No records
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543 |
Harun J., Akbar D.L. |
57222088137;57219271823; |
The management of neglected spondylitis tuberculosis with dislocated C1 and C2 odontoid destruction: A case report |
2021 |
International Journal of Surgery Case Reports |
80 |
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105606 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101419349&doi=10.1016%2fj.ijscr.2021.01.100&partnerID=40&md5=72a992cd28af156e0515ea5e37de0ef9 |
Department of Orthopaedic and Traumatology, Indonesia Army Central Hospital, Indonesia; Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Indonesia |
Harun, J., Department of Orthopaedic and Traumatology, Indonesia Army Central Hospital, Indonesia; Akbar, D.L., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Indonesia |
Introduction and importance: Spinal tuberculosis was the most common TB infection in human body. Musculoskeletal tuberculosis (TB) mostly affected lower thoracal or upper lumbar spine. However, TB infection can also occurs along vertebral spine. We reported a rare case about TB infection in cervical spine. We provided the clinical manifestation and therapeutic method for the patient. Cervical TB infection is a very rare case. Especially, when it involves in C1 and C2 like we provided on this case. Case presentation: A 24 years-old male came to the orthopaedic clinic with neck pain that aggravated by neck movement. He previously diagnosed with TB infection on his lung within 3 months. We performed x-ray data to determine the source of neck pain. Examination revealed anterior collapse of C1, destruction of odontoid process, and soft tissue swelling. We also performed MRI cervical to assess the destruction of anterior corpus C1. Clinical discussion: We decided to operate the patient with reposition and posterior stabilization of C1 using occipital plate from posterior approach and added some synthetic bone graft. The medical treatment is anti-tuberculosis drugs, usually conducted conservatively in mild-to-moderate cases. But, if there is deterioration in neurological deficit or persisting deficit with spinal cord compression, such as C1 and C2 involvement, surgery can be considered. There are two types of surgery; posterior fixation and fusion and anterior release and posterior stabilization. Conclusion: TB musculoskeletal infection must be evaluated regularly to consider the perfect time for additional surgical treatment. The good decision to operate the moderate to severe case could improve the patient's functional outcome. © 2021 |
Cervical spine; Neck pain; Posterior stabilization; Spinal tuberculosis; Spondylitis TB |
povidone iodine; streptomycin; tuberculostatic agent; adult; antibiotic therapy; Article; case report; clinical article; human; laminectomy; male; neck pain; neglected disease; nuclear magnetic resonance imaging; odontoid process; priority journal; spinal cord decompression; spine stabilization; tuberculous spondylitis; X ray; young adult |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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544 |
Dilogo I.H., Prabowo I. |
56161962800;57221098612; |
The role of angioembolization and C-clamp fixation: Damaged control orthopaedic in haemodynamically unstable pelvic fracture |
2021 |
Annals of Medicine and Surgery |
63 |
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102157 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101301928&doi=10.1016%2fj.amsu.2021.02.003&partnerID=40&md5=67b060a519b64a2c9d49653397546350 |
Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Resident of Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Dilogo, I.H., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Prabowo, I., Resident of Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction: Unstable pelvic fracture may emerge to major bleeding complication. Angioembolization is one of method to stop the bleeding effectively. This case series aims to analyze whether the bleeding of unstable pelvic fracture is managed by angioembolization to achieve the better functional outcome. Presentation of case: Three cases of haemodynamically unstable pelvic fracture were studied retrospectively and prospectively. A staged approach using damage control orthopaedic surgery was performed. Initial resuscitation began from fluid resuscitation, pelvic wrapping using binder. All patients followed with pelvic external fixation, while 2 patients immediately replaced binder to C-Clamp, and 1 patient with anterior frame. Angioembolization was done to all patients. All patients required definitive internal fixation, while only 2 patients reach the definitive surgery. Finally, we measured the functional outcome of all patients using Hannover Pelvic score, Majeed pelvic score, and Iowa Pelvic score. Discussion: We review some literatures regarding pelvic angioembolization. The previous study suggested to resuscitate patients when the hemodynamic is unstable, the angioembolization procedure is still preferred. The indication and successful definition of this procedure is still unclear, yet it shows decrease of mortality rate of pelvic injury if this procedure starts ahead a schedule. Conclusion: Angioembolization as a part of damaged control orthopaedic has been shown a favorable result in managing unstable pelvic injury. © 2021 The Authors |
