Publications by authors named "Ismail H Dilogo"

Background And Purpose: Current treatments for peripheral nerve defects are suboptimal. Mesenchymal stem cell (MSC) implantation holds promise, with studies indicating their efficacy through the secretome. This study aims to assess the secretome's potency in regenerating peripheral nerve defects.

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Background: Assessing perfusion in free flaps is crucial in clinical practice. Indocyanine green (ICG) angiography offers a more objective and reproducible method, utilizing near-infrared imaging to monitor flap vascularization. This study aims to evaluate the efficacy of diluted ICG as a tool for assessing free flap perfusion.

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Aim: This study aims to assess the effectiveness of therapy of human synovial membrane-derived MSCs (SM-MSC) from OA grade IV patients in treating knee OA.

Methods: SM-MSC were isolated from patients undergoing total knee replacement surgery, cultured to the fourth passage, and characterized using flow cytometry. Differentiation potential was assessed through lineage-specific staining.

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Article Synopsis
  • Knee osteoarthritis (OA) affects quality of life and current treatments mainly relieve symptoms without promoting healing.
  • This study evaluated the safety and effectiveness of combining hyaluronic acid (HA), human umbilical cord-derived mesenchymal stem cells (hUC-MSCs), and synthetic growth hormone in treating knee OA.
  • While all treatment combinations showed improvements in pain and function, there was no significant regeneration of cartilage, indicating that more research is needed for effective regenerative therapies.
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  • This study investigates the effectiveness of intercostal nerve transfer combined with either umbilical cord-derived mesenchymal stem cells (UC-MSC) or secretome therapy in patients with total brachial plexus injury.
  • Using a randomized controlled method, the research evaluates pre- and post-operative outcomes in muscle strength, quality of life, and histological assessments in 15 patients over 8 months.
  • Results indicate significant functional improvements across both treatment groups, with the UC-MSC group showing better health changes, though no notable differences in histological recovery measures were observed.
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  • Lumbar intrathecal administration is an effective way to deliver drugs directly to the central nervous system, particularly for targeting dorsal root ganglions in chronic pain research using rat models.
  • There are two main methods for this administration: chronic catheter implantation, which is more invasive and can induce inflammation, and acute needle puncture, which is less invasive but technically challenging.
  • In a study with rat cadavers, ultrasound-guided lumbar intrathecal injections were successful, demonstrating that ultrasound is a valuable tool for improving the accuracy of needle insertion in acute intrathecal procedures.
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Several preservative treatment options are available for the early stages of avascular necrosis of the femoral head (ANFH) but are not as effective as in the advanced-stages. The management of Ficat stage III-IV AFNH is limited to the high rate of patients being converted to total hip replacement (THR). Four female patients with Ficat stage III-IV ANFH were included in this study, with a median age of 32.

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Introduction: Ankle arthrodesis is one of the treatments of choice, particularly in late-stage and unstable diabetic Charcot arthropathy. Unfortunately, poor healing capacity might play a role in the high nonunion rate (10-40%). The advancement in regenerative medicine opens a new horizon for enhancing fusion after ankle arthrodesis in patients with poor healing capacity.

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Introduction: This study aimed to assess the efficacy of adipose-derived mesenchymal stem cell exosomes (ASCs exosome) and platelet-rich fibrin (PRF) in treating critical long bone defects in Sprague-Dawley rats. Critical long bone defects, defined as exceeding 2 cm or 50% of the bone diameter, often pose a healing challenge. While autologous bone grafts have been considered, they have shown unreliable results and donor-site complications, necessitating alternative treatments.

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  • Mesenchymal stem cells (MSCs), particularly adipose-derived MSCs (AD-MSCs), are being studied for their potential to differentiate into cardiac pacemaker-like cells (CPLCs) through the upregulation of the TBX3 transcription factor and the inhibition of the nodal signal pathway.
  • TBX3 expression significantly increased in treated groups, resulting in higher expression of pacemaker-specific markers (like Cx30 and HCN genes) compared to control groups, with some gap junction genes showing lower expression.
  • The study concludes that manipulating TBX3 and the nodal pathway effectively promotes the transformation of AD-MSCs into CPLCs, suggesting a promising approach for cardiac treatments.
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Introduction: Accurate reconstruction of hip anatomy and biomechanics is mandatory for achieving good clinical outcomes following total hip replacement (THR). Optimal stem alignment is essential to avoid impingement or loosening. This study aimed to evaluate sagittal stem position following cementless THR and its relationship with patient's functional outcome and post-operative radiological parameters.

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Background: Mesenchymal stem cells (MSCs) hold promise for osteoarthritis (OA) treatment, potentially enhanced by combining them with platelet-rich plasma (PRP) and hyaluronic acid (HA). This study aimed to assess the synergy of MSCs, PRP, and varying HA doses, and determine optimal MSC sources to treat early-stage OA in the perspective of Lysholm score, VAS Score, KSS score, and WOMAC score.

