixation treatment and another with PFNA fixation treatment. Mortality rate was recorded by survey 2 years after surgery.Results: Chi-square test showed that 2-year mortality rate after intertrochanteric fracture treated with bipolar hemiarthroplasty (21.4%) was significantly higher than the PFNA group (10.3%) (p = 0.028). Bipolar hemiarthroplasty group also had longer length of stay (50%) than the PFNA group (32.4%), albeit statistically insignificant (p = 0.13). There was no significant difference between the 2-year mortality rate and length of stay (p = 0.976).Conclusion: Patients with intertrochanteric fractures who underwent bipolar hemiarthroplasty have significantly higher 2- year mortality rate than similar patients underwent fixation with PFNA, while they did not experience higher length of stay than the PFNA group. Future prospective, multi center study with larger sample size will be likely to validate similar fixation choice needed to decrease the mortality rate in intertrochanteric fractures.]]>
<![CDATA[Modified Stoppa Approach For Concomitant Anterior And Posterior Pelvic Ring Fracture: A case report ]]>
<![CDATA[Arif - Wibowo]]>;
<![CDATA[Mohammad Zaim Chilmi]]>
<![CDATA[ The Hip and Knee Journal Vol 3, No 1 (2022): February ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v3i1.104
<![CDATA[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.]]>
<![CDATA[Total Knee Replacement Epidemiology Before and After the COVID-19 Pandemic: A Descriptive Comparative Study ]]>
<![CDATA[Endrotomo Sumargono]]>;
<![CDATA[Maria Anastasia]]>;
<![CDATA[Ifran Saleh]]>;
<![CDATA[Astuti Pitarini]]>;
<![CDATA[Maria Florencia Deslivia]]>;
<![CDATA[Claudia Santosa]]>;
<![CDATA[Erica Kholinne]]>
<![CDATA[ The Hip and Knee Journal Vol 2, No 2 (2021): August ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v2i2.81
<![CDATA[Background: The purposes of this study were (1) to describe the characteristics of patients underwent TKR during COVID-19 Pandemic and (2) to compare the demographic of patients underwent TKR before and after COVID-19 Pandemic in St. Carolus Hospital, Jakarta, Indonesia.Methods: Data were extracted from January 2016 to December 2020 from the annual reports of arthroplasty registry (single surgeon). Patient demographic data were collected (Gender, age, comorbidity). Post-operative characteristics were defined as: (1) Length of hospitalization (days); (2) Complication rate (%); (3) Revision event (%). The complication rate included: (1) Deep vein thrombosis; (2) Prosthetic joint infection; (3) Periprosthetic fracture. The above parameters were compared before and after the COVID-19 Pandemic.Result: A total of 730 primary TKR procedures (12.3 cases per month) were performed from January 2016 to February 2020, meanwhile there were 54 primary TKR (6 cases per month) done in 9 months after COVID-19 Pandemic from March 2020 to December 2020. The lowest case monthly after the COVID-19 Pandemic was found on April 2020 (1 case per month), on the other hand, the highest case monthly was found on December 2020 (14 cases per month). The complication rate decreased from the Pre COVID-19 Pandemic (8.6% to 1.8%).Conclusion: The number of cases was reduced during Indonesia large-scale social restriction (40 %) and returned to the Pre-Pandemic period on December 2020.Level of Evidence : Descriptive study, level III]]>
<![CDATA[Economic Burden of Periprosthetic Joint Infection ]]>
<![CDATA[Mulyadi, Dicky]]>;
<![CDATA[RMSN, Magetsari]]>
<![CDATA[ The Hip and Knee Journal Vol 4, No 1 (2023): February ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v4i1.150
<![CDATA[Total knee arthroplasties (TKAs) and total hip arthroplasties (THAs) have been proven to help improving the quality of life of numerous patients and have been regarded as successful standard operations in orthopaedic surgeries. However, there is still a lingering devastating complication in the form of peri-prosthetic joint infection (PJI). This condition can be difficult to diagnose and may present at any time after arthroplasty requiring surgical intervention, often multiple times. Surgical revisions due to infection requires multiple visits and longer length of stay resulting in greater hospital costs. As the number of arthroplasty procedures increases so does the number of PJIs and therefore revisions. In 2010 there were estimated 8 136 PJI cases associated with hips and 17 781 cases associated with the knee and it is projected to grow in 2020 to be 16 584 cases for hip and 48 971 cases for knee. This also translated in the increase of estimated cost from around $785 million in 2010 to $1.62 billion in 2020.]]>
<![CDATA[Simultaneous Femoral Osteotomy and Primary Total Knee Arthroplasty in Patient with Severe Extra-articular Deformity : A Case Report ]]>
<![CDATA[Brahmana, Febrian]]>;
<![CDATA[Hernugrahanto, Kukuh Dwiputra]]>
<![CDATA[ The Hip and Knee Journal Vol 3, No 2 (2022): August ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v3i2.125
<![CDATA[Correction of an extra-articular deformity of the femur and tibia during total knee arthroplasty (TKA) in advanced knee osteoarthritis (OA) is a technically demanding procedure. The challenge is in the implications of the femoral and tibial realignment osteotomy in both coronal and sagittal planes either as step-by-step or simultaneous procedure. We herein describe an unusual case of knee OA characterized by fixed severe varus knee deformity, tibio-femoral bowing, and lower limb internal rotation. The patient underwent distal femoral osteotomy correction accompanied by TKA to restore mechanical and rotational alignment at the same time. A standard primary posterior stabilized (PS) implant was used. The procedure successfully provided stability, restored alignment and delivered good functional outcome. This case highlights the arthroplasty surgeon’s challenges, especially those who work in limited facilities.]]>
