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"Studi ini mengevaluasi pengaruh orientasi komponen (safe dan non-safe zone) THR, yang diwakilkan oleh sudut abduksi acetabulum, anteversi acetabulum, anteversi femur, ataupun kombinasinya terhadap luaran fungsional pasien. Penelitian analitik cross sectional ini melibatkan pasien dengan prosedur THR periode Januari 2008-Mei 2014. Tidak ditemukan hubungan bermakna antara sudut orientasi komponen prostesis THR dengan luaran fungsional HHS pasca-THR(<80 dan >80); sudut abduksi acetabulum, anteversi acetabulum, & sudut kombinasi anteversi(p>0,05). Aplikasi safe dan non-safe zone memberikan luaran fungsional yang sama. Posisi attahiyat dan squatting yang lebih tidak bisa dilakukan oleh kelompok safe zone sudut abduksi acetabulum bukan karena pengaruh sudut orientasi komponen THR. Skor HHS pasca-THR memiliki perbedaan bermakna: HHS pra-THR(p=0,001).

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This study evaluates whether total hip replacement (THR) prosthesis component orientation influence hip functional outcome. This is an analytical cross-sectional study involving post-THR patients in RSUPN Cipto Mangunkusumo in January 2008- May 2014. The component orientation angle (safe zone dan non-safe zone) are not related significantly with post-THR HHS (<80 dan >80); the acetabular abduction angle, the acetabular anteversion angle, the combined anteversion angle (p>0.05). There is no difference in outcome in both safe and non-safe zone groups. There is no influence of THR component orientation angle in patient’s ability to perform “attahiyat” and squatting position."

"This book has been written step wise by enumerating various aspects of the importance of clinical examination derived by laying one’s hands on the affected part. By a thorough clinical examination, it can help an individual to arrive at a tentative differential diagnosis of the condition and hence help in investigating the same by numerous tests which are relevant to the given condition. The manner in which a given case is handled in this way is far more important than the diagnosis of the condition and this feature comes with practicing the same many times. It is a must for anyone embarking in life on Orthopedics as a career."

"PendahuluanInfeksi adalah salah satu komplikasi pada patah tulang terbuka. Pada patah tulang terbuka dengan fragmen bebas besar yang terkontaminasi diperlukan sterilisasi untuk direimplantasikan. Iradiasi gelombang mikro sudah terbukti dapat mensterilkan fragmen tulang setelah terpajan selama 7 menit. Sampai saat ini belum ada penelitan yang menilai apakah tulang yang sudah steril tersebut dapat mengalami inkorporasi pada tulang yang sehat. Penelitian ini bertujuan mengevaluasi dampak dari iradiasi gelombang mikro terhadap kemampuan inkorporasi fragmen bebas yang direimplantasikan kembali pada tulang sehat.MetodeStudi eksperimental dengan 16 tikus galur Wistar, terbagi secara acak dalam dua kelompok, dan diamati pada minggu ke-2 dan minggu ke-4.Kontrol adalah kelompok tikus yang dilakukan osteotomi segmental pada shaft femur dan fragmen tersebut diimplantasikan kembali.Pada kelompok perlakuan, fragmen femur tersebut diinokulasi kuman, dan diiradiasi dengan gelombang mikro selama 7 menit dahulu sebelum direimplantasikan. Pada minggu ke 2 dan ke 4 dilakukan pemeriksaan histopatologi secara histomorfometri serta pemeriksaan radiologis dengan Radiologic Union Scale of Tibial Fracture (RUST). Pemeriksaan histomorfometri akan menilai parameter penyembuhan tulang yaitu: total fibrosa, total area kartilago, dan area woven bone.Hasil dan DiskusiEvaluasi histomorfometri menunjukkan adanya perbedaan bermakna pada pembentukan kartilago(p=0,010), dan tulang woven di minggu ke 2(p=0,004) namun tidak terdapat perbedaan bermakna pada pembentukan fibrosa,kartilago, dan tulang woven pada minggu ke 4. Hal ini menunjukkan bahwa telah terjadi proses penyembuhan pada fragmen tulang yang terpajan iradiasi gelombang mikro. Evaluasi radiologis tidak menunjukkan perbedaan bermakna diminggu ke 2 maupun minggu ke 4 (RUST SCORE 8).SimpulanFragmen tulang yang dipajan iradiasi gelombang mikro selama 7 menit dapat mengalami inkorporasi meskipun terjadi perlambatan dalam prosesnya.