Angiographic embolization; Pelvic fracture; Pelvic injury |
D dimer; fibrinogen; adult; Article; artificial embolization; blood cell count; body temperature; breathing rate; case report; clinical article; female; fluid resuscitation; fracture; fracture external fixation; fracture fixation; Glasgow coma scale; heart rate; hemodynamics; hospitalization; human; lactate blood level; male; multiple trauma; orthopedics; pelvis fracture; resuscitation; systolic blood pressure; treatment response |
Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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545 |
Librianto D., Saputra R., Djaja Y.P., Phedy P., Fachrisal, Saleh I. |
57192894799;57222027710;57191042059;57190427771;57210265362;57191511801; |
Preoperative skull tongs-femoral traction versus cotrel longitudinal traction for rigid and severe scoliosis: Cohort study |
2021 |
Annals of Medicine and Surgery |
63 |
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102177 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101045625&doi=10.1016%2fj.amsu.2021.02.023&partnerID=40&md5=3832baf23c70f5495e6f6c6880d960fa |
Department of Orthopedic & Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Department of Orthopaedic & Traumatology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia |
Librianto, D., Department of Orthopedic & Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Saputra, R., Department of Orthopaedic & Traumatology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia; Djaja, Y.P., Department of Orthopedic & Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Phedy, P., Department of Orthopedic & Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Fachrisal, Department of Orthopedic & Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Saleh, I., Department of Orthopaedic & Traumatology, Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia |
Background: To compare two methods of preoperative traction (Cotrel traction exercises and skull tongs femoral traction) in severe scoliosis treatment. Methods: We collected retrospective data of severe (>80°) and rigid scoliosis patients who underwent preoperative traction before correction surgery from 2016 to 2018. The first group consisted of patients who underwent Cotrel traction exercises and second group underwent continuous-progressively increasing Skull Tongs Femoral Traction (STFT) traction. Posterior fusion was performed in all patients. Intraoperative parameters (blood loss, operation time and level instrumented) and radiologic change (initial, post-traction and postoperative Cobb Angle) was evaluated and analyzed. Results: Thirty consecutive case of severe and rigid scoliosis were included (15 in each group). Despite Cotrel group having larger initial Cobb angle, the amount of post traction correction was statistically similar in both groups (16.4° and 11.8°, in STFT and Cotrel group respectively). Mean traction duration was 14.0 days for Cotrel group and 12 days for STFT. There were also no significant differences in postoperative curve correction rate between two groups, although STFT group had a slightly higher correction rate (69.3° vs 55.0°). No major/neurologic complication were found in our series. Conclusions: Both preoperative traction methods were found safe and beneficial to reduce preoperative curve degree before definitive scoliosis correction surgery. Although, no statistical difference were found between two methods, STFT may provide better correction rate. Level of evidence: 3. © 2021 |
Cotrel traction; Preoperative traction; Scoliosis; Severe scoliosis; Skull tong femoral traction |
adolescent; adult; Article; body mass; case report; child; clinical article; clinical trial; Cobb angle; cohort analysis; comparative study; cotrel longitudinal traction; exercise; female; flexibility index; follow up; human; major compensatory coronal curve magnitude; major coronal curve magnitude; major sagittal curve magnitude; male; operation duration; operative blood loss; osteomyelitis; physical parameters; retrospective study; scoliosis; skull tongs femoral traction; spine radiography; traction therapy; young adult |
Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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556 |
Ariestine D.A., Sari N.K., Rinaldi I., Abdullah M. |
57219412521;57209884078;23475122400;7103393434; |
Quality of life in older survivors of non-Hodgkin's lymphoma who received chemotherapy and related factors |