<![CDATA[The Effects Of Prehabilitation Exercise Using Resistance Bands On Functional Performance In Total Knee Replacement ]]>
<![CDATA[Rahmatika Rahmatika]]>;
<![CDATA[Robin Novriansyah]]>;
<![CDATA[Lanny Indriastuti]]>
<![CDATA[ The Hip and Knee Journal Vol 1, No 1 (2020): August ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v1i1.5
<![CDATA[Background:Despite the high succesful rate of Total Knee Replacement (TKR), there are still patients with permanent dysfunction and a longer period of rehabilitation that interfere with functional performance. Strengthening exercise before TKR namely prehabilitation exercise using resistance bands is expected to optimize patient’s condition before surgery that will increase functional performance after TKR and accelerate rehabilitation programs.Methods:16 eligible patients were allocated into the treatment group (n=8) and the control group (n=8). The treatment group received 4 weeks of prehabilitation exercise with a frequency of 2 times and one time as a home program. The control group only received conventional therapy. The TUG and WOMAC scores were measured 3 times; at baseline, after 4 weeks of prehabilitation exercise and at 8 weeks of rehabilitation after TKR.Results:Before intervention, there were no significant differences between groups for the TUG score (p=0.674) and WOMAC (p=0.928). After 4 weeks of intervention, there was significant difference in the TUG score (p=0.003) and WOMAC (p=0.002), whereas at 8 weeks after rehabilitation programs there was a significant difference in the TUG score (p=0.009) while for the WOMAC score there was no significant difference (p=0.125).Conclusion:Prehabilitation exercise using resistance band improved functional performances in patients undergone TKR. ]]>
<![CDATA[The Prospect Science of Meniscus Preservation ]]>
<![CDATA[Asep Santoso]]>;
<![CDATA[Krisna Yuarno Pratama]]>;
<![CDATA[Sholahuddin Rhatomy]]>;
<![CDATA[Nicolaas C. Budhiparama]]>
<![CDATA[ The Hip and Knee Journal Vol 3, No 1 (2022): February ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v3i1.121
<![CDATA[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.]]>
<![CDATA[Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction ]]>
<![CDATA[Aditya Fuad Robby]]>;
<![CDATA[Luthfi Hidayat]]>;
<![CDATA[Rahadyan Magetsari]]>
<![CDATA[ The Hip and Knee Journal Vol 2, No 1 (2021): February ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v2i1.52
<![CDATA[Background: Reconstruction of the anterior cruciate ligament (ACL) is a commonly performed surgical procedure in recent years. Surgeons have to consider several factors including patient’s anthropometric variables to harvest the best graft. The hamstring tendon has its’ limitation, such as the tendon graft size deemed unfit especially for people of small statures. The peroneus longus tendon is a relatively new choice compared to hamstring. This study was conducted to know the correlation between anthropometric features with graft parameters or graft size in patients who underwent ACL reconstruction using peroneus longus and hamstring tendons.Materials and Methods: This cross-sectional study was performed in patients who underwent ACL reconstruction using peroneus longus or hamstring tendon autografts. We evaluated their anthropometric variables (age, gender, body mass index (BMI), height and weight) and correlated them with the graft diameter obtained during surgery. Post-operative results were assessed with Karlsson and Peterson Scoring System which represent the ankle function.Results: Twenty-three non-athletic patients underwent ACL reconstruction surgery. Patients with hamstring graft have the average height of 170 cm and 163.6 cm for the peroneal graft group. The average body weight of the hamstring graft group was 72.917 kg and the peroneal graft group was 68.82 kg. The measured BMI of the hamstring graft group was 25.2 kg/m2 and 7.833 mm of graft diameter in average, with 25.5 kg/m2 and 7.636 mm respectively for the peroneus graft group. There were strong positive correlations between weight and BMI with hamstring tendon graft diameter, but negative weak correlations with peroneus tendon graft diameter.Conclusion: We found that body weight and BMI correlate with the diameter of both peroneus and hamstring tendon grafts. Both autografts showed equally good functional results.]]>
<![CDATA[Open reduction, acetabular and femoral head fixation of Pipkin type IV fracture in an adolescent: A Case Report ]]>
<![CDATA[Bastomi, Ismail]]>;
<![CDATA[Mulyadi, Dicky]]>
<![CDATA[ The Hip and Knee Journal Vol 4, No 1 (2023): February ]]>
Publisher : <![CDATA[Indonesian Hip and Knee Society (IHKS) ]]>
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DOI: 10.46355/hipknee.v4i1.102
<![CDATA[Femoral head fracture is extremely rare in adolescent. There are few studies that focus on cases treated of pipkin type IV. A 15-year-old male adolescent suffered a serious traffic accident when he was sitting on the front seat of car. Several hours after accident at the local hospital, he diagnosed as posterior dislocation of the right hip with drop foot , and treat closed reduction immobilisation with skin traction. After first operation he transferred to another hospital. Pelvic radiograph computed tomography revealed a head femoral fracture and large acetabular rim fracture. This was diagnosed as a Pipkin type IV acetabular and femoral head fracture with dislocation. An open reduction Inion Freedom bioscrew fixation of head femur and 4.5 cortical screw fixation of acetabular fracture was performed via a Kocher Langenbeck approach. After 1-year follow-up, the patient could walk without aid and participate in physical activities. The X-ray results showed that the fractures healed well with no evidence of complications. Open reduction, fixation both acetabular and femoral head is an available therapy to treat Pipkin type IV in adolescent ]]>
