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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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Postoperative Functional and Radiological Outcome Comparison of Computer-assisted and Conventional Total Knee Arthroplasty at 6 Months Follow-up: A Cross Sectional Study Muhammad Budimansyah; Ismail Hadisoebroto Dilogo; Endrotomo Sumargono
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Background. Computer-assisted navigation TKA has just been adapted in Indonesia for the last decade. The method is aiming to achieve more precise mechanical alignment in TKA. However, controversies still exist especially in terms of functional outcome and radiological outcome.Method. Fifty elderly patients aged more than 50 years old with severe knee osteoarthritis (Kellgren Lawrence stage III or IV) who scheduled for TKA surgery in the first half of 2019 were consecutively sampled. All patients were measured for objective functional status with Western Ontario Mac Master University Index (WOMAC) and Oxford Knee Score (OKS). Weight-bearing, long-leg follow-up radiographs of both lower limbs were taken, and coronal tibiofemoral angle (CTFA), coronal femoral component angle (CFCA) and coronal tibial component angle (CTCA) were measured.Results. Group of computer-assisted navigation TKA surgery was found to have significantly lower WOMAC score (p0.05) and higher OKS score (p0.05). Although not statistically significant, greater angle of deviation is observed in the conventional TKA surgery group. Proportions with deviation of less than 3º were found more in the group using computer navigation.Discussion. The results of this study indicate the advantage of using a computer assisted system in TKA procedure, in terms of better functional outcome. However, our study only measures mechanical alignment from coronal plane and short term follow up time. Other parameter measurement, such as mechanical alignment on sagittal plane, rotational alignment, and soft tissue balance are also important to determine the success rate of TKA procedure.Conclusion. Patients who had TKA surgery under computer-assisted navigation would benefit a better functional outcome if compared with conventional TKA surgery, as measured with WOMAC and OKS. However, there is no significant difference in terms of radiographic value of coronal-plane mechanical deviation on both methods.

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)

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.

Total Knee Arthroplasty in Patients with Distal Femoral Malunion: A Case Report Paulus Ronald Hibono; Andito Wibisono
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: Post-traumatic arthrosis can occur subsequent to fracture of the distal femur related to residual malalignment or direct intraarticular injury. The presence of extra articular deformities either in the femur or the tibia with arthritis of the knee makes total knee arthroplasty (TKA) technically demanding. We report our initial experience on such complex knee arthroplastyCase Presentation: A 69-year-old female complained of progressive right knee pain, limited range of motion and obvious varus deformity of the right knee. She had a trauma history 13 years ago on femur side, operated and subsequent removal of implant 2 years after. Preoperative radiographs showed severe osteoarthritis on medial side and patellofemoral joint and malunion supracondylar and varus deformity. Total knee arthroplasty (TKA) was done using standard jig and equipmentConclusion: Correction could be possible to perform in majority of TKA for extraarticular deformities with good preoperative planning and templating, intraarticular bone resection and good soft tissue balancing both in flexion and extension.

Fight against Periprosthetic Joint Infection Phatama, Krisna Yuarno; Santoso, Asep; Rhatomy, Sholahuddin
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

The Pandemic Hits Us Hard, but We Don’t Lose Hope Krisna Yuarno Phatama; Sholahuddin Rhatomy, MD; Asep Santoso; Nicolaas C. Budhiparama
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

At the end of 2019, we faced a new variant of the coronavirus that can cause pneumonia and acute respiratory distress syndrome-like symptoms. It started in Wuhan, Hubei Province, China, and spread quickly to the whole world.This new virus is called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and can manifest as a disease called coronavirus disease 2019 (COVID-19). On March 13th, 2020 World Health Organization (WHO) declared COVID-19 as a global pandemic, and the story of frightening pandemic begin.

