cover
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
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 7 Documents
Search results for , issue "Vol 3, No 2 (2022): August" : 7 Documents clear
Total Hip Replacement For Ankylosed Hip, A Case Report Rahendra Pratama
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 | DOI: 10.46355/hipknee.v3i2.107

Abstract

AbstractIntoductionAnkylosis of the hip is very difficult to treat surgically and should only be attempted by an experienced surgeon together with comprehensive pre-operative planning. It is important to inform the patient about the possible complications of this procedure.Case DescriptionMale  patient  at the age of 68 years with severe left hip pain for the last 30 years. The pain was intermittent,mostly at night, The pain got worse during walk and subside when resting. No history of trauma, TB contact, fever, allergies, alcohol usage or smoking. There was also no history of surgery. X-Ray shows fusion of the left hip. Blood test shows no infection detected.DiscussionPosterior approach  was used in this case, inability to internally rotate the hip due to bony fusion will made the osteotomy more difficult. Visualized Greater Trochanter and palpable Lesser trochanter as landmark for osteotomyConclusionTHA is an effective treatment for severe flexion ankylosed/fused hip deformity although there are high surgical complications than routine hip arthroplasties. Adequate preoperative planning will improve the clinical outcome of the  hips.
CORRELATION REALIGNMENT MECHANICAL TIBIOFEMORAL ANGLE WITH CLINICAL OUTCOME ON PATIENTS KNEE OSTEOARTHRITIS VALGUS DEFORMITY PERFOREMED TOTAL KNEE ARTHROPLASTY AT PROF. DR. R. SOEHARSO ORTHOPAEDIC HOSPITAL SURAKARTA (JANUARY 2019 - DECEMBER 2019) Fanny Indra Warman
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 (460.361 KB) | DOI: 10.46355/hipknee.v3i2.130

Abstract

Background : Knee osteoarthritis (OA) is important because of the high prevalence of pain and disability in older adults.Angular deformities around the knee joint necessitate special consideration to restore normal alignment during TKA. Excessive preoperative malalignment predisposes to a greater risk of failure compared to well-aligned knees. In Ranawat grade-III the axis deviation is more than 20°. All the medial stabilizing elements are typically not functional so a constrained implant usually is required.The aim of this research to savvy correlation realignment mechanical tibiofemoral angle with clinical outcome on patients knee osteoarthritis valgus deformity performed TKA with non-constrained imlpant. Methods : This research is an analytics observational with cross sectional that group patients knee osteoarthritis valgus devormity underwent total knee arthroplasty and performed correlation realignment tibiofemoral angle as well as clinical outome. This research with total sampling method on patients knee osteoarthritis valgus deformity Kellgren-Lawrence grade III–IV, have radiological knee x-ray and  lower extremity scanogram underwent TKA one side by orthopaedic surgeon sub adult reconstruction at Prof. Dr. R. Soeharso orthopaedic hospital Surakarta on periode January 2019 until  Desember 2019. Evaluation has performed to pain scale used Visual Analog Scale (VAS) score, clinical outcome with Knee Society Score (KSS), realigment mechanical tibiofemoral angle before and after TKA. Data were analyzed using t-test and correlation test with SPSS version 16.Results : Analyzed 28 (male 6, female 22) patients with a mean age 65,75 years, which divided into three group Ranawat grade I was 14 patients, grade II was 9 patients and III was 5 patients. They were evaluated by VAS score, KSS score, mechanical tibiofemoral angle before and after TKA. Evaluated for VAS score, KSS objective and functional, mechanical tibiofemoral angle have significant result (P  0,05). There was also significantly correlation between improvement mechanical tibiofemoral angle with KSS knee score based value (P  0,05)Conclusion : In this study we found that TKA with non-constrained implant on knee osteoarthrits valgus deformity provides significant result in reducing pain scale and increased clinical outome.
Simultaneous Femoral Osteotomy and Primary Total Knee Arthroplasty in Patient with Severe Extra-articular Deformity : A Case Report Febrian Brahmana
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 | DOI: 10.46355/hipknee.v3i2.125

