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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 10 Documents
 1 
Search results for , issue "Vol 1, No 1 (2020): August" : 10 Documents clear
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)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (805.612 KB) | DOI: 10.46355/hipknee.v1i1.24

Abstract

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. 
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)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1045.368 KB) | DOI: 10.46355/hipknee.v1i1.29

Abstract

Comparison of Mortality Rate Between Bipolar Hemiarthroplasty and Proximal Femoral Nail Anti-rotation for Intertrochanteric Fractures in Sanglah Hospital, Bali I Wayan Suryanto Dusak; I Gusti Ngurah Wien Aryana; Cokorda Gde Oka Dharmayuda; I Wayan Subawa; Hans Kristian Nugraha; Made Arya Susila; Sri Mahadhana
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (844.577 KB) | DOI: 10.46355/hipknee.v1i1.25

Abstract

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.
Clinical Evidence stimulates Innovation: An asset for surgeons, an ally for patients Rob G.H.H. Nelissen
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (556.857 KB) | DOI: 10.46355/hipknee.v1i1.31

Abstract

The Effects Of Prehabilitation Exercise Using Resistance Bands On Functional Performance In Total Knee Replacement Rahmatika Rahmatika; Robin Novriansyah; Lanny Indriastuti
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1063.903 KB) | DOI: 10.46355/hipknee.v1i1.5

Abstract

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. 
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)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3754.816 KB) | DOI: 10.46355/hipknee.v1i1.28

Abstract

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.
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)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (723.494 KB) | DOI: 10.46355/hipknee.v1i1.6

Abstract

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.
Knee Preservation Techniques for Severe Synovial Osteochondromatosis in End-Stage Osteoarthritic Knee Using High Tibia Osteotomies, Cartilage Restoration Procedure, and Biologics; A Case Report in Bilateral Knees Andre Yanuar; Dwikora Novembri Utomo
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (819.718 KB) | DOI: 10.46355/hipknee.v1i1.23

Abstract

Synovial osteochondromatosis can occur idiopathic or secondary to osteoarthritis. While joint replacement surgery has shown promising results for end-stage osteoarthritis, it isn’t always the answer for certain individual. In young athletic individual, the treatment should be patient specific, with consideration for return to sports activities. We present a 48-year-old ex-national professional football player with significant osteoarthritis and severe synovial osteochondromatosis. After discussion with the patient, we decide that knee preservation is suitable for him. Surgical treatments that are considered the best option are High Tibial Ostetomies, extraction of the loose bodies, partial synovectomy, and microfracture. Those procedures were performed in 8 months interval for each knee. The patient received intra-articular injection of cultured Mesenchymal Stem Cells (MSCs) with hyaluronic acid for 4 weeks after surgery. In a 34-month follow-up for right knee and 26-month follow-up for left knee, the patient regained significantly higher Knee injury and Osteoarthritis Outcome Score (KOOS) compare to before surgery (94 vs. 47). Radiologic examination also reveals the improvement of both knees joint space.
Clinical Outcome Evaluation in Anterior Cruciate Ligament Reconstruction using Transportal Technique Augmented with Platelet Rich Plasma (PRP) Injection Steesy Benedicta; Mouli Edward; Lukas Widhiyanto; Dwikora Novembri Utomo; Kukuh Dwiputra Hernugrahanto
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1108.929 KB) | DOI: 10.46355/hipknee.v1i1.21

Abstract

Background: Anterior cruciate ligament (ACL) injury is a common injury in the athlete with an incidence of 30-78 cases per year. PRP injection can be applied to enhance graft healing and help patient return to sports faster. Transportal placement is a newer technique and believed can handle this problem. No perspective surveillance system has been made to monitoring the outcome of ACL surgery using the transportal technique and PRP injection in our hospital.Materials and Methods: A total data of 157 patients using medical records in our hospital between 1 January 2014 and 31 December 2018 were evaluated. All patients underwent ACL reconstruction surgery using the transportal technique and additional platelet rich plasma (PRP) intraarticular, with the exclusion of multiple ligament and meniscal injuries. The values evaluated in this study were clinical examination, SF-12 Daily Living Score, Knee Injury and Osteoarthritis Outcome Score (KOOS), Oxford knee Score (OKS), Tegner Lysholm score and Cincinnati score. Patients were followed up from a minimum of 6 months to 4 years after surgery.Results: We found male-dominant (82.8%) patients with the mean age is 25.59 ± 7.61 years old. MOI mostly sports-related activity (78,9%). Anterior drawer and Lachman test post-surgery showed significant improvement. SF-12 showed increasing post-op with mean 80.94. Mean Tegner Lysholm and Cincinnati post-operative was 87.30 and 378.57. OKS pre and post-op mean was 23.56 and 43.82. No significant difference in KOOS score with p0.0001.Conclusions: The ACL reconstruction augmentation with PRP injection with the transportal technique showed significant satisfaction and function restored to normal.
Trends on primary TKA in Government Tertiary-Referral Hospitals 2019 Reza Rahman Ramadhani; Dicky Mulyadi; Armia Indra Nur Alam; Cokorda Gde Oka Dharmayuda; Sholahuddin Rhatomy; Rizki Rahmadian; Muhammad Andry Usman; Chairiandi Siregar; Asep Santoso; Krisna Yuarno Phatama
The Hip and Knee Journal Vol 1, No 1 (2020): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (838.303 KB) | DOI: 10.46355/hipknee.v1i1.22

Abstract

Background: Total knee arthroplasty (TKA) is the most common surgical option for end-stage knee OA with knee deformity and persistent pain. This procedure has already been increased in national insurance era. There are many conditions may affect the outcome of TKA include: the complexity or difficulty of the surgery or specific states of the affected limb. The difficult conditions in primary TKA are extra-articular deformity, severe coronal deformity, stiffness knee, neglected dislocation or patella subluxation, post-osteotomy (HTO or DFO), previous incision surgery. The paper aims to review the conditions which may adversely affect the usually excellent outcome of TKA.Methods: This is a descriptive study. The study describes the difficult or complex situation in primary TKA. The data for this study was obtained from the 9 Government Hospital in Indonesia. The patients receive surgery between January and December 2019.Results: Totally, there were 881 patients receive TKA in 9 government hospitals in Indonesia during 2019. From those, there were 221 difficult TKA cases 31,38%, and 600 were the simple case (68,11%). Severe coronal deformity are 183 cases. TKA with the stiff knee are 52 cases. Cases with wound problems or previous incision are 12 cases. Ekstra articular deformity are 15 cases. TKA post osteotomy are 9 cases. TKA with genu recurvatum are 6 case. TKA with patella dislocation or subluxation is 4 case.Conclusions: Almost one-third of primary TKA are difficult cases that need much more advanced technique and advance implant (more expensive) for more extended durability (avoid failure and costly-revision). National insurance coverage should recognize primary-difficult TKA.

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