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"This twelfth volume in the European Instructional Lectures series continues the format of educational chapters from across orthopaedics and traumatology contributed by distinguished orthopaedic educators in Europe. It provides current material and major advances covering a range of topics including : general orthopaedics, basic science and technology, musculo-skeletal tumours, infections, paediatric orthopaedics, trauma, spine, upper limb, hip, knee, leg, ankle and foot. All the lectures were presented at the 13th EFORT Congress in Berlin, Germany. The Lectures are an authoritative source of information illustrated by radiographs, CT's, MRI scans, and other relevant contemporary imaging modalities, operative photographs, line drawings and tables. They are an invaluable source of instruction for surgeons and trainees alike."

"Dari hasil pemeriksaan histology, radiolagy, biomekanik dan biokimia pada penelitian ini dapat ditarik kesimpulan bahwa proses penyembuhan patah tulang pada tibia kanan adalah lebih cepat di banding tibia kiri atau proses penyembuhan patah tulang dengan pencucian larutan NaCl lebih cepat dari pada pencucian dengan larutan povidone iodine encer. Ini menunjukkan kemungkinan adanya pengaruh larutan povidone iodine pada proses penyembuhan patah tulang"

"Background data: The treatment of bicondylar tibia plateau fractures remains controversial. Lateral buttress plate and medial antiglide is favored by AOIASIF. Recently treatment of this fracture by less invasive stabilization system in the lateral side by using locked screw plate was gained acceptances by many surgeons. In Cipto Mangunkusumo Hospital local Iocked clover plate was designed, which is given better economics solutions. Objective: To compare the fixation stability between single lateral local locking plate and double plating system that using lateral buttress and medial antiglide in the treatment of bicondylar tibial plateau fracture. Design: One model (Synbone 1110, normal bone quality) tibia was used. Bicondylar tibia fracture model that design by Horwitz was used. Invite biomechanical axial loading, tested to the both group was tested. Intervention: Five pairs of fracture model was used. Stabilization using lateral buttresslmedial antiglide one third tubular in one group and unilateral local locking Clover plate (LCP) in other group. Five vertical loads levels were used (150 N, 300 N, 450 N, 600N and 750N). Irreversible (plastic) deformation was the main parameter of interest. Main out come measures: Irreversible (plastic) deformation was the main parameter of interest. Failure was defined as more than 5 mm displacement in the particular surface in medial condyle. Result: Vertical subsidence depended on the applied load but not on the method of fixation. The displacement of medial plateau was recorded. With confidence interval 95%, and P less than 0,05 was statistically significance. All the displacement was statistically no significantly difference P > 0,05 in five different level even the mean displacement was higher in the same loading in the local locked clover plate. Conclusion: Single lateral local locked clover plate could give good stability in the treatment of bicondylar tibial plateau fracture that statistically no difference to double plating which using lateral buttress and medial antiglide, even though still need further investigation."

"[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);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 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.]"

"ABSTRAKPendahuluan: Kelengkungan sagital tulang belakang memiliki fungsi dalam menjaga distribusi beban aksial terutama pada saat berdiri. Parameter balans sagital mencakup pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), dan C7 plumb line distance (C7PL). Perubahan tersebut menyebabkan keluhan nyeri dan deformitas. Penelitian sebelumnya menyebutkan ketidakseimbangan sagital pasca fusi berhubungan dengan prognosis klinis yang buruk. Penelitian ini menggunakan skoring IDO untuk luaran klinis. Penelitian ini menilai hubungan parameter balans sagital dengan perbaikan klinis yang dibandingkan sebelum dan sesudah operasi, serta melihat koreksi dari parameter balans sagital sebelum dan sesudah operasi. Metode: Pengambilan data dilakukan di RSUPN dr. Cipto Mangunkusumo, Jakarta. Desain penelitian yang digunakan adalah analitik observasional dengan metode Cohort. Subjek adalah 31 orang, pria dan wanita dewasa yang dilakukan fusi lumbal pada Januari 2016 sampai Juli 2017. Pasien mengisi kuisioner IDO dan menjalani pemeriksaan xray whole spine sebelum dan setelah fusi lumbal. Peneliti melakukan analisis skor IDO dan parameter balans sagittal menggunakan program Surgimap. Hasil: Didapatkan hubungan yang tidak bermakna secara statistik antara PT, LL, C7PL. Sedangkan PI dan SS menunjukkan hubungan bermakna secara statistik. Koreksi parameter balans sagital setelah fusi lumbal tidak ditemukan hasil yang signifikan secara statistik. Pembahasan: Dari penelitian sebelumnya di Indonesia didapatkan PI dan C7PL yang berhubungan dengan luaran klinis. Namun pada penelitian ini didapatkan PI dan SS yang bermakna secara statistik terhadap perbaikan klinis. Tidak didapatkan hasil yang signifikan untuk koreksi parameter balans sagital pasca fusi lumbal. Hal ini dikarenakan karena sulitnya untuk mengevaluasi koreksi pada saat intraoperatif.

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ABSTRACT<>br>Introduction: Normal anatomy of the spine curvature has a function to distribute axial loading. Sagittal balance parameters consist of pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL) and C7 plumb line distance (C7PL). Changes on these parameters may cause pain and other disabilities. The author used ODI score to measure clinical outcome. The goal of this research is to show the correlation between the parameter of sagittal balance with clinical outcome that is measured using ODI score taken before and after surgery and to show whether the sagittal balance parameters are corrected post operatively. Methods: Data collection was taken in dr. Cipto Mangunkusumo Hospital, Jakarta. The study design is analytic observational with cohort. The subjects were 31, consist of male and female adult that undergo lumbar fusion during January 2016 until July 2017. All patients got whole spine xray and fill the ODI score questionnaire before and after the surgery. The sagittal balance parameters was measured using Surgimap software.Results The results showed that there was no significant relationship between PT, LL, C7PL with improvement of the patients statistically. There was a significant relationship between PI and SS with improvement of the patients statistically. There was no statistically significant correction of the sagittal balance parameters post operatively. Discussion: Previous study in Indonesia showed PI and C7PL were significant clinically. But this study concluded PI and SI that influence the clinical outcome. We found that the current surgical technique did not correct the sagittal balance parameters. This may be caused by the difficulty to monitor the correction intraoperatively. "