2021 |
Journal of Geriatric Oncology |
12 |
2 |
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326 |
331 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85092628404&doi=10.1016%2fj.jgo.2020.09.002&partnerID=40&md5=92d66bbff89e86b5c41bc8d40476f78e |
Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia; Division of Geriatric Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia; National Cancer Center-Dharmais Cancer Hospital, Jakarta, Indonesia; Division of Hemato-oncolocy, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia; Division of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia |
Ariestine, D.A., Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia, Division of Geriatric Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia; Sari, N.K., Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia, National Cancer Center-Dharmais Cancer Hospital, Jakarta, Indonesia; Rinaldi, I., Division of Hemato-oncolocy, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia; Abdullah, M., Division of Gastroenterohepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, dr. Cipto Mangunkusumo Hospital, Indonesia |
Introduction: Cancer and its treatment have a broad impact on patients' Quality of Life (QoL). Previous researches showed that many factors in Comprehensive Geriatric Assessment (CGA) affect QoL. CGA could predict toxicity, overall survival rate and can help adjust the choice and intensity of treatment in each patient. However, there has been no research explicitly exploring factors related to the QoL in older patients with Non-Hodgkin's Lymphoma (NHL). This research aims to explore the how factors in CGA relate to the QoL in older patients with NHL. Materials and Method: The study design was cross-sectional in NHL patients aged ≥ 60 years, research was conducted in Integrated Geriatric Polyclinic and Hemato-Oncology Polyclinic of three public hospitals in Jakarta, during March–August 2019. Results: There were 62 subjects, with a median age of 66 years, 56.5% male. The result showed that most of the patients have a good QoL, based on each domain of SF-36 and EORTC QLQ-C30. In multivariate analysis, it was found that depression and frailty status were related to PCS SF-36 domain with PR 12.086 (95% CI 1.596–92.124) and PR 5.622 (95% CI 1.060–29.807), respectively. Multivariate analysis with SF-36's Mental Component Summary (MCS) showed a significant relationship with depression status with PR 24.400 (95% CI 2.961–140.539). While the results of multivariate analysis with the EORTC QLQ-C30 functional scale showed a significant relationship with the ECOG performance score with PR 171 (95% CI 8.470–3452.28). Discussions: After multivariate analysis, only frailty status, depression status and ECOG performance score have a statistically significant relationship. © 2020 Elsevier Ltd |
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antineoplastic agent; cyclophosphamide plus doxorubicin plus prednisolone plus rituximab plus vincristine; Abbreviated Mental Test; adult; aged; Barthel index; Barthel Index Activities of Daily Living; body mass; cancer chemotherapy; cancer survivor; clinical evaluation; comorbidity; controlled study; cross-sectional study; Cumulative Illness Rating for Geriatrics; Cumulative Illness Rating Scale; demography; diffuse large B cell lymphoma; ECOG Performance Status; European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30; female; geriatric assessment; Geriatric Depression Scale; human; Indonesia; Karnofsky Performance Status; Lawton instrumental activities of daily living scale; Letter; major clinical study; male; mental test; middle aged; Mini Nutrit |
Elsevier Ltd |
18794068 |
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33008767 |
Letter |
Q2 |
1032 |
4192 |
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576 |
Elvira S.D., Lamuri A., Lukman P.R., Malik K., Shatri H., Abdullah M. |
57192888533;57222088387;55981460300;57204114533;28767986500;7103393434; |
Psychological distress among Greater Jakarta area residents during the COVID-19 pandemic and community containment |
2021 |
Heliyon |
7 |
2 |
e06289 |
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2 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101376515&doi=10.1016%2fj.heliyon.2021.e06289&partnerID=40&md5=f6aaf6a6409201040c1d9b4f477052ca |
Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Indonesia; Indonesia Medical Education and Research Institute, Indonesia; Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Indonesia |
Elvira, S.D., Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Indonesia; Lamuri, A., Indonesia Medical Education and Research Institute, Indonesia; Lukman, P.R., Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Indonesia; Malik, K., Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Indonesia; Shatri, H., Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Indonesia; Abdullah, M., Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Indonesia |
