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All Journal Majalah Kedokteran Sriwijaya Arkus Conferences of Medical Sciences Dies Natalis
Wiria Aryanta
Department Of Surgery, Faculty Of Medicine, Universitas Sriwijaya, Palembang, Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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TENDON TRANSFERS FOR RADIAL NERVE PALSY Nur Rachmat Lubis; Wiria Aryanta; Davin Caturputra Setiamanah
Majalah Kedokteran Sriwijaya Vol 52, No 3 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i3.12509

Abstract

Background: High radial nerve palsy mostly caused by injury of nerve branching from proximal to the elbow resulting in function loss of wrist, finger and thumb extension, as well as thumb abduction. Tendon transfers are the most common technique for motor reconstruction indicated in high radial nerve palsy if the patients fail to achieve nerve regeneration and recovery. This procedure will restore finger, thumb, and wrist function, without foisting other motoric deficits on the hand, with satisfying results. Case: 19 years old male was referred to RSUP dr. Mohammad Hoesin Palembang with right wrist joint instability and limited range of motion (ROM). Past history of fracture at the middle third of the right humerus 6 months ago. Physical examination showed total loss of active wrist extension, thumb extension and abduction, and finger extension at metacarpophalangeal (MCP) joints. The patient is diagnosed as a high lesion of radial nerve palsy. Tendon transfers procedure were prepared to restore better wrist function and ROM. Tendon transfers performed with Riordan method, using pronator teres as extensor carpi radialis brevis for wrist extension, flexor carpi ulnaris to extensor digitorum communis for finger extension, palmaris longus to extensor pollicis longus for thumb extension. Conclusion: Tendon transfers for high radial nerve palsy is an effective technique to restore the function of wrist extension, finger extension, and power of handgrip.
Advances in Orthopedic Trauma Wiria Aryanta
Arkus Vol. 2 No. 1 (2016): ARKUS
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v2i1.62

Abstract

Orthopedic trauma is a broad term describing all kinds of injuries affecting the bones, joints, muscles, tendons, and ligaments in any part of the body that are caused by trauma. The term is wide - ranging and may refer to minor fractures or severely broken bones with a direct threat to the patient’s life. Orthopaedic surgeries focused on treating fractured bones and making sure the injured part of the body regains its original strength and maximum function it used to have prior to the injury.
Pembaruan pada Trauma Ortopedi Wiria Aryanta MD
Conferences of Medical Sciences Dies Natalis Vol. 1 No. 1 (2019): Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sr
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.577 KB)

Abstract

Orthopedic trauma is a broad term describing all kinds of injuries affecting the bones, joints, muscles, tendons, and ligaments in any part of the body that are caused by trauma. The term is wide-ranging and may refer to minor fractures or severely broken bones with a direct threat to the patient’s life. Orthopaedic surgeries focused on treating fractured bones and making sure the injured part of the body regains its original strength and maximum function it used to have prior to the injury. The many different types of orthopedic trauma are classified based on the affected body part: Upper extremity injury, which includes a broken arm or wrist, collarbone, or ribs; Lower extremity injury, which includes a broken ankle, hip, or legs; Soft tissue injury, which affects the muscles, tendon, and ligaments.Orthopedic trauma is treated depending on its severity. Those who have minor injuries such as fractures can be easily treated by general orthopedists, although in some cases, the expertise of subspecialists may become necessary. Orthopedic trauma uses both surgical and non-surgical techniques to treat the affected bones and soft tissues. Minor fractures and dislocations of specific bones such as the scapula, humerus, and clavicle, among others, can be treated non-surgically through an external fixation method. This means that orthopedic devices such as casts, braces, and splints are placed outside the body to keep the injured part stable during the recovery period. Surgical means, on the other hand, include:Minimally invasive surgery; Conventional surgery; Internal fixation method; Bone grafting and bone/ joint transplantation; Limb lengthening; Lower limb reconstruction; Upper limb reconstruction; Soft tissue reconstruction; Tendon & nerve reconstruction. The search for the optimal treatment techniques in orthopaedic still on going up until now, including new techniques, approach, mode of fixation, implant components, and also rehabilitation protocols.
Co-Authors Davin Caturputra Setiamanah Nur Rachmat Lubis