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All Journal E-Jurnal Medika Udayana Indonesian Journal of Medicine Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indonesian Journal of Global Health research Jurnal Penyakit Dalam Indonesia The Hip and Knee Journal
Aryana, I Gusti Ngurah Wien
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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A Comparison Between the Open Posterior Approach and Arthroscopic Suture Fixation in Treating Posterior Cruciate Ligament Tibial Avulsion: A Systematic Review Kuswara, Leonardus William; Astawa, Putu; Aryana, I Gusti Ngurah Wien
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4360

Abstract

Posterior cruciate ligament (PCL) avulsion fractures are rare but significant injuries that can lead to knee instability and degeneration if untreated. Treatment options range from conservative management to surgical fixation. The objective of this study is to evaluate and compare the outcomes of different treatment modalities for posterior cruciate ligament (PCL) avulsion fractures, with a focus on surgical interventions, specifically open surgery and arthroscopy. Methods: A systematic literature search was conducted using the MEDLINE, EMBASE, and Cochrane Library databases from August 17, 2003 to August 17, 2023. Studies included involved patients with PCL avulsion fractures treated via arthroscopic or open fixation. Data was extracted on demographics, surgical approaches, outcomes (Lysholm scores), and complications. The Coleman methodology score was applied to assess study quality by scoring factors like study size, design, follow-up, and outcome measures, and only studies scoring ≥60 were included for data analysis. Results: Out of 1,470 studies, 12 met the inclusion criteria. Lysholm scores ranged from 85 to 100 for open approaches and 80 to 100 for arthroscopic approaches. Arthroscopic treatment showed fewer complications, such as infections or hardware irritation, while both approaches demonstrated favorable outcomes. Postoperative limitations in motion were observed in both groups, with a slightly higher incidence in the arthroscopic cohort. Conclusions: Both arthroscopic and open surgical approaches effectively treat PCL avulsion fractures, with arthroscopy showing a slight advantage in postoperative outcomes and fewer complications. However, open surgery with a small open procedure also offers satisfactory results, particularly for complex fractures.
Comparison between Peroneus Longus Tendon Autograft Versus Hamstring Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis Darma, Anak Agung Ngurah Bagus Surya; Aryana, I Gusti Ngurah Wien
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5120

Abstract

Peroneus longus tendon (PLT) autografts offer a promising alternative to hamstring tendon (HT) autografts in ACL reconstruction, addressing limitations like donor site morbidity and insufficient graft material. This systematic review compares clinical outcomes, highlighting PLT comparable effectiveness and potential advantages, supporting its use as a viable option for ACL repair.Material & Methods: This systematic review compared PLT and HT autografts in ACL reconstruction, assessing clinical trials via PRISMA guidelines and robust statistical methods to evaluate outcomes, study quality, and heterogeneity.Results: Four studies met the inclusion criteria for qualitative and quantitative synthesis. The analysis revealed a statistically significant improvement in International Knee Documentation Committee (IKDC) scores for PLT autografts compared to HT autografts (p < 0.0001; MD=3.16; 95% CI=2.00, 4.32). Lysholm scores showed no significant difference between the two groups (p = 0.95; MD=1.56; 95% CI=0.03, 3.09). PLT autografts demonstrated similar knee laxity outcomes and graft survival rates to HT autografts, with minimal donor site complications. Conclusions: PLT autografts offer a promising alternative to HT autografts in ACLR, providing comparable functional outcomes and graft survival rates. The use of PLT may also mitigate potential donor site complications associated with intra-knee graft harvesting.
Co-Authors Anak Agung Wiradewi Lestari Darma, Anak Agung Ngurah Bagus Surya Dewi, Kadek Ayu Candra Dhaifullah, M Rifqi Dharmayuda, Cokorda Gde Oka Dimitri, Dominicus Dusak, I Wayan Suryanto Febyan Febyan, Febyan Febyan, Febyan Giri, Kadek Gede Bakta Gunawan, Dary Hans Kristian Nugraha, Hans Kristian I Ketut Suyasa I Wayan Subawa Kuswara, Leonardus William Limena, Shianita Maharjana, Made Agus Meregawa, Putu Feryawan Nanda, Km Junita Sari Putu Astawa Sri Mahadhana, Sri Susila, Made Arya Tandiono, Marco Trisaputra, I Ketut Wahyu Ustriyana, Nyoman Gede Grenata Nanda