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All Journal Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indonesian Journal of Global Health research
Karna, Made Bramantya
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Efficacy Comparison of Various Repair Techniques for Flexor Tendon Injuries: A Systematic Review and Meta-Analysis Putra, Anak Agung Gde Duta Maha; Karna, Made Bramantya; Asmara, Anak Agung Gde Yuda; Meregawa, Putu Feryawan
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 10 No. 1 (2021): April 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v10i1.2021.11-21

Abstract

Background: Flexor tendon injuries are potentially disabling, as flexor tendons are essential to hand function, playing a vital role in all types of grip, including power and fine pinch grips. However, there has been no consensus regarding the most effective repair technique for this pathology.Methods: A systematic search was conducted based on PRISMA guidelines to identify relevant studies through PubMed, Google Scholar, and Cochrane. A total of 9 studies (266 tendons from 108 patients) were included.Results: In a comparison between the Modified Kessler and 4-stranded Cruciate techniques, the Four-stranded Cruciate Suture produces a higher 2 mm gap strength (I2 = 93%, p < 0.00001), higher ultimate strength (I2 = 99%, p = 0.02), and better Functional Outcome as measured using the Strickland Criteria (I2 = 0%, p < 0.0001). In a comparison between the 2-Stranded and the 4-Stranded Kessler technique, the 4-Stranded Kessler technique produces a higher 2 mm gap strength (I2= 98%, p =0.02) and higher ultimate strength (I2= 60%, p <0.00001).Conclusion: The current systematic review and meta-analysis suggests that the 4-stranded cruciate repair technique has better strength and functional outcomes than the modified Kessler, especially in zone II and III injuries. The 4-stranded Kessler is also proven to have better strength compared to the 2-stranded Kessler.
Comparison of Platelet-Rich Plasma with Corticosteroid Injections for Patients with Mild to Moderate Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Current Evidence in Randomized Controlled Trials Kusuma, I Made Wira; Karna, Made Bramantya; Asmara, Anak Agung Gde Yuda; Christian, Stedi Adnyana
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.4580

Abstract

Carpal tunnel syndrome (CTS) accounts for over 90% of peripheral entrapment neuropathy cases. Platelet-rich plasma (PRP), has shown promise due to its anti-inflammatory effects and potential to support axonal repair and neuronal regeneration. The aim of this study is to evaluate the comparative therapeutic efficacy of PRP and corticosteroid injections in treating mild to severe CTS, using a three-month follow-up period.Methods: This meta-analysis followed the PRISMA framework, reviewing studies from 2017 to 2022 in PubMed and the Cochrane Library that compare PRP and corticosteroid injections for CTS. Primary outcome including Visual Analog Scale (VAS), Sensory Peak Latency (SPL), Distal Motor Latency (DML), and the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS). Results: Four studies remained after matches the screening phase. This meta-analysis includes 245 patients, including 123 receiving PRP and 122 corticosteroid injections. When looking at the VAS 1 and 3 month periods, FSS 3 months, SSS 3 months, DML 1 and 3 months, and SPL 3 months, there were statistically significant changes better outcomes towards PRP injection group compared to the control group. Conclusion: PRP injections provided better short- to mid-term relief and improved electrophysiological outcomes compared to corticosteroid injections in mild to moderate CTS cases.
Co-Authors Asmara, Anak Agung Gde Yuda Christian, Stedi Adnyana Kusuma, I Made Wira Meregawa, Putu Feryawan Putra, Anak Agung Gde Duta Maha