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Introduction Some literature use peroneus longus tendon (PLT) as the alternative to anterior cruciate ligament (ACL) reconstruction to overcome inadequate autograft size potential risk by using hamstring tendon (HT) autograft. Among the available methods to predict PLT measurements, anthropometric parameters are one of the most accessible and feasible methods. The objective of this prospective study was to predict the PLT autograft sizes in single bundle ACL reconstruction by using preoperative anthropometric measurement. Method Anthropometric parameters, including age, gender, height, weight, body mass index (BMI), true leg length (TLL), shank circumference and shank length of 20 patients with primary ACL reconstruction was measured before surgery. Univariate analysis, independent-sample t-test, Pearson correlation test, and logistic regression to evaluate the influence of these anthropometric variables on the diameter and length of the PLT autograft obtained. Result Pearson correlation test has shown that body weight and height correlates to PLT length and diameter also autograft's length and diameter significantly (p, Highlights • It is important to estimate tendon graft size prior to ACL reconstruction surgery. • Preoperative anthropometric measurement is a good method to predict PLT autograft size. • Height is a good predictor of the PLT autograft diameter and length. • Patient less than 153 cm in height, high risk for having in adequate graft size.

Introduction Among many available autograft options for anterior cruciate ligament (ACL) reconstruction, hamstring tendon (HT) is the most popular graft. The ability to identify whether patient is at risk of inadequate HT autograft size prior to surgery is very important. Among some methods that have been done, anthropometric parameters are considered as an easy and cost effective method in predicting the size of HT autograft. In order to predict the length of semitendinosus tendon (ST), gracilis tendon (GT) and quadrupled HT graft diameter, a prospective study was conducted to determine the anthropometric parameters. Method Anthropometric parameters, including age, gender, height, weight, body mass index (BMI), true leg length (TLL), thigh circumference and thigh length of 60 patients with primary ACL reconstruction was measured before surgery. Using univariate analysis, independent-sample t-test, Pearson correlation test, and simple logistic regression to evaluate the correlation of these anthropometric variables on the size of the graft obtained. Result Average values for GT length (23.17 ± 3.01 cm), ST length (24.93 ± 2.85 cm), and 4-strand HT autograft diameter (7.36 ± 0.66 mm). 83.33% total patients had graft diameter of 7 mm and more. Height and TLL correlate to GT length and quadruple HT autograft diameter, while thigh circumference correlates to ST length. Conclusion Height and TLL can be predicting factor of GT length and quadruple HT autograft, while thigh circumference to ST length. Patients who are less than 155 cm in height and less than 76 cm in TLL are at risk of having 4-strand HT autograft diameter less than 7 mm.

The goals of the treatment of brachial plexus palsies or traumatic loss of upper extremity function are including hand reanimation, protective hand sensation, shoulder stability, and elbow function as the first priority in upper extremity reconstruction. One method that has been developed to solve this problem is bipolar transfer of the latissimus dorsi muscle. We present a case of 37-years-old male with late case of partial brachial plexus injury treated with bipolar latissimus dorsi flap. Aim for this research is to report a long term satisfying elbow and shoulder clinical function outcome after performed bipolar latissimus dorsi muscle transfer. Seven years post-surgical follow up showed active shoulder abduction at 180°, active shoulder external rotation at 45°, active shoulder forward flexion at 90°, extend shoulder until 20°, active elbow flexion at 120°, active elbow extension until 0°. Elbow flexion strength was measured using the MRC grading system-with elbow flexed at 90o-was M5. We concluded that bipolar latissimus dorsi muscle flap provides a good outcome in elbow reanimation following late brachial plexus injury. Preoperative donor muscle strength evaluation will predict satisfactory postoperative result.

Spinal Tuberculosis is an infection of the spine caused by Mycobacterium Tuberculosis. It is an extrapulmonary complication of Mycobacterium Tuberculosis infection. The purpose of this study was to determine whether there is a NOS 2A gene polymorphism so that patients are susceptible to tuberculosis spondylitis. This study is an analytical cross-sectional study on 36 Spinal tuberculosis patients at the Wahidin Sudirohusodo Hospital in Makassar who had tested positive TB geneXpert and took 5 ml of blood samples in EDTA tubes. Then DNA extraction and genotyping examination with PCR techniques were carried out. There were 39 subjects in this study 39 TB spondylitis patients (84.8%) and 7 controls (15.2%). Most of them were women (58.7%), aged between 20-29 years (41.3%). Based on PCR results, only 2 subjects experienced a gene mutation (4.3%) in the A-277G single nucleotide. The NOS2A gene polymorphism is a cause of susceptibility to spinal tuberculosis.

Highlights • Vascularized fibula could be used to reconstruct wide resected proximal humerus. • Peroneal artery pedicle ensure vascularization of harvested long graft. • Rehabilitation for either recipient or donor site is crucial., Introduction Giant cell tumor (GCT) is benign aggressive tumors with a high rate of recurrence and capacity to metastasize. Wide resection is the treatment of choice, but this creates a flaw at the proximal end of the humerus. There are various methods exist as the treatment option to fixed this problem. Presentation of case We here present our experience on wide resection and free vascularized autogenous fibula head grafting for GCT at the proximal humerus of a 32 years old male. We performed free vascularized fibular head graft (FVFHG) as a reconstruction method followed by sling procedure and used the long head of biceps tendon. Evaluation of anatomical, functional, and radiological outcomes of this management was performed. After 3 years, the patient has a good outcome. Discussion Free vascularized fibula graft is the most favored as a treatment after resection of a tumor on the proximal humerus. The advantages are can be harvested without many difficulties and rapid healing. In our case, we used a free vascularized fibular head graft (FVFHG) for proximal humerus reconstruction after resection giant cell tumor (GCT) on the right proximal humerus. We use the peroneal artery as vascular pedicle due to well vascularity to the peripheral part of fibula. There is no fibula head reabsorption after three years post-operation. Conclusion FVFHG for reconstruction modality as the treatment after resection of GCT grade Campanacci 3 on proximal humerus shows satisfactory result following long term evaluation.

Spinal Tuberculosis is an infection of the spine caused by Mycobacterium Tuberculosis. It is an extrapulmonary complication of Mycobacterium Tuberculosis infection. The purpose of this study was to determine whether there is a NOS 2A gene polymorphism so that patients are susceptible to tuberculosis spondylitis. This study is an analytical cross-sectional study on 36 Spinal tuberculosis patients at the Wahidin Sudirohusodo Hospital in Makassar who had tested positive TB geneXpert and took 5 ml of blood samples in EDTA tubes. Then DNA extraction and genotyping examination with PCR techniques were carried out. There were 39 subjects in this study 39 TB spondylitis patients (84.8%) and 7 controls (15.2%). Most of them were women (58.7%), aged between 20-29 years (41.3%). Based on PCR results, only 2 subjects experienced a gene mutation (4.3%) in the A-277G single nucleotide. The NOS2A gene polymorphism is a cause of susceptibility to spinal tuberculosis.