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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 61 Documents
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Mesenchymal Stem Cells Secretome and Osteoarthritis: A State of The Art Soetjahjo, Bintang; Utomo, Dwikora Novembri
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 | Full PDF (731.84 KB) | DOI: 10.46355/hipknee.v3i2.133

Abstract

No agreed cure or procedure can prevent the damage caused by OA. Current treatments such as physiotherapy, anti-inflammatory drugs, and viscous supplements are symptomatic and are aimed solely at pain relief. Mesenchymal stem cells, on the other hand, refer to a population of cells with immunomodulatory and homing properties. Recent studies have shown that stem cells produce secretomes with tissue regeneration, immunomodulation, anti-inflammatory, and anti-apoptotic capacities.Secretomes in conditioned media produced by mesenchymal stem cells can stimulate the repair of cartilage defects. There are many evidence from many studies both in vitro and in vivo which provide potential results. The improvement can be seen from the morphology, in the form of thickening of the cartilage, an increase in the number of chondrocyte cells, regular joint surfaces, and histologically it can be seen that there is an improvement in the joint cartilage matrix. Likewise, histological studies using immunohistochemistry also showed an increase in the expression of TGF-β, SOX-9, aggrecan, and type II collagen which is a pathway for the formation of hyaline cartilage repair. Not only improvement, other studies have also shown that the secretome can provide a protective effect on joint cartilage by increasing the expression of the COL2A1 gene which functions to form collagen matrix components and reduces apoptosis in chondrocyte cells.Secretomes produced by mesenchymal stem cells can stimulate the repair of cartilage damage, anti-inflammatory, immunomodulator, angiogenesis, and anti-apoptotic abilities from their cytokines and extra vesicles contains miRNA. MSCs secretomes are more stable and provide simpler manufacturing than MSCs themselves.
Robot-Assisted in Hip and Knee Surgery: Are we ready? Sholahuddin Rhatomy,MD; Krisna Yuarno Phatama; Asep Santoso; Kukuh Dwiputra Hernugrahanto; Nicolaas Budhiparama
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (907.819 KB) | DOI: 10.46355/hipknee.v2i2.111

Abstract

The word 'robot' is derived from the Polish word "robota," which means forced labor. It describes a machine that carries out various tasks either automatically or with minimal external input, especially one that is programmable. There are two main types of robotic surgery systems: haptic and autonomous. Haptic or tactile systems allow the surgeon to use or drive the robot to perform a surgical procedure. This technology requires constant input by the surgeon for the procedure to proceed. In contrast, autonomous robotic systems require the surgeon to perform the approach and set up the machine, but once engaged, the robot completes the surgery without the surgeon's help. The use of robotic technology has, in some cases, facilitated minimally invasive surgery, which has gained popularity with some patients. In spinal surgery, robotic technology has been successfully used to increase the accuracy of implant placement. Furthermore, robotic technology can improve the radiological alignment of implants following the pre-operative plan.1,2
Range of Motion Outcomes Post Cruciate-Retaining vs Posterior Stabilized Total Knee Arthroplasty: A Retrospective Multi-Centre Cohort Study Oliver Emmanuel Yausep; Ifran Saleh; Adryan Tanujaya
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (893.586 KB) | DOI: 10.46355/hipknee.v2i1.36

Abstract

Background: The outcome for TKA (total knee arthroplasty) upon whether the posterior cruciate ligament is preserved with cruciate retaining (CR) prostheses or sacrificed with posterior stabilized (PS) prostheses are still debated between studies. Materials and Methods: We included a total of 144 knees operated with cemented fixed bearing primary CR or PS TKAs. Independent t-tests were conducted for the outcomes and possible confounding variables between groups where relevant, with analyses using Chi-squared tests for nominal data. Results: Operation on patients with age of lower than 65 years predicts increased intraoperative bleeding volume (p = 0.037), pre-operative range of motion (ROM) of less than 90 degrees was a predictor for better improved post-operative ROM (p 0.001) and PS prostheses is superior to CR in terms of ROM improvement (p = 0.04), however with both groups achieving similar maximum ROM (p = 0.308). Conclusion: Improvement of ROM is increased by the use of PS prostheses compared to CS prostheses, with pre-operative ROM as a possible confounding factor and the maximum ROM achieved for both prostheses being similar. Lower age of the operation is also related to increased intraoperative bleeding
Total knee arthroplasty in severe valgus deformity of knee osteoarthritis with non-constrained implant: A Case Report Limbong, Suyenci; Santoso, Asep; Anwar, Iwan Budiwan; Sibarani, Tangkas; Mariyanto, Ismail
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.134