Method: Original articles from 2013 to 2023 were screened from four databases, focusing on clinical trials and randomized controlled trials.

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Background: Adolescent idiopathic scoliosis remains a major problem due to its high incidence, high risk, and high cost. One of the aims of the management in scoliosis is to correct the deformity. Many techniques are available to correct scoliosis deformity; however, they are all far from ideal to achieve three-dimensional correction in scoliosis.

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Introduction: Unstable acetabular fracture remains a complex fracture that requires technically demanding surgery for orthopedic surgeons. Quadrilateral plate (QP) fractures of the acetabulum are a challenging group of acetabular fractures to manage. However, the literature regarding the management of these injuries are limited.

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  • Topical keloid therapy often uses triamcinolone acetonide (TA) injections, but it has a high recurrence rate and side effects.
  • Mesenchymal stem cells (MSCs) can lower fibroblast activity in keloids, and this study evaluates the effectiveness of umbilical cord MSCs (UC-MSC) and their conditioned medium (UC-CM) compared to TA.
  • Results showed the UC-MSC group had the most significant reduction in keloid volume and improvement in symptoms, indicating that UC-MSC and UC-CM are more effective alternatives to TA for treating keloids.
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  • The 2018 Lombok earthquake had severe impacts, resulting in over 500 deaths and significant challenges in hospital resource allocation for treating musculoskeletal injuries.
  • A cohort study evaluated the outcomes of two treatment approaches—open-reduction internal fixation (ORIF) and non-ORIF procedures—one year post-earthquake, focusing on radiological and clinical results from 73 subjects.
  • The ORIF group showed a higher rate of bone healing but also faced a greater risk of infection and poorer general health outcomes, leading to the recommendation of Damage Control Orthopedic surgery as a better initial treatment strategy in disaster scenarios.
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Introduction: Most patients with congenital pseudoarthrosis of tibia (CPT) do not have promising outcomes despite multiple attempts using conventional surgeries. The combination of umbilical cord-derived mesenchymal stem cells and conditioned medium (secretome) contains major components pivotal for the enhancement of fracture healing. The purpose of this study was to address fracture healing in CPT cases that were treated using the combined implantation of umbilical-cord mesenchymal stem cells (UC-MSCs) and secretome.

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Introduction: ACL reconstruction is needed to restore the stability and biomechanics properties of the injured knee joints in order to reproduce the function of the native ACL. The single-bundle (SB) and double-bundle (DB) techniques are most commonly used to reconstruct the injured ACL. However, its superiority upon each other is still controversial.

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  • About 5-10% of patients with fractures suffer from nonunion, where healing doesn't occur properly; L-arginine has been suggested to help by enhancing blood flow and collagen production.
  • This review is the first to systematically analyze the effects of oral L-arginine on fracture healing, compiling findings from PubMed, Google Scholar, and ScienceDirect.
  • Four studies were reviewed (three animal and one in vitro), showing that L-arginine supplementation improved bone formation and related factors, indicating its potential as an affordable and safe treatment for fractures, but more human studies are needed.
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Purpose: Pelvic ring fractures (PRFs) management needs adequate facilities and human resources. However, the prehospital ambulance management role in Indonesia is insufficient. Many hospitals have limited resources that necessitate patients to be referred to higher trauma centers.

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Introduction: Recent studies showed increasing evidences of anterolateral ligament (ALL) reconstruction in conjunction with anterior cruciate ligament (ACL) reconstruction that proves to be more superior to the previous double-bundle (DB) ACLR technique especially in improving knee stability in biomechanic studies. However to date, there have been no studies evaluating the functional outcome of DB-ACLR vs single-bundle (SB) with ALL in ACLR.

Methods: A total of 138 patients with ACL deficient knee were enrolled to the study.

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Although improvement of pelvic trauma care has been successful in decreasing mortality rates in major trauma centers, such changes have not been implemented in low-resource environments such as low-middle-income countries (LMICs). This review details the evaluation and management of pelvic ring fractures and recommends improvements for trauma care in low-resource environments. Prehospital management revolves around basic life support techniques.

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Objective: Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation using long arm pedicle screws. In this way, the segments will be brought into alignment with the other vertebrae with the pedicle mats being tightened. The aim of this study is to acknowledge whether reduction surgery for degenerative lumbar spondylolisthesis (DLS) using long arm pedicle screws is able to correct the listhesis and spinopelvic parameters.

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Background: Loss of internal rotation stability is the major cause of pain after an anterior cruciate ligament reconstruction (ACLR). Many authors described measures to treat this problem to no avail. This is the first study evaluating the role of lateral release with double-bundle ACLR to prevent patellofemoral malalignment after ACLR.

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Background: The Banff Patellar Instability Instrument (BPII) is a valuable scoring tool for assessing patellofemoral instability in patients suffering from patellofemoral pain syndrome (PFPS). The BPII 2.0 is a shortened version of the BPII.

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