Proximal Tibial Sliding Osteotomy as an Alternative Solution for Patients With Proximal Tibial Bone Defect After Neglected Tibial Plateau Fractures Undergoing Total Knee Arthroplasty: A Case Report Riyadli, Muhammad; Mulyadi, Dicky
The Hip and Knee Journal Vol 3, No 2 (2022): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Trauma case to the joints, especially the knee joint is a difficult and challenging case to manage. In the initial conditions of trauma, this case may be relatively more rational to do reduction and fixation. However, in cases of delayed treatment, it will be a challenge for an orthopedic, where in the late condition, the knee joint will degenerate earlier and becomes early osteoarthritis. The therapy that can be done depends on the severity of the joint damage itself. One of the actions that can be taken in severe conditions of osteoarthritis is Total Knee Arthroplasty (TKA). But if the defect is very large, a special additional tool is usually needed, which will also be more expensive. We report a 51 years old female patient with secondary osteoarthritis and severe depressed in the medial proximal tibia due to neglected tibial plateau fracture. The patient had a total knee arthroplasty performed with an oblique osteotomy on the medial side of the tibial plateau and shifting it proximally to cover the defect area. The operation went smoothly and the implant used was a primary Posterior Stabilized (PS) TKA implant without metal augmentation. After the procedure, the patient's knee is reassessed. There was improvement in knee deformity, with good stability and full range of motion of the knee. The purpose of this paper is to demonstrate a sliding osteotomy technique for medial proximal tibia in Total Knee Arthroplasty, with the hope of being an alternative solution and reducing additional costs for osteoarthritis cases with a severe defect in the medial proximal tibia.

Does The Peroneus Longus Tendon Autograft Affect The Ankle Function? A Case Series Muhammad Hilman Bimadi; Krisna Yuarno Phatama; Edi Mustamsir
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Introduction: The peroneus longus (PL) tendon is one of the autograft choices for knee ligament injury because of its safety, length, and strength. However, studies that evaluated donor site morbidity after PL tendon graft are still limited. This case series aims to evaluate the functional outcomes of donor site morbidity after full-thickness PL tendon harvesting for knee ligament reconstruction.Presentation of Case:This study evaluated four patients who had a revision of knee ligament reconstruction surgery using PL tendon autograft from August until September 2018. The functional outcome of the donor site was evaluated before surgery, two weeks, and three months after surgery by using functional scores assessment of foot and ankle.Discussion:There are some donor sites of autograft, but several studies show that the PL tendon autograft has proven to be more favorable methods for knee ligament reconstruction based on the accessibility, safety, and strength of the harvested tendon. The studies also found that using PL tendon as an autograft, has a good result in donor site morbidity evaluation compared to others. This study provides a satisfying result on the functional outcome of the donor site morbidity evaluation.Conclusion:This study showed satisfactory functional outcomes of the foot and ankle after harvesting full-thickness PL tendon. All functional score assessment provides an excellent result in three months after surgery, although lateral ankle bulging has occurred in all patients. However, gait analysis and isokinetic test with a more significant number of patients and longer follow up periods are necessary for further study.

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)

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.

SYMPTOMATIC DISCOID MENISCUS: A CASE SERIES Asep Santoso, MD; Erwin Saspraditya; Muhammad Nagieb; Gilang Persada Aribowo; Iwan Budiwan Anwar; Tangkas SMHS Sibarani
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: Discoid meniscus is a rare entity of knee pathology. The discoid meniscus can be encountered incidentally during a treatment of another knee pathology as an asymptomatic entity or can be a symptomatic pathology which warrant treatment Case presentation: There were 8 cases of symptomatic discoid meniscus reported in this retrospective case series. The symptoms presented at age range 16-47 year-old. Majority of the case (6 of 8) are lateral discoid meniscus with female gender predominant. Complete type of discoid meniscus was also found in 6 of 8 cases. There were 5 cases of ruptured discoid meniscus, three of them needed repair. Conclusions: Symptomatic discoid meniscus can be presented on wide range of age of patients. We found female gender, discoid lateral meniscus, and complete type are the predominant pattern of discoid meniscus cases presentation.

Total Hip Replacement in Chronic Slipped Capital Femoral Epiphysis with Degenerative Joint Disease: A Case Report Tjahjadi, Berlianto; Dwiputra H., Kukuh; M D S, Jifaldi Afrian; Chilmi, M. Zaim
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder affecting the adolescent population, with a reported annual incidence of 8.8 to 10.8 per 100,000 children aged 9 to 16 years. SCFE is known to affect boys more often than girls. Chondrolysis and osteonecrosis of the hip can accelerate hip degeneration related to SCFE, leading to end-stage hip disease. Total Hip Arthroplasty (THA) is the primary treatment option for managing end-stage hip Osteoarthritis (OA) in SCFE patients. A 22 years old male presented with a 2,5 years of pain in the left hip joint with a history of trauma three years ago; after that, he could still walk. Four months later, he feels pain in the left hip that gets aggravated on walking and cannot walk for long distances (5-10m). Postoperatively the patient has an equal leg length, with less pain on the hip with a good range of motion, and can walk dependently using a cane. THA to be a feasible treatment option in young patients with secondary osteoarthritis of the hip due to SCFE. Uncemented THA has a good survivorship rate.

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thehipkneejournal@gmail.com

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Kota adm. jakarta selatan,

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