Publikasi Scopus 926 artikel (Per 14 Maret 2022)

Kurniawan A., Wijaya T., Hutami W.D.
57204398223;57222656233;57219938996;
Spontaneous healing of a traumatic critical radius bone defect in adolescent: A rare case report
2021
International Journal of Surgery Case Reports
81
105806
Department of Orthopaedics and Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia
Kurniawan, A., Department of Orthopaedics and Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia; Wijaya, T., Department of Orthopaedics and Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia; Hutami, W.D., Department of Orthopaedics and Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Jakarta Pusat, Jakarta, 10430, Indonesia
Introduction and importance: Fracture with a critical bone loss is associated with a profound burden of disease impact. Although there are several options exist for its treatment, but still those reconstructive procedures are technically demanding, relatively expensive and sometimes the result is less than what was expected. The objective of this study is to report a rare case of spontaneous healing of a critical radial bone defect in an adolescent. Case presentation: We reported a 15 year old boy with a segmental open fracture of left radius, open fracture of left distal shaft ulna and closed fracture of left intercondylar humerus. The middle fragment of a fractured radius was extruded out, pulled out and then thrown away by his parent. Debridement, open reduction, and internal fixation for ulna were performed as well as reposition and internal fixation for the intercondylar humerus fracture. The plan was to wait until the ulnar fracture and intercondylar fracture to heal without any sign of infection and proceed to overcome the radial critical bone defect. This case report had been reported in line with SCARE criteria. The patient showed up seven months later with solid union of the critical radius bone defect and fully functioning hand with only slight limitation in pronation. Clinical discussion: Osteogenesis in fracture requires osteogenic cells, osteoinductive components, osteoconductive scaffold, and stability. Despite the fact that critical bone defect poses great challenge for its management, intact periosteum and sufficient soft tissue perfusion were able to provide those biologic requirements adequately for fracture healing and ensure spontaneous healing of a traumatic critical bone loss in adolescent without any reconstructive procedure. Conclusion: Spontaneous healing in critical bone defect is possible, provided all the favorable factors present to support this phenomenon. © 2021 The Authors
Adolescent bone defect; Case report; Critical bone defect; Rare case; Spontaneous healing
antibiotic agent; adolescent; arm swelling; Article; bone defect; case report; clinical article; debridement; distal humerus; distal radius; elbow; emergency care; falling; follow up; forearm; fracture healing; hand function; hospital admission; human; humerus fracture; male; medical history; metaphysis; open fracture; open fracture reduction; osteolysis; osteosynthesis; outcome assessment; outpatient department; periosteum; physical examination; priority journal; pronation; radial critical bone defect; radius fracture; radius shaft fracture; range of motion; reconstructive surgery; soft tissue; treatment planning; tree; ulna fracture; wound care; wound healing
Elsevier Ltd
22102612
Article
Q3
232
17549