Jurnal Orthopaedi dan Traumatologi Indonesia最新文献

{"title":"Coccygeal excision for treatment of coccyx instability","authors":"Adisa Yusuf Reksoprodjo, Ifran Saleh","doi":"10.31282/JOTI.V1N1.22","DOIUrl":"https://doi.org/10.31282/JOTI.V1N1.22","url":null,"abstract":"Introduction: Coccygeal excision or coccygectomy is a rare procedure for the treatment of coccygodynia. Coccygeal pain or coccygodynia, often successfully treated with conservative treatment, including steroid injection. In coccyx instability with persistent pain after failed with conservative and injection treatment, surgery is needed to remove the unstable tail bone segment. Methods: We present one case of persistent coccygeal pain in a twenty-five year old male. The patient had a history of trauma on the buttock 12 years ago, which is getting worse for the last one-year period. The patient has already undergone conservative treatment, including two episodes of steroid injection, but the pain still persists. From the lateral plain X-ray, it was found displacement on coccyx segment. Failed in conservative treatment leads to coccygeal excision. The surgical procedure was done in prone knee-chest position, and intraoperatively assessed the tailbone stability with image intensifier. Partial coccygectomy was done to this patient. Results: One month follow up showed painless tailbone, no surgical site infection, and no other complications. Conclusion: We conclude that coccygeal excision is a good treatment of choice for coccygodynia due to coccyx instability. ABSTRAK Pendahuluan: Eksisi tulang ekor atau coccygectomy merupakan prosedur yang jarang dilakukan pada nyeri tulang ekor. Nyeri tulang ekor sering kali teratasi dengan terapi konservatif dan injeksi steroid. Namun, pada kasus ketidakstabilan tulang ekor dengan nyeri yang persisten, dibutuhkan tindakan pembedahan, yakni eksisi segmen tulang ekor yang tidak stabil. Metode: Kami membawakan satu kasus nyeri tulang ekor yang persisten pada laki-laki usia dua puluh lima tahun. Pasien memiliki riwayat trauma pada tulang ekor 12 tahun yang lalu, dan nyeri memburuk sejak 1 tahun terakhir. Pasien telah menjalani terapi konservatif serta injeksi steroid sebanyak dua episode suntikan, namun nyeri kambuh kembali. Pada X-ray lateral, ditemukan pergeseran pada segmen coccyx. Oleh karena mengalami kegagalan dalam terapi konservatif, diputuskan untuk dilakukan eksisi tulang ekor. Eksisi tulang ekor dilakukan dalam posisi knee-chest tengkurap, dan intra operatif dilakukan penilaian kestabilan tulang ekor dengan menggunakan image intensifier. Pada pasien ini dilakukan partial coccygectomy. Hasil: Pada follow-up, nyeri pada tulang ekor hilang, tidak terdapat infeksi pada luka operasi, serta bebas komplikasi lain. Kesimpulan: Kami menyimpulkan coccygectomy sebagai pilihan tata laksana yang baik bagi coccygodynia yang disebabkan ketidakstabilan tulang ekor.","PeriodicalId":252168,"journal":{"name":"Jurnal Orthopaedi dan Traumatologi Indonesia","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115304673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomolecular changes on mice caput femur after human recombinant erythropoietin administration","authors":"Ketut Suyasa, Thomas Keller, Jamal Saleh, Lu-yong Jiang, Xiao Yu, Qing-jiang Pang","doi":"10.31282/joti.v1n1.23","DOIUrl":"https://doi.org/10.31282/joti.v1n1.23","url":null,"abstract":"","PeriodicalId":252168,"journal":{"name":"Jurnal Orthopaedi dan Traumatologi Indonesia","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132197891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative between standard dynamic hip screw and cemented bipolar arthroplasty in trochanteric fracture of femur in elderly patient","authors":"H. Yurianto, I. Paturusi, H. Yurianto, M. Sakti, S. Supriyadi","doi":"10.31282/JOTI.V1N1.24","DOIUrl":"https://doi.org/10.31282/JOTI.V1N1.24","url":null,"abstract":"Introduction: Unstable intertrochanteric fracture in elderly is a very disturbing condition for patients. This research is aimed to compare the clinical functional results between the standard dynamic hip screw (DHS) and the cemented bipolar arthroplasty in elderly patients with unstable femur intertrochanteric facture. Unstable femur intertrochanteric facture in elderly patients represented the very disturbing condition in the patients’ health history. Methods: This research was conducted in January to February 2016. The patients’ medical data were the secondary data, and the interview results were the primary data. This was an analytic cross-sectional study. The data were analyzed by cross tabulation, Chi-square test, and Mann-Whitney U-test. Out of 38 samples, 21 samples are of DHS, and 17 samples are of cemented bipolar arthroplasty. Results: In the clinical functional data based on Wilson and Salvati’s score system, there was no significant difference between both groups (p>0.05). There was no difference in the score of walking and its function (p>0.05). The time-toweight-bearing was significantly different in the DHS and the bipolar groups with p value of < 0.001. DHS treatment gave better and more significant pain score of the muscular strength and motion than the group with bipolar treatment. Conclusion: There is no significant difference in clinical function results based on the Salvati and Wilson’s score between DHS and Cemented Bipolar Arthroplasty in both groups. ABSTRAK Pendahuluan: Fraktur intertrokanter yang tidak stabil pada lansia merupakan kondisi yang sangat mengganggu bagi pasien. Penelitian ini bertujuan untuk membandingkan hasil fungsional klinis antara Dynamic Hip Screw (DHS) dan artroplasti bipolar dengan semen pada pasien usia lanjut dengan faktor intertrokanter femur yang tidak stabil. Faktor intertrokanter femur yang tidak stabil pada pasien lanjut usia merupakan kondisi yang sangat mengganggu dalam riwayat kesehatan pasien. Metode: Penelitian ini dilakukan dari Januari hingga Februari 2016. Data medis pasien adalah data sekunder, dan hasil wawancara sebagai data primer. Studi ini merupakan analisis cross-sectional. Data dianalisis dengan tabulasi silang, uji Chi-square, Mann-Whitney U-test. Dari 38 sampel, 21 sampel ditangani dengan DHS, dan 17 sampel ditangani dengan artroplasti bipolar dengan semen. Hasil: Penilaian fungsional klinis menggunakan sistem skor Wilson dan Salvati tidak menunjukkan perbedaan signifikan antara kedua kelompok (p>0,05). Tidak ada perbedaan pada skor berjalan dan fungsinya (p> 0,05). Waktu untuk menopang berat badan berbeda secara signifikan pada kelompok DHS dan bipolar dengan nilai p <0,001. Kelompok DHS memiliki skor nyeri yang lebih baik dan kekuatan serta gerakan otot yang signifikan dibanding kelompok dengan pengobatan bipolar. Kesimpulan: Tidak ada perbedaan signifikan dari hasil fungsi klinis berdasarkan skor Salvati dan Wilson antara DHS dan artroplasti bipolar dengan semen pada kedu","PeriodicalId":252168,"journal":{"name":"Jurnal Orthopaedi dan Traumatologi Indonesia","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117043703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}