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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 7 Documents
 1 
Search results for , issue "Vol 4, No 1 (2023): February" : 7 Documents clear
Modified Two-Stage Exchange for MRSA Periprosthetic Joint Infection in Total Knee Arthroplasty – Case Report Dicky Mulyadi
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3987.058 KB) | DOI: 10.46355/hipknee.v4i1.149

Abstract

BackgroundPeriprosthetic joint infection (PJI) of the knee is a catastrophic complication that occurs in 1-2 % of patients after total knee arthroplasty. As the number of primary knee arthroplasty procedures increases, thus will the number of periprosthetic infections continues to be a major challenge with a significant financial burden and physical and psychological morbidity for patients. This report presents a case of MRSA Periprosthetic joint infection in TKA with a two-stage exchange as a treatment.Case reportA 79-year-old woman had a painful, swollen knee with a sinus tract with purulent discharge at her left knee. The KSS Knee Score was 25, and the Function Score was 15. According to the findings, the patient was diagnosed with Periprosthetic Joint Infection by the Modified MSIS criteria and underwent a two-stage revision surgery with rifampicin and ciprofloxacin antibiotic administration.DiscussionPJI is a rare complication, with more than 50% of the cases caused by gram-positive cocci, Staphylococcus coagulase-negative, and Staphylococcus aureus. The treatment of PJI must be tailored according to the patient's clinical characteristics. Prosthesis exchange in one or two stages is the first choice of procedure.ConclusionTwo-stage revision surgery for knee PJI with dual antibiotics of rifampicin and ciprofloxacin is adequate to control infection and reinfection in a one-year follow-up.
Modified Direct Anterior Approach for Total Hip Arthroplasty in an Indonesian Population with Primary Standard Instruments of Total Hip Arthroplasty: Our Experiences and Short-term Follow-up Eko Medio Septiawan; Claudia Bella Laurentia; Muslich Idris Al Mashur
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (921.477 KB) | DOI: 10.46355/hipknee.v4i1.147

Abstract

AbstractIntroduction: The direct anterior approach (DAA) for total hip arthroplasty (THA) is a very sophisticated and complicated surgery typically performed using a specialized operating room table and instruments. In our clinic, this procedure was performed with a modified incision to avoid dependence on a special operating room table and we could use ordinary THA instruments. There is an obvious absence of literature regarding this subject.Methods: A total of 31 patients (31 hips) were recruited for primary THAs from January 1, 2020 to December 31, 2021 who underwent THAs using the DAA in the supine position with modified incision. The technical feasibility and early results were evaluated.Results: The orientation of the acetabular component average cup inclination was 41.57o ±6.7o, (23o-57o) and the mean cup anteversion was 17.36o ± 5o, (11o-38o). The incidence of neutral coronal femoral stem alignment were 30 hips (97%), varus was 1 (3%), neutral sagittal alignment were 30 hips (97%), and flexion was 1 (3%). The preoperative Harris Hip Score (HHS) was 57.89 points (range: 17-68 points), whereas the postoperative HHS was 89.97 points (range: 82-100 points). There were no postoperative problems such as proximal femur fracture, hematoma, superficial wound complications, deep vein thrombosis, lateral femoral cutaneous nerve damage, heterotopic ossification, loosening of the acetabular component, loosening of the stem, dislocation, infection, or postoperative periprosthetic fracture.Conclusion: The DAA supine for THA with modified incision may be a valuable alternative in the absence of a special operating room table or special instruments for DAA. This technique also seems to provide satisfactory clinical and radiographic outcomes with acceptable complications in our early follow-up.
Economic Burden of Periprosthetic Joint Infection Dicky Mulyadi
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.075 KB) | DOI: 10.46355/hipknee.v4i1.150

