Arthroscopic Bankart Repair (ABR) provides acceptable results for recurrent anterior shoulder dislocation. However, recent studies have shown recurrent rates of 4-19% or even up to 35-40% in patients aged <25 years, and the results tend to get worse after long-term follow-up. The Latarjet procedure can improve anterior stability by multiple mechanisms, not only can the Bankart lesion be repaired and provide stability, but the transfer of the coracoid process extends the bony articular arc of the glenoid, and the addition of the conjoint tendon may provide dynamic stability as well. The Latarjet procedure for correcting recurrent anterior shoulder dislocation led to good and excellent results in 82.7% of the cases. The Latarjet procedure had the lowest re-dislocation rate, which was significantly lower than the arthroscopic Bankart repair. Latarjet procedure is effective in terms of restoring anteroinferior glenohumeral stability and good option for failed arthroscopic Bankart repair. Recurrence rates of instability are acceptable and re-operation rates were low.

Introduction: In surgeons, electrosurgical surgical devices are gaining attention that stands out as one of the most useful and most widely used instruments. Thus, the instrument of electrical surgery is undoubtedly one of the most useful and most frequently used tools by surgeons. However, not many realize that the use of electrosurgery can produce smoke containing quite harmful gases such as TVOC gases such as benzene, nitrile, hydrocyanides and other hydrocarbons as well as Formaldehyde. Methods: This study used a Crossectional Observational research design with a control group, namely cigarette smoke, and a cauter smoke treatment group. Samples in the form of TVOC and fromaldehyde levels were taken as a result of all cigarette smoke and cauterized smoke operating at IBS Sanglah Hospital in Denpasar. Then patients from each age level will be randomized using the Online Research Randomizer (randomizer.org) application. Then the levels of TVOC and fromaldehyde are measured in the area of operation, and for cigarette smoke it is carried out using non-filtered cigarettes. Results: In this study, the cigarette group had an average TVOC of 9,841 mg/m3 and formaldehyde of 1,197 mg/m3. Meanwhile, the average TVOC in the electrocautery group was 6.34 mg/m3with the average formaldehyde contained in this study of 0.87 mg/m3. It was also found in the combined levels of TVOC and formaldehyde in the cigarette group of 5.51 mg/m3which was greater than the electrocauter group of 3.60 mg/m3. Conclusion: Levels of TVOC and formaldehyde in orthopedic surgical electrocauteric smoke are lower levelsthan cigarette smoke. The combined total level of electrocauteric smoke of TVOC and formaldehyde content in orthopedic surgery is lower than the combined total level of TVOC and formaldehyde content in cigarette smoke.

Introduction: The anterior cruciate ligament (ACL) is a crucial ligament structure of the knee that plays a significant role in knee joint stability and competitive sports performance. In order to reestablish knee stability, ACL reconstruction (ACLR) in the presence of rupture has been recognized as the most common surgical management procedure. Case: This study reported six cases of chronic ACL rupture reconstruction using peroneus longus tendon graft. All patients underwent an arthroscopic ACL repair procedure in Sanglah Hospital Bali. In terms of functional outcome, all patients were assessed using the scoring of AOFAS for the ankle and IKDC for the knee. Result: The functional outcomes of the IKDC and AOFAS score were good from all six patients who already underwent ACL reconstruction using peroneus longus graft with a minimum follow-up of one year. Discussion: Chronic ACL ruptures were successfully treated using the peroneus longus tendon graft. Intraoperatively, there were no significant problems from the harvested peroneus longus tendon graft and ACL reconstruction with the graft. All patients showed no complications, including the local infection following the operation. Rehabilitation procedure post-ACL reconstruction was performed at the Rehabilitation Unit in Sanglah General Hospital. Conclusion: Peroneus longus tendon graft is considered a suitable choice of graft for ACL reconstruction. It presented satisfactory results, effectiveness, and safety based on the AOFAS and IKDC scores.