Abstract

Osteoarthritis (OA) is main cause of musculoskeletal disability all over the world. The incidence and prevalence of OA increase with aging . The treatment for grade four of knee osteoarthritis (OA) as classified by Kellgren and Lawrence classification is knee replacement, approximately 10% of patient need TKA have valgus deformity and 15% of it is severe deformity. type-III deformity (severe osseous deformity) with an incompetent medial soft-tissue sleeve, which is best managed with a constrained or hinged total-knee design, but it is not always available due to insurance limitation. In this case we choosed to manage the type III deformity using non constrained or hinged total knee design and achieve knee balancing by a soft tissue procedure (MCL tightening). Presetasion of case with Reporting female patient Mrs. S, a 61-year-old with painful and valgus deformity on the right  knee. Her range of motion preoperatively was 5-10° with 30° fixed valgus deformity on the right knee. We performed total knee arthroplasty used non-constraint implant with additional soft tissue procedure to gain ligament balance by shifted MCL origin with its bone (epicondyle ) superior and anteriorly. Intra operative we were able to correct valgus deformity and achieved 5-90 range of motion. Discussion in this study with total knee arthroplasty is a procedure that contains two main steps, bone cut and soft tissue balancing. In valgus knee tightness found at lateral site with loosening at medial site. In its severe condition medial collateral ligament may be found disfunctioned . Selective soft tissue release was effective to achieve good ROM and aligment without prosthetic constraint needed which was helped to manage patient when the constraint implant was not accessible. The conclusion after 3 month post operative we found patient was able to stand and walk without pain and device with 0-80° range of motion, stable and corrected valgus deformity.
All-epiphyseal All-Inside Technique for Anterior Cruciate Ligament Reconstruction in Prepubescent Patient: A Case Report Lumban Gaol, Imelda; Hernugrahanto, Kukuh Dwiputra; muslim, Jeffry andrianus; utomo, Dwikora novembri
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.139

Abstract

Anterior cruciate ligament injuries are common seen in active and young patients. The ACL reconstruction technique in skeletally immature patients tries to minimize the growth disturbance. All physeal sparing technique is technically demanding. In this paper, we described physeal sparing technique of ACL reconstruction in skeletally immature patient. This is an all-epiphyseal all-inside ACL reconstruction with retrodrill of the femoral and the tibial sockets. Both sockets are within epiphysis. This technique used free loop system. This free loop system allows us to make a socket with length 15 mm, that is safe from the physis. This socket also allows us to tension the graft adequately with minimum sockets length. We present a case of 16 years old male who underwent all-epiphyseal all inside reconstruction with our rehabilitation protocol.
High Tibial Osteotomy: State of the art Mustamsir, Edi; Sukmajaya, William Putra
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.155

Abstract

The number of cases handled by PJI is projected to rise in the coming years. The diagnosis of PJI relies on evaluating microbiology, inflammatory response, and pathology. However, the accuracy of the diagnosis is compromised by previous exposure to antimicrobial agents, the possibility of contamination, and the lack of specificity of inflammatory markers. Although new testing methods, such as molecular techniques, hold the potential for a swift diagnosis, they are constrained by the risk of contamination and the absence of susceptibility results. Interestingly, emerging synovial fluid markers exhibit promise as an additional tool in diagnosing PJI. The management of each PJI case, both in terms of surgery and antimicrobial treatment, requires an individualized assessment. It is imperative to conduct high-quality studies that aim to determine the most effective route and duration of antimicrobial treatment for each surgical approach.  This review provides an overview of the diagnostic tests and treatment options for prosthetic joint infection, offering a practical approach to managing this complex clinical condition.
High Tibial Osteotomy for knee joint preservation: “Old but Gold”! Santoso, Asep; Phatama, Krisna Yuarno; Rhatomy, Sholahuddin; Budhiparama, Nicolaas Cyrillus
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.154