Community quarantine; COVID-19; DASS-21; Psychological distress © 2021 The AuthorsIntroduction: Coronavirus disease 2019 (COVID-19) is an emerging pandemic affecting the global population. Community-based quarantine can slow down the pandemic growth while adversely affecting population-wide psychological well-being. Affected psychological well-being could potentially influence population compliance in following stipulated community quarantine procedures. Aim: The aim was to quantify psychological distress among Greater Jakarta area residents during the community containment period. Objectives: The objective was to measure depression, anxiety, and stress levels using the Indonesian version of the DASS-21. Demographic data on sex, education strata, and working/productive-age group were also collected. Methods: This cross-sectional observational analytic study employed an online questionnaire involving participants acquired through snowball sampling. The questionnaire comprises two parts: demographic data and psychological distress indicators. Linear regression evaluated psychological distress as a response variable. Results: Among 1,205 women and 824 men, our findings suggested male sex, age in the range of 15-24 years, and having a bachelor's degree or professional qualification have a strong association with psychological distress. Conclusion: By addressing the population at risk, policymakers can identify better countermeasures for preventing psychological distress. © 2021 The Authors |
Community quarantine; COVID-19; DASS-21; Psychological distress |
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Elsevier Ltd |
24058440 |
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Article |
Q1 |
455 |
10919 |
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580 |
Tobing S.D.A., Fachrisal, Junaidi M.A. |
57192893142;57210265362;57218416973; |
Clinical and radiological outcome analysis among patients with spondylitis tuberculosis of the lumbar vertebrae after correction and posterior instrumentation in cipto mangunkusumo and Fatmawati Hospital in 2018–2020: A cross sectional study |
2021 |
Annals of Medicine and Surgery |
62 |
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463 |
468 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85100317183&doi=10.1016%2fj.amsu.2021.01.074&partnerID=40&md5=22fe0ba7d0e6ced7481d5f851558d39b |
Department of Orthopaedics and Traumatology, Faculty of Medicine-Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Department of Orthopaedics and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia |
Tobing, S.D.A., Department of Orthopaedics and Traumatology, Faculty of Medicine-Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Fachrisal, Department of Orthopaedics and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia; Junaidi, M.A., Department of Orthopaedics and Traumatology, Faculty of Medicine-Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Introduction: Spondylitis tuberculosis can cause changes in spinopelvic parameters including pelvic incidence, pelvic tilt, and sacral slope due to biomechanical changes of the spine. Posterior instrumentation is one of the modality for the treatment of spondylitis tuberculosis. However, in Indonesia, clinical and radiological outcomes after posterior instrumentation in tuberculosis of lumbar vertebrae are still rare. This study aims to investigate the clinical and radiological outcomes of patients with spondylitis tuberculosis of the lumbar vertebrae after posterior instrumentation. Method: This study was a cross-sectional study in patients with spondylitis tuberculosis of the lumbar vertebrae who underwent posterior instrumentation in Cipto Mangunsukumo and Fatmawati Hospital. Subjects were collected through consecutive sampling. 23 subjects were collected and analyzed. Clinical and radiological outcomes before and after posterior instrumentation were compared. The clinical outcome included the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI). The radiological outcome included sacral slope, pelvic tilt, pelvic incidence, and lumbar lordosis. Results: The median age of the subjects was 31 (9–57) years with a female-majority (60,9%). The median of the total vertebral infected was 2 (1–4). Median of VAS score before surgery, 6 months after surgery, and 12 months after surgery were 9 (4–10), 4 (1–7), dan 2 (1–6) (p < 0,001) consecutively. Median of ODI score before surgery, 6 months after surgery, and 12 months after surgery were 70 (40–86), 34 (10–74), dan 12 (2–74) (p < 0,001) consecutively. There was no significant difference in spinopelvic parameters before and after the surgery. The difference of ODI score before and after the surgery inversely correlated with the difference of lumbar lordotic and sacral slope. Conclusion: Posterior instrumentation could improve clinical outcomes in patients with spondylitis tuberculosis of the lumbar. Change of lumbar lordotic and sacral slope after posterior instrumentation led to an improvement of quality of life marked by the reduction of the ODI score. © 2021 The Authors |