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IntroductionInfection is one of the most common complication in open fracture. Contaminated large free bone fragment need to be sterilized before reimplantation,in order to avoid infection.Domestic microwave irradiation for 7 minutes has been proven to sterilize a contaminated free bone fragment. However,there is no previous studies investigating the effect of 7-minutes microwave irradiation to the large bone fragment on the incorporation into the normal bone. This study aims to investigate the effect of domestic microwave irradiation to the large bone fragment's incorporation with the intact bone.MethodsAn experimental study using16 wistar rats, randomly divided into two groups and observed in second and 4th weeks. Control was a group done segmental osteotomized femoral shaft and the bone fragment reimplanted back to the intact bone. In the experimental group, the bone fragment was innoculate with microorganism and given microwave irradiation for 7- minutes before reimplanted. Fracture healing process was evaluated by Radiologic Union Scale of Tibial Fracture (RUST) score and histomorphometric analysis in the second week and fouth week. Histomorphometric paramater to be assesed was the total fibrous area, total cartilage area and woven bone area.Result and DiscussionHistomorphometric analysis showed significant difference in cartilage formation(p=0.010), and woven bone(p=0.004) in 2nd weeks. There is no difference in fibrous, cartilage and woven bone formation, which showed evidence of fracture healing in fracture fragment even after microwave radiation. In addition, radiologic evaluation showed no significant difference in second weeks and fourth weeks (Rust Score 8) between the two groups.ConclusionIrradiated bone fragment by domestic microwave for 7 minutes may incorporate to intact bone with slower progession of fracture healing."

"Pendahuluan: Otot Palmaris Longus adalah salah satu otot pada grup fleksor lengan bawah manusia. Palmaris Longus ini sering digunakan dalam prosedur medis di berbagai bidang, khususnya di bidang Orthopaedi dalam prosedur tendon transfer dan rekonstruksi tendon. Absensi Palmaris Longus merupakan variasi normal pada tubuh manusia, absensi tersebut berbeda-beda pada berbagai populasi di seluruh dunia seperti pada populasi Serbia mempunyai angka absensi sebesar 42,4% sedangkan pada populasi Korea hanya sebesar 4,0%. Pengetahuan mengenai absensi Palmaris Longus pada populasi Indonesia penting untuk menghindari kesulitan dan kesalahan dalam operasi dan pengambilan graft Palmaris Longus. Absensi Palmaris Longus ini diduga berkaitan faktor genetik yang berkaitan erat dengan etnis dan jenis kelamin. Absensi Palmaris Longus pada satu sisi tangan saja diduga dapat mempengaruhi kekuatan tangan pada salah satu sisi. Penelitian absensi Palmaris Longus ini belum pernah dilakukan sebelumnya pada populasi Indonesia dengan etnis yang beranekaragam dan juga mengenai hubungannya dengan jenis kelamin dan sisi tangan dominan. Metode Penelitian: Penelitian ini adalah penelitian cross-sectional deskriptif analitik dengan melakukan pemeriksaan klinis Palmaris Longus dengan pemeriksaan standar yakni tes Schaeffer dan dikonfirmasi dengan pemeriksaan klinis lainnya. Pengambilan data dilakukan dengan pemeriksaan fisik langsung, dilengkapi dengan foto dan kuisioner oleh pemeriksa tunggal di berbagai kota di Indonesia yaitu Jakarta, Pemalang, Bandung, Bogor, Depok, Bukittinggi, Padang. Responden diambil dengan proportional consecutive sampling pada enam etnis terbesar di Indonesia dengan jumlah responden 1230 orang dengan 492 etnis Jawa, 246 etnis Sunda, 123 etnis Batak, 123 etnis Madura, 123 etnis Betawi dan 123 etnis Minang. Analisa statistik dilakukan untuk mengetahui hubungan absensi Palmaris Longus dengan etnis, jenis kelamin dan hubungan absensi unilateral dengan sisi tangan dominan. Analisa tersebut dilakukan dengan uji chi-square dengan signifikansi p<0,05. Temuan dan Diskusi Penelitian: Absensi Palmaris Longus pada keseluruhan responden populasi Indonesia baik bilateral dan unilateral adalah 128 dari 1230 orang responden (10,41%). Absensi Palmaris Longus tertinggi adalah pada etnis Batak dan Madura yaitu 15,45% diikuti oleh etnis Sunda yaitu 11,79%, etnis Jawa 9,96%, etnis Betawi 5,96% dan yang terendah adalah etnis Minang 4,07%. Perbedaan angka absensi Palmaris Longus di antara berbagai etnis ini bermakna secara statistik (p=0,008). Absensi Palmaris Longus pada jenis kelamin laki-laki dan perempuan tidak berbeda signifikan secara statistik (p=0,74) dimana absensi Palmaris Longus perempuan sedikit lebih banyak yakni 10,70% sedangkan laki-laki 10,20%. Di antara keseluruhan Absensi Palmaris Longus, absensi unilateral adalah sebanyak 62,5% dan bilateral 37,5% responden. Absensi Palmaris Longus unilateral tersebut tidak dapat dianalisis statistik dengan sisi tangan dominan karena sedikitnya jumlah responden dengan tangan dominan kiri yang mempunyai absensi Palmaris Longus unilateral yakni hanya 1 orang responden (1,25%). Simpulan: Absensi Palmaris Longus pada populasi Indonesia adalah 10,41%. Absensi tersebut berhubungan bermakna dengan etnis, namun tidak berhubungan bermakna dengan jenis kelamin. Absensi Palmaris Longus unilateral pada penelitian ini tidak dapat diuji secara statistik.