Abstract

One of the most common chronic diseases affecting the elderly is knee osteoarthritis (OA) that significantly impairs the activity of the daily living. Change of mechanical axis of the knee causes impairment on the three compartments of knee. If the medial compartment is affected, it will cause varus knee deformity, whereas, involvement of lateral compartment will result in valgus knee deformity. Deformities of angular and/or rotational nature can be corrected using the knee osteotomy technique, consequently realigning the bone axis.The osteotomy technique has been developed for centuries. Current growing interest in developing minimally invasive techniques for high tibial osteotomy (HTO) using smaller incisions, arthroscopy-assisted osteotomy, patients specific instrumentation (PSI) and computer-guided navigations systems. These techniques aim to reduce surgical trauma, minimize scarring, and facilitate faster recovery.
Femoral neck rotational osteotomy for femoral head osteonecrosis ficat arlet stage III: A Case Report Putra, Satria Prawira; Mulyadi, Dicky
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.136

Abstract

Peritrochanter osteotomy for treatment AVN head femur has a techinacally demanding because excecsive rotation would tighten the retinaculum that contain blood supply for proximal femur and most complication is non union greater trocanter.based on this point of view,the retinaculum was release during surgery and rotational osteotomy was performed at the based of femoral neck
Distal Femur Morphological Discrepancy Compared with Total Knee Arthroplasty Implants in Indonesia Sentana, Okkie Mharga; Utomo, Pamudji
The Hip and Knee Journal Vol 4, No 2 (2023): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v4i2.153

Abstract

The prosthesis of knee joint in total knee arthroplasty (TKA) can give better fixation and stabilization if it’s chosen properly. Most of prosthesis have been designed to be compatible with western population, not for Asian population. Whether the implant size need to be adjusted with ethnics and gender still being a controversy. Aim to define whether the morphology of Distal Femur, among men and women in Indonesia have discrepancy and to assess compatibility of the prosthesis size in Indonesia. This study was a descriptive cross-sectional study that conducted at Prof. Dr. R Soeharso’s Orthopaedic Hospital – Surakarta, Indonesia, using purposive quota sampling methods. The inclusion criteria MRI knee joint of men and women (age ≥ 18 years old) which have soft tissue injury of knee joint. The morphological measurement of Distal Femur with the use of certain Software. Then, the data were analyzed with SPSS ver.17 using independent T-Test. The results among 130 patients, we found that Women’s fML were narrower than men. While the ratio aspect of femur implants compared to gender, showed that it was not compatible for men, but more compatible for women. The conclusion there is discrepancy of morphological size of Distal Femur among men and women in Indonesia. It causes incompatibility of using TKA implant in men patients in Indonesia, which more suitable for women size. 
Lateral Parapatellar Approach with Preservation Infrapatellar Fat Pad in TKA for Severe Valgus Deformity with Flexion Contracture and Patella Subluxation: A Case Report Darmawan, Dwi Indra; Mulyadi, Dicky
The Hip and Knee Journal Vol 5, No 1 (2024): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46355/hipknee.v5i1.140

Abstract

Total knee replacement for patients with osteoarthritis and valgus deformity remains challenging, with soft tissue balance often difficult to achieve. Most orthopedic surgeons use the medial parapatellar approach for total knee replacement. However the lateral approach descrbed in this case allows direct acces to the pathology. It is generally very difficult to close the lateral capsular and defect after valgus knee TKA, especially for severe valgus and flexion knee deformity. The creation of laterally based flap is necessary to cover the soft tissue gap resulting on the lateral aspect of the knee after valgus correction. A case report of a secondary osteoarthritis left knee joint with severe valgus deformity, flexion contracture and patella subluxation in a 25-year-old woman is presented. Lateral parapatellar approach total knee arthroplasty was performed with preservation of the infrapatellar fat pad to provides soft tissue covering on the lateral aspect of the knee after valgus correction.

Page 5 of 7 | Total Record : 61

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