ODI; Posterior instrumentation; Spinopelvic parameter; Spondylitis tuberculosis; VAS |
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Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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581 |
Nugroho S.W., Perkasa S.A.H., Gunawan K., Manuhutu Y.N., Rahman M.A., Rizky A. |
57460519700;57204105609;57195935319;57221807460;57221807438;57221806899; |
Predicting outcome of hemifacial spasm after microvascular decompression with intraoperative monitoring: A systematic review |
2021 |
Heliyon |
7 |
2 |
e06115 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85100277933&doi=10.1016%2fj.heliyon.2021.e06115&partnerID=40&md5=b7d2f2e7bfd453c5d93d9b6eb24a6a19 |
Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia |
Nugroho, S.W., Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia; Perkasa, S.A.H., Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia; Gunawan, K., Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia; Manuhutu, Y.N., Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia; Rahman, M.A., Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia; Rizky, A., Neurofunctional Division, Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Indonesia |
Hemifacial spasm, Microvascular decompression, Intraoperative monitoring, Lateral spread response, Abnormal muscle response. © 2021 The AuthorsBackground: Microvascular decompression has been established as a primary treatment for hemifacial spasm. Intraoperative monitoring is used during the surgery to guide neurosurgeons to determine whether the decompression of facial nerve from the vessel is sufficient. We performed a systematic review to assess the role of lateral spread response (LSR) monitoring in predicting hemifacial spasm outcomes after microvascular decompression. Method: A systematic search of PubMed, ScienceDirect, Cochrane, and Google Scholar was conducted. We included studies that performed microvascular decompression surgery with intraoperative monitoring analyzing the correlation between lateral spread response and spasm relief. A critical appraisal was conducted for selected studies. Result: Twenty-two studies comprising 6404 cases of hemifacial spasm, which underwent microvascular decompression surgery with intraoperative monitoring, were included. Of 15 articles that assessed symptoms shortly after surgery, 12 studies showed a significant correlation between lateral spread response resolution and disappearance of spasm. Four of six studies that evaluated the outcome at 3-month follow-up showed significant relationship between LSR and outcome, so did five of six articles that assessed spasm relief at 6-month follow-up. As much as 62.5% of studies (10 of 16) showed the result at long-term follow-up (≥1-year) was not significant. Conclusion: Intraoperative monitoring during microvascular decompression surgery can be a useful tool to predict hemifacial spasm resolution. Though long-term outcomes of patients with LSR relief and persistence are similar, resolution of symptoms shortly after surgery will provide comfort to patients thereby improving their quality of life. © 2021 The Authors |
Abnormal muscle response; Hemifacial spasm; Intraoperative monitoring; Lateral spread response; Microvascular decompression |
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Elsevier Ltd |
24058440 |
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Review |
Q1 |
455 |
10919 |
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583 |
Solichin I., Martika W., Wikanjaya R. |
57202813479;57221741247;57211909508; |
Giant cell tumor of distal ulna treated using en-bloc resection combined with extensor carpi ulnaris and flexor carpi ulnaris tendon stabilization: A case report |
2021 |
International Journal of Surgery Case Reports |
79 |
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362 |
367 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85100064170&doi=10.1016%2fj.ijscr.2021.01.065&partnerID=40&md5=ece16a895e1dc0497c6813f32864cdda |
Department of Orthopaedics and Traumatology, Purwokerto Orthopaedics Hospital, Purwokerto, Central Java, Indonesia; Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo National Central General Hospital – Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Solichin, I., Department of Orthopaedics and Traumatology, Purwokerto Orthopaedics Hospital, Purwokerto, Central Java, Indonesia; Martika, W., Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo National Central General Hospital – Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Wikanjaya, R., Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo National Central General Hospital – Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia |
Introduction: Giant Cell Tumor (GCT) is a form of bone tumor which is rare, benign, and locally invasive. To date, there have not been many case reports regarding cases of GCTs on the distal ulna which made the optimum strategy in management remain controversial. In some reported cases, the patient was treated with wide excision followed by reconstructive procedure resulting in ulnar translation of the carpal bones and dynamic convergence of the ulna towards the radius. Presentation of case: We documented a case of 29-year-old male with distal ulna GCT, treated with en-bloc resection combined with extensor carpi ulnaris and flexor carpi ulnaris tendon stabilization. The key objectives of GCT treatments are to avoid local recurrence with sufficient resection and to maintain the function of the limbs. Specific treatment options have been suggested for en-bloc resection with or without the need for ulnar reconstruction or stabilization, even prothesis. In this case, we excised the distal portion of the ulna with some soft tissue procedure for added stability. Clinical discussion: Three weeks after the surgery, the patient was able to perform wrist flexion and extension, fingers abduction, adduction, and opposition with slight limitation. The DASH and PRWE score had improved gradually within 3 weeks and 6 months after the surgery. Conclusion: In the subsequent evaluation after six months of the surgery, the patient achieved full restoration of forearm function without any limitation. © 2021 The Authors |
Distal ulna; En-bloc resection; GCT; Giant cell tumor of bone |
liquid nitrogen; methacrylic acid methyl ester; phenol; poly(methyl methacrylate); abduction; adduction; adult; arm swelling; Article; bone remodeling; bone transplantation; cancer size; cancer surgery; case report; clinical article; cryotherapy; curettage; Disabilities of the Arm, Shoulder and Hand (score); disability severity; distal ulna; en bloc resection; histopathology; human; human cell; human tissue; joint limitation; male; massage; nuclear magnetic resonance imaging; orthopedic surgery; osteoclastoma; Patient Rated Wrist Evaluation; priority journal; radius; recurrent disease; right handedness; soccer; sport injury; tendon surgery; tumor biopsy; wide excision; wrist pain; wrist radiography |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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584 |
Pontoh L.A., Dilogo I.H., Hartono F., Rhatomy S., Fiolin J. |
57192907426;56161962800;57192910622;57204509883;57194498274; |
Meniscal bearing dislocation following minimally invasive Oxford medial unicompartmental knee arthroplasty treated with simple open reduction: Case report |
2021 |
International Journal of Surgery Case Reports |
79 |
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371 |
374 |
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1 |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85100038635&doi=10.1016%2fj.ijscr.2021.01.057&partnerID=40&md5=242712f5a82b08a469e3cb507ff4eee4 |
Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Faculty of Medicine Universitas Indonesia, Jl. RS Fatmawati no. 4, Jakarta Selatan, 12430, Indonesia; Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jl. Diponegoro no. 71, Jakarta Pusat, 10430, Indonesia; Orthopaedic Center Pantai Indah Kapuk Hospital, Jl. Pantai Indah Utara 3, Jakarta Utara, Jakarta 14460, Indonesia; Orthopaedic Department, Soeradji Tirtonegoro Hospital, Faculty of Medicine, Public Health of Nursing, Universitas Gadjah Mada, Klaten, Yogyakarta, Indonesia; Jakarta Knee, Shoulder and Orthopaedic Sport Clinic, Pondok Indah Hospital, Jl. Metro Duta Kav UE, Jakarta, 12310, Indonesia |
Pontoh, L.A., Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Faculty of Medicine Universitas Indonesia, Jl. RS Fatmawati no. 4, Jakarta Selatan, 12430, Indonesia; Dilogo, I.H., Department of Orthopaedic and Traumatology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine Universitas Indonesia, Jl. Diponegoro no. 71, Jakarta Pusat, 10430, Indonesia; Hartono, F., Orthopaedic Center Pantai Indah Kapuk Hospital, Jl. Pantai Indah Utara 3, Jakarta Utara, Jakarta 14460, Indonesia; Rhatomy, S., Orthopaedic Department, Soeradji Tirtonegoro Hospital, Faculty of Medicine, Public Health of Nursing, Universitas Gadjah Mada, Klaten, Yogyakarta, Indonesia; Fiolin, J., Jakarta Knee, Shoulder and Orthopaedic Sport Clinic, Pondok Indah Hospital, Jl. Metro Duta Kav UE, Jakarta, 12310, Indonesia |