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Introduction: Palmaris Longus muscle is one of the muscle in human forearm flexor group. Palmaris Longus is often used in the medical procedure in various medical specialty, especially in orthopaedics which are used in the tendon transfer procedure and tendon reconstruction. Palmaris Longus absence is a normal variation on human body, the absence are different in the various pupulation over the world, like in the Serbian population have absence rate in 42,4% but in the Korean population only 4,0%. Knowledge about Palmaris Longus absence in Indonesian Population important to avoid difficulties and mistakes during operation or harvesting of Palmaris Longus graft. This absence of Palmaris Longus is likely related to genetic factor which are also related with ethnicity and sex. Unilateral absence of Palmaris Longus is suggested can affect hand power on the side of the absence. This study about this Palmaris Longus absence hasn’t been studied yet in the Indonesian population with its multiethnicity and also the relationship with sex and side of hand dominance.

Methods: This research is a descriptive analytic cross-sectional study using Palmaris Longus clinical examination with standard examination Schaeffer test and confirmed with other clinical examinations. Data collections are performed with direct physical examination, photo and questionnare by a single examiner in various cities in Indonesia which are Jakarta, Pemalang, Bandung, Bogor, Depok, Bukittinggi and Padang. Respondent was taken with proportional consecutive sampling in the six largest ethnicities in Indonesia with total respondent 1230 people with 492 Java ethnicity, 246 Sunda ethnicity, 123 Batak ethnicity, 123 Madura ethnicity, 123 Betawi ethnicity and 123 Minang ethnicity. Statistical analysis used to find relationship of Palmaris Longus absence with ethnicity, sex and relationship of unilateral absence with hand side dominance. The analysis are performed with chi-square test with significance p<0,05.

Result and Discussion: Palmaris Longus absence in overall Indonesian population respondent, bilateral and unilateral noted in 128 people from 1230 respondent (10,41%). Highest rate of Palmaris Longus absence is in the Batak and Madura ethnicities which are 15,45% followed by Sunda ethnicity 11,79%, Java ethnicity 9,96%, Betawi ethnicity 5,95% and the lowest is Minang ethnicity 4,07%. The difference rate between these ethnicities are statistically significant (p=0,008). Palmaris Longus absence between male and female sex is not different statistically (p=0,74) which are female sex slightly higher absence rate than male sex, 10,70 and 10,20 respectively. In overall absence of Palmaris Longus, unilateral absence is 62,5% and bilateral absence is 37,5%. This unilateral Palmaris Longus absence cannot be statistically analyzed with the hand dominance side because of the limitation number of the respondent with left hand dominance which have unilateral absence of Palmaris Longus, that only 1 respondent (1,25%).

Conclusion: Palmaris Longus absence in Indonesian population is 10,41%. That absence is significantly related with ethnicity, but not significantly related with sex. Unilateral Palmaris Longus absence in this study cannot be analysed statistically."

"Written by leading orthopedic surgeons, this superbly illustrated pocket guide helps you expertly diagnose, classify, and, most importantly, manage every type of fracture and ligamentous injury commonly seen in clinical practice"

"Reoperative hand surgery is a major contribution to the literature, offering a wide range of reoperative options for challenging problems that face the reconstructive hand surgeon after failed primary surgery. Concise and discussing all of the more common issues that hand surgeons often face in performing revision surgery, this invaluable title is unique in that it looks specifically at the problem of what to do when the original index procedure did not go as planned. Topics covered include the hand, wrist, forearm and elbow, and several sections of the book discuss some of the psychological and social factors that also go into the decision process to reoperate or not. The chapters are tightly focused so that the important aspects to consider for reoperation can be quickly reviewed. There is also a component that discusses how to avoid other pitfalls and to minimize as well as manage any complications that may occur with reoperative procedures. Importantly, the book is replete with original art work to help describe and demonstrate how to perform many reoperative procedures. The artwork is simple and straightforward but yet detailed enough to convey the important steps and aspects for the surgical intervention it is outlining. Developed by renowned experts in the hand surgery field, Reoperative hand surgery is an indispensable, state-of-the-art reference, offering the busy hand and upper extremity surgeon easily accessible information relating to the evaluation, diagnosis, and possible surgical interventions for the diagnoses discussed. "