Abstract

AbstractTotal knee arthroplasties (TKAs) and total hip arthroplasties (THAs) have been proven to help improving the quality of life of numerous patients and have been regarded as successful standard operations in orthopaedic surgeries. However, there is still a lingering devastating complication in the form of peri-prosthetic joint infection (PJI). This condition can be difficult to diagnose and may present at any time after arthroplasty requiring surgical intervention, often multiple times. Surgical revisions due to infection requires multiple visits and longer length of stay resulting in greater hospital costs. As the number of arthroplasty procedures increases so does the number of PJIs and therefore revisions. In 2010 there were estimated 8 136 PJI cases associated with hips and 17 781 cases associated with the knee and it is projected to grow in 2020 to be 16 584 cases for hip and 48 971 cases for knee. This also translated in the increase of estimated cost from around $785 million in 2010 to $1.62 billion in 2020.
Open reduction, acetabular and femoral head fixation of Pipkin type IV fracture in an adolescent: A case report Ismail Bastomi; Dicky Mulyadi
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (9983.761 KB) | DOI: 10.46355/hipknee.v4i1.102

Abstract

AbstractBACKGROUND Femoral head fracture is extremely rare in adolescent. There are few  studies that focus on cases treated of pipkin type IVCASE SUMMARY A 15-year-old male adolescent suffered a serious traffic accident when he was sitting on the front seat of car. Several hours after accident at the local hospital, he diagnosed as posterior dislocation of the right hip with drop foot , and treat closed reduction immobilisation with skin traction.   After first operation he transferred to another hospital.    Pelvic radiograph  computed tomography revealed a head femoral fracture and large acetabular rim fracture. This was diagnosed as a Pipkin type IV acetabular and femoral head fracture with dislocation. An open reduction Inion Freedom bioscrew fixation of head femur and 4.5 cortical screw fixation of acetabular fracture was performed via a Kocher Langenbeck approach. After 1-year follow-up, the patient could walk without aid and participate in physical activities. The X-ray results showed that the fractures healed well with no evidence of complications.CONCLUSION Open reduction, fixation both acetabular and femoral head is an available therapy to treat Pipkin type IV in adolescent 
Fight against Periprosthetic Joint Infection Krisna Yuarno Phatama; Asep Santoso; Sholahuddin Rhatomy
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.523 KB) | DOI: 10.46355/hipknee.v4i1.151

Abstract

Total Hip Replacement in Chronic Slipped Capital Femoral Epiphysis with Degenerative Joint Disease: A Case Report Berlianto Tjahjadi
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4550.73 KB) | DOI: 10.46355/hipknee.v4i1.100

Abstract

AbstractIntroductionSlipped 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.Case PresentationA 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).OutcomePostoperatively 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.ConclusionTHA 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.Keywords: Slipped capital femoral epiphysis, total hip arthroplasty
Management of Secondary Osteoarthritis with Proximal Femoral Deformity due to Previous Coxitis Hip – A case report Rizal Renaldi; Jifaldi Afrian; Mohammad Zaim Chilmi
The Hip and Knee Journal Vol 4, No 1 (2023): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6749.867 KB) | DOI: 10.46355/hipknee.v4i1.109

Abstract

IntroductionMost proximal femoral deformities encountered during hip arthroplasty are secondary to degenerative processes, previous osteotomy, or fracture and could be a challenged for surgeons. Femoral deformity may be angular, rotational, or one of bone diameter or length. Fully understanding the anatomy of the deformity is the first element in deciding how to best treat the deformity during Total Hip Arthroplasty (THA). Presentation of CaseFemale 31 years old complaint of pain on her left hip with restricted motion, with a leg length discrepancy (LLD) of 2 cm and a history of operation due to left hip infection when she was a baby. THA was performed with carefully evaluating the abductor muscle to maintain hip stability. Postoperatively the patient has an equal leg length, with less pain on the hip, a good ROM, and able to walk dependently using a cane. Slight tightness on the abductor and adductor muscle was noted postoperatively and the patient undergone physiotherapy. DiscussionMultiple important factor must be considered before considering THA in patients with proximal femoral deformity, including abductor function, osseous anatomy, hip stability and LLD. One must be careful of correction of LLD greater than 3 cm because possible effect on abductor strength, hip stability and sciatic nerve function. In this case, we demonstrated that a successful THA can be achieved despite altered anatomy due to secondary developmental changes. ConclusionIn the setting of sufficient abductor strength and bony stock amenable to implant fixation, THA is a viable option for management and careful preoperative planning helps predict prosthesis requirements and technical challenges. KeywordsOsteoarthritis, Proximal Femoral Deformities, Total Hip Arthroplasty, Abductor Muscle

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