Garuda - Garba Rujukan Digital

All

The Hip and Knee Journal

hipknee
Website

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 49 Documents

1 2 3 4 5

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)

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.

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)

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).

The profile of Hip and Knee Periprosthetic Joint Infection cases at Dr. Cipto Mangunkusumo Central National Referral Hospital Eko Prasetyo Adi Wibowo; Ismail Hadisoebroto Dilogo
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: The most troubling complication of joint replacement procedures is periprosthetic joint infection (PJI). Pathogen identification increases the likelihood of successful treatment. The data of PJI are mostly unpublished in Indonesia. In this study we aimed to investigate the characteristics of PJI of a national hospital in Indonesia. Material and methods: This research was a cross-sectional study. The inclusion criteria were patients diagnosed with PJI confirmed by examination of fluid exudate culture, sedimentation rate and C-Reactive Protein, which was accompanied by dislocation, fracture and/or loosening of the prosthetic joint and diagnosed between January 2019 to July 2020. Result: The mean age of patients who underwent revision surgery for PJI was 50.0 ± 14.69 years-old with a slightly higher proportion of men (63.6%). Of the 21 patients, some patients had a history of surgery more than once. The clinical outcome was assessed with the Harris Hip Score (HHS) and the Visual Analog Scale (VAS). The mean HHS of all hip replacement surgeries increased from 61.4 (48.15 to 68) before surgery to 82.5 (75.7 to 84) at the 12-month follow-up post last surgery (p=0.03). Likewise, the VAS value decreased from 3 (2 to 4) before surgery to 2 (1 to 2). Conclusion: Gram positive bacteria were more prevalent compared to gram negative bacteria. The difference in the microorganism spectrum could be one of several factors. This pattern should be explored in the future by adding more samples to the study. Overall, the clinical outcome was better in both total hip and knee arthroplasty patients, measured by the Harris hip score, visual analog scale, and the knee society score

LATERAL MENISCUS TEARS IN ACL INJURED KNEE Sachin Tapasvi
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Anterior cruciate ligament (ACL) tears can be associated with injuries to the lateral meniscus (LM) in about 20-30% cases. The lateral meniscus is more mobile than the medial and besides contributing to load transmission, it also stabilizes the knee in pivot-shift testing. The LM tears more often in the acute setting and its incidence does not rise in cases of chronic ACL instability. Lateral meniscus tears can be minor or major depending how severely the knee function gets impaired. Major tears are the complete radial tears, longitudinal bucket handle tears and posterior root tears. Male gender, high body mass index and contact injury mechanism are all risk factors for an LM tear. Anatomic factors which can contribute to LM tears include a high posterior tibial slope, varus malalignment and greater asymmetry between medial and lateral slopes. The lateral meniscus must be saved and repaired whenever possible to prevent residual knee instability and progressive lateral compartment arthritis, which can set in soon after a meniscectomy. The development of techniques and technology have rendered most tears amenable to repair. Longitudinal tears can be repaired by the all-inside or inside-out technique and the needles and devices must be inserted through a high anteromedial or transpatellar portal to prevent injury to the popliteal neurovascular structures. A lateral safety incision must always be used for inside-out repairs. Radial tears can be repaired by two horizontal sutures, a cross stich, a cross-tag or a hash-tag suture configuration. Lateral meniscus posterior root repairs are repaired by transtibial technique, either by drilling an independent anatomic tunnel or the sutures pulled out via the ACL tibial tunnel. The lateral meniscus has high healing rates and repairs yield improvement in functional outcome, beside delaying radiographic arthritis.

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)

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.

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)

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.

Functional and Radiological Outcome of Revision Total Hip Arthroplasty in the Indonesian National Referral Hospital Immanuel Panca Sitorus; Ismail Hadisoebroto Dilogo
The Hip and Knee Journal Vol 3, No 1 (2022): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: Revision total hip arthroplasty (rTHA) rate has increased until 12-20% in the past few decades, despite the 95% success rate of THA approach in 10 years and 80% in 20 years. The most common causes of rTHA are dislocation, periprosthetic fracture, aseptic loosening, and periprosthetic joint infection. This study is aimed to describe the outcome of rTHA in Indonesia where there are limited types of revision implant and funding. Material and Methods: An analytic cross-sectional study was conducted on 31 rTHA in the Indonesian national referral hospital from January 2014 to December 2019. Data on the causes of rTHA was extracted. All subjects met the criteria underwent examination for functional outcome (Harris hip score) and radiological outcome (Harris or Engh criteria). All complications and outcomes after rTHA were identified. Results: Sixteen subjects met the criteria with the mean age of 48.13 (18.74). The most common causes of rTHA were dislocation, aseptic loosening, and perirosthetic joint infection (five cases each, 31.25%). The Harris hip score after complete rTHA was 79.42 (SD 6.14, range 70.50 – 91) with the mean follow up of 29.50 (SD 16.88, range 7 – 70 months). Only one possible loosening was identified in hybrid prosthesis (femoral component) from radiological exam. Three complications were observed, i.e. drop foot, recurrent dislocation, and extension knee contracture. Conclusion: Revision THA produces fair to good results in terms of functional outcome and no loosening in radiological exam. Revision THA is still a reliable technique to manage complications of THA.

The impact of the COVID-19 pandemic on hip and knee arthroplasty: A systematic review Krisna Yuarno Phatama; I Gusti Ngurah Arga Aldrian Oktafandi; Felix Cendikiawan; Edi Mustamsir
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Background: In order to ameliorate the burden the coronavirus disease 2019 (COVID-19) pandemic had on the medical resources, and to ensure the safety of orthopaedic patients and medical personnel, some hip and knee arthroplasties, as forms of elective surgeries, were suggested to be canceled or postponed. This review aims to analyze the available literature on the impact of COVID-19 pandemic on all areas surrounding hip and knee arthroplasty service. Materials and Methods: A systematic literature search was conducted in five databases from July 5th to 10th, 2020. We included studies that assessed any impacts the COVID-19 pandemic had on the patients who require hip or knee arthroplasty, hip and knee surgeons, and any other areas that are related to hip and knee arthroplasty service. We excluded studies that do not report complete clinical results, reviews, editorials, and letters.Results: After the screening, a total of nine articles were selected. Two studies evaluated the impact of COVID-19 on the hip and knee arthroplasty patients, one study on public interest in hip and knee arthroplasty, three studies on the hip and knee arthroplasty surgeons, two studies on surgical volume, and one study on industry partners. Of 360 surveyed patients, 60% felt anxious about the uncertainty of the rescheduled arthroplasty. Of 1770 surveyed surgeons, 61.9%, 54.7%, and 20.9% of them reported canceled elective inpatient procedures, outpatient procedures, and all types of surgeries, respectively.Conclusions: COVID-19 pandemic had some impacts on the patients, public interest, surgeons, industry partners, and hip and knee arthroplasty volume.

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)

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

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)

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.

Page 4 of 5 | Total Record : 49

1 2 3 4 5

Filter by Year

2020 2023

Filter By Issues

All Issue Vol 4, No 2 (2023): August Vol 4, No 1 (2023): February Vol 3, No 2 (2022): August Vol 3, No 1 (2022): February Vol 2, No 2 (2021): August Vol 2, No 1 (2021): February Vol 1, No 1 (2020): August

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

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

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

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

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

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