Abstract

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.
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 Muhammad Riyadli
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 (581.725 KB) | DOI: 10.46355/hipknee.v3i2.128

Abstract

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.
Golden Connection Between Stem Cells and Orthopedic Services Sholahuddin Rhatomy,MD
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 (262.721 KB) | DOI: 10.46355/hipknee.v3i2.132

Abstract

Utilization of stem cells in orthopedics has increased dramatically. Consequently, stem cells were discovered to have many roles. Some researchers have used them for regenerative medicine, while some have discovered them as a natural source of immune modulators. Currently, there are several research teams studying the translational potential of stem cells, while clinicians have begun treating patients with orthopedic problems (1).Over the past fifteen years, orthopedic surgeons have prioritized Mesenchymal Stem Cell (MCSs) treatment. Several animal experiments have had favorable results, and there is rising concern over their use in human trials. In these clinical studies, stem cell operations were intended to promote fracture healing and cure nonunion, regenerate articular cartilage in degenerated joints, repair ligament or tendon injuries, and replace degenerative spinal disks (1,2).In past research, stem cells have been used for bone tissue regeneration. Bone tissue engineering presents an alternative treatment that may produce a micromilieu with osteogenic, osteoinductive, and osteoconductive properties. In recent studies, researchers have devised methods for combining MSCs with three-dimensional biodegradable polymeric scaffolds. In addition, Udehiya et al. found that the use of hydroxyapatite scaffolds in conjunction with Bone Marrow-MSCs (BM-MSC) accelerates and enhances the healing of bone segmental defects in a rabbit model compared to the use of hydroxyapatite scaffolds alone. Muwan Chen and colleagues discovered that human BM-MSC combined with hyaluronic acid and b-Tri calcium phosphate-coated polymeric scaffold stimulated osteogenic differentiation, cellular proliferation, and reorganization of the cellular matrix in vitro (1–3).Since 2010, stem cells have undergone a paradigm shift where previously stem cells can differentiate and heal injured organs. This stem cell misunderstanding has led some practitioners in the United States and around the world to advertise the availability of stem cell treatments, e.g., MSC can heal blindness, make paralyzed people walk, and makes old tissue young again. In further studies, it was found that at the site of disease, MSCs rarely or never differentiated into tissue at that location, but they do secrete bioactive factors such as growth factors and their therapeutic effects can be analyzed as a site-specific clinical outcome parameter (2–4).
Treatment of Severe Knee Flexion Contracture After Below Knee Amputation Using Hinged Ilizarov Ring External Fixator Bagus Iman Brilianto
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 (464.561 KB) | DOI: 10.46355/hipknee.v3i2.126

Abstract

Flexion contracture of the knee is a common complication found after Below Knee Amputation (BKA). This condition is caused by muscle imbalance and prolonged stump malpositioning after BKA. Acute surgical correction of this deformity associated with high rates of complications.A 39-years-old man with chief complaint flexion contracture after BKA 3 months before. Physical examination showed flexion contracture deformity with knee range of motion at 90° to 120° with no possibility of further knee extension. This condition prevented him to use prosthesis and start walking exercises. Gradual correction of flexion deformity was performed using hinged Ilizarov ring external fixator with the rate of distraction was 1mm/day to prevent soft tissue and neurovascular complications. After 90 days of distraction, full extension of the knee joint was achieved with no complications.Gradual correction of knee flexion contracture using hinged Ilizarov device greatly reduced the complications risk of acute deformity correction with open surgery. This technique provides more advantage of minor operative trauma with a gradually controlled correction, permitting the soft tissue to regenerate, thus lowering the risk of neurovascular complications.
Mesenchymal Stem Cells Secretome and Osteoarthritis: A State of The Art Bintang Soetjahjo
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.

Page 1 of 1 | Total Record : 7