Introduction: Dislocation of polyethylene insert is one of the most common complications of mobile bearing-medial unicompartmental knee arthroplasty (MUKA). Bearing dislocation was diagnosed by radiograph examination in these cases upon trivial injury. Case presentation: We reported one case of meniscal bearing dislocation after an Oxford MUKA treated with a simple open reduction technique. Clinical discussion: Simple open reduction surgery without change of the bearing and the use of knee brace for 6 months was effective in preventing re-dislocation. Conclusion: Mobile bearing dislocation is one of the most common complications in mobile-bearing MUKA. Besides the prevention of technical errors, usage of UKA with a frequency of 10–15 per year is recommended to increase the surgeon's learning curve. © 2021 The Authors |
Case report; Medial knee osteoarthritis (KOA); Mobile bearing dislocation; Oxford medial unicompartmental knee arthroplasty (MUKA) |
adult; Article; case report; clinical article; female; human; knee arthroplasty; knee dislocation; knee osteoarthritis; knee pain; meniscal bearing dislocation; middle aged; minimally invasive surgery; mobile bearing medial unicompartmental knee arthroplasty; open reduction (procedure); priority journal; X ray |
Elsevier Ltd |
22102612 |
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Article |
Q3 |
232 |
17549 |
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586 |
Lalisang T.J.M., Situmorang I., Ibrahim F., Widianto P., Marbun V.M.G. |
36623976300;57192894939;57215488702;57221641291;57211643232; |
Management of post-cholecystectomy bile duct injuries without operative mortality at Jakarta tertiary hospital in Indonesia – A cross-sectional study |
2021 |
Annals of Medicine and Surgery |
62 |
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211 |
215 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85099686135&doi=10.1016%2fj.amsu.2021.01.012&partnerID=40&md5=4f1cef507559e65d3a6a5f5f83b7a17c |
Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Surgery Department, Pelni Hospital, Jakarta, Indonesia; Surgery Department, Persahabatan Hospital, Jakarta, Indonesia |
Lalisang, T.J.M., Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Situmorang, I., Surgery Department, Pelni Hospital, Jakarta, Indonesia; Ibrahim, F., Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Widianto, P., Surgery Department, Persahabatan Hospital, Jakarta, Indonesia; Marbun, V.M.G., Digestive Surgery Division, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia |
Background: Bile duct injuries (BDI) can occur after a cholecystectomy procedure performed by any surgeons. These ensured a poor experience for patients and surgeons and marred the minimally invasive surgery approach, which should have promised rapid recovery. This study aimed to evaluate the management of BDI following cholecystectomy procedure in Cipto Mangunkusumo Hospital, Jakarta, as a tertiary hospital. Method: Descriptive retrospective cross-sectional design was used on open and laparoscopic cholecystectomy performed between January 2008 and December 2018. This study is reported in line with STROCSS 2019 Criteria. Result: A total of 24 patients with BDI were included, with female preponderance (62,5%) with a median age 45 (21–58) years. Sixteen post-laparoscopy cases were classified according to Strasberg classification; 6 cases were type E3, 2 cases each of type E1 and E2, and one case each of Strasberg C and D. The remaining 4 were Strasberg A. Eight post-open cases were classified based on Bismuth criteria: 4 cases of Bismuth I, 1 case of Bismuth II, and 3 cases of Bismuth III. Five cases were presented with massive biloma, 7 with jaundice, and 10 cases with biliary-pancreatic fluid production through the surgical drain. The average time of problem recognition to patient's admission was 19 (7–152) days and admission to surgery was 14 days. Roux-en-Y hepaticojejunostomy was performed in 18 cases, choledocho-duodenostomy in 2 cases, and primary ligation cystic duct in 4 cases. Post-operative follow-up showed 2 patients had recurrent cholangitis, 2 superficial surgical site infection, and 2 relaparotomy due to bile anastomosis leakage and burst abdomen. The median length of hospital stay was 38 (14–53) days with zero hospital mortality. No stricture detected in long term follow-up. Conclusion: Common bile duct was the most frequent site of BDI, and Roux-en-Y hepaticojejunostomy reconstruction performed by HPB surgeons on high volume center results in a good outcome. © 2021 The Authors |
Bile duct injury; Cholecystectomy; Roux-en-Y-Hepaticojejunostomy |
abscess; adult; Article; bile duct injury; biloma; cholangitis; cholecystectomy; choledochoduodenostomy; clinical article; cross-sectional study; endoscopic retrograde cholangiopancreatography; female; hepatojejunostomy; hospitalization; human; jaundice; laparoscopic surgery; laparotomy; length of stay; malnutrition; middle aged; percutaneous transhepatic cholangiography; retrospective study; Roux-en-Y gastric bypass; surgical infection; ultrasound |
Elsevier Ltd |
20490801 |
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Article |
Q3 |
391 |
12334 |
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