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All Journal The Hip and Knee Journal
Ifran Saleh
Department Of Orthopaedics And Traumatology, Ciptomangunkusumo Hospital, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Neuroscience

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Total Knee Replacement Epidemiology Before and After the COVID-19 Pandemic: A Descriptive Comparative Study Endrotomo Sumargono; Maria Anastasia; Ifran Saleh; Astuti Pitarini; Maria Florencia Deslivia; Claudia Santosa; Erica Kholinne
The Hip and Knee Journal Vol 2, No 2 (2021): August
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (929.946 KB) | DOI: 10.46355/hipknee.v2i2.81

Abstract

Background: The purposes of this study were (1) to describe the characteristics of patients underwent TKR during COVID-19 Pandemic and (2) to compare the demographic of patients underwent TKR before and after COVID-19 Pandemic in St. Carolus Hospital, Jakarta, Indonesia.Methods: Data were extracted from January 2016 to December 2020 from the annual reports of arthroplasty registry (single surgeon). Patient demographic data were collected (Gender, age, comorbidity). Post-operative characteristics were defined as: (1) Length of hospitalization (days); (2) Complication rate (%); (3) Revision event (%). The complication rate included: (1) Deep vein thrombosis; (2) Prosthetic joint infection; (3) Periprosthetic fracture. The above parameters were compared before and after the COVID-19 Pandemic.Result: A total of 730 primary TKR procedures (12.3 cases per month) were performed from January 2016 to February 2020, meanwhile there were 54 primary TKR (6 cases per month) done in 9 months after COVID-19 Pandemic from March 2020 to December 2020. The lowest case monthly after the COVID-19 Pandemic was found on April 2020 (1 case per month), on the other hand, the highest case monthly was found on December 2020 (14 cases per month). The complication rate decreased from the Pre COVID-19 Pandemic (8.6% to 1.8%).Conclusion: The number of cases was reduced during Indonesia large-scale social restriction (40 %) and returned to the Pre-Pandemic period on December 2020.Level of Evidence : Descriptive study, level III
Range of Motion Outcomes Post Cruciate-Retaining vs Posterior Stabilized Total Knee Arthroplasty: A Retrospective Multi-Centre Cohort Study Oliver Emmanuel Yausep; Ifran Saleh; Adryan Tanujaya
The Hip and Knee Journal Vol 2, No 1 (2021): February
Publisher : Indonesian Hip and Knee Society (IHKS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (893.586 KB) | DOI: 10.46355/hipknee.v2i1.36

Abstract

Background: The outcome for TKA (total knee arthroplasty) upon whether the posterior cruciate ligament is preserved with cruciate retaining (CR) prostheses or sacrificed with posterior stabilized (PS) prostheses are still debated between studies. Materials and Methods: We included a total of 144 knees operated with cemented fixed bearing primary CR or PS TKAs. Independent t-tests were conducted for the outcomes and possible confounding variables between groups where relevant, with analyses using Chi-squared tests for nominal data. Results: Operation on patients with age of lower than 65 years predicts increased intraoperative bleeding volume (p = 0.037), pre-operative range of motion (ROM) of less than 90 degrees was a predictor for better improved post-operative ROM (p 0.001) and PS prostheses is superior to CR in terms of ROM improvement (p = 0.04), however with both groups achieving similar maximum ROM (p = 0.308). Conclusion: Improvement of ROM is increased by the use of PS prostheses compared to CS prostheses, with pre-operative ROM as a possible confounding factor and the maximum ROM achieved for both prostheses being similar. Lower age of the operation is also related to increased intraoperative bleeding
Co-Authors Adryan Tanujaya Arini Setiawati Astuti Pitarini Claudia Santosa Endrotomo Sumargono Erica Kholinne Errol U. Hutagalung Karmel L. Tambunan Lugyanti Sukrisman Maria Anastasia Maria Florencia Deslivia Oliver Emmanuel Yausep S. B. Gunawan Sofyanuddin Sofyanuddin Yudistira Prama Tirta