Publications by authors named "Witantra Dhamar Hutami"

Article Synopsis
  • 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.
View Article and Find Full Text PDF
Article Synopsis
  • Slipped capital femoral epiphysis (SCFE) is a prevalent hip issue in adolescents, where the severity and stability of the condition significantly influence management outcomes and risks, particularly for avascular necrosis (AVN).
  • A case study of a 13-year-old boy with acute, unstable high-grade SCFE showed successful treatment through closed reduction and percutaneous pinning, resulting in restored hip function without AVN after 18 months.
  • The findings suggest that even after 2 weeks from the initial injury, aggressive management like closed reduction can lead to favorable outcomes, challenging the notion that such procedures should only be performed in exceptional cases.
View Article and Find Full Text PDF

Study Design: Systematic review, expert opinion and Delphi technique, and validity and reliability studies.

Objective: We developed Jakarta Instability Score (JIS) to identify spinal instability and the need of fusion in degenerative lumbar spinal stenosis (LSS).

Methods: This study consisted of systematic review to find predictors of spinal instability, expert opinion and modified Delphi technique to develop JIS, and validity and reliability studies of the newly developed JIS.

View Article and Find Full Text PDF

Introduction And Importance: Cervical spine fractures are rare in sports, but their potentially grave consequences mean that they must be given special attention. The aim of this study was to present the case of a recreational athlete with a fracture of C1 resulting from weightlifting.

Case Presentation: Young, recreational athlete came with severe neck pain right after weightlifting.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Objectives: To compare the functional outcome of the two most commonly used methods of Adolescence Idiopathic Scoliosis (AIS) correction surgery using rod rotation and translation techniques from a single center in Indonesia.

Method: We performed retrospective, cross-sectional study of patients with AIS who underwent deformity correction surgery by either technique in Fatmawati General Hospital from January 2016 to March 2018. All patients were asked to complete scoliosis research society (SRS)-22 questionnaire.

View Article and Find Full Text PDF

Introduction: Free-hand technique is one of the techniques used by spine surgeon during pedicle screw instrumentation of surgical correction of spinal deformities, including scoliosis. The previous studies showed that this technique is safe. However, some inherent factors may influence its outcomes, including screw breaching which is potentially violates spinal cord and other intimate structures.

View Article and Find Full Text PDF

Introduction And Importance: Chest wall tumour could grow from various tissues composing the chest wall. Diagnosis and treatment of patients with chest wall tumour pose several challenges.

Case Presentation: We present a case of 55 year old woman with chief complaint of a painfull mass on her chest wall.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Introduction: Septic arthritis is a rapid and progressive infection caused by invasion of bacteria into the synovial joint. Disease of the joint causedby Salmonella spp in healthy children is an unusual event, with an estimated incidence of 0.1 to 0.

View Article and Find Full Text PDF

Introduction: Diffuse idiopathic skeletal hyperostosis (DISH), or Forestier disease, is a condition characterized by calcification and ossification of ligaments and enthuses (ligament and tendon insertion sites), which mainly affect the vertebral column. The clinical manifestation of DISH is variable. Some patients can be completely asymptomatic, whereas others can complain of painful stiffness, decreased range of movement, and myelopathy symptoms.

View Article and Find Full Text PDF

Introduction: Diabetic ulcer of the foot is a major cause of morbidity and is a leading cause of hospitalization in patients with diabetes, and causes productivity and financial losses that lower the quality of life of the patient. The wound is categorized as responsive and unresponsive wound, which occurs in debilitated patients as seen in diabetes mellitus. The delay in wound repair can be caused by senescent cells, absence of growth factors, and other cellular abnormalities.

View Article and Find Full Text PDF