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The Analysis Study of Management, Diagnosis and Surgical Management of De Quervain Tenosynovitis : An Orthopaedic and Traumatology Systematic Review Supriyadi, Agung; Andimapali, Zulfikar; Fitria, Adina
The Indonesian Journal of General Medicine Vol. 5 No. 1 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/0zake605

Abstract

Background: This systematic review aims to critically evaluate current surgical practices for managing De Quervain's disease and to identify the most effective treatment methods. Methods: This systematic review focused exclusively on full-text articles published in English between 2014 and 2024, following the PRISMA 2020 guidelines to ensure methodological rigor and transparency. Result: The literature search yielded nearly 100 publications from the selected databases. After an initial screening, eight publications were deemed worthy of a more in-depth review. These studies underwent a thorough examination to ensure a comprehensive and rigorous assessment of their findings and methodologies. Conclusion: The review focused on comparing three surgical interventions for De Quervain's disease: longitudinal skin incision, transverse skin incision, and endoscopic release. The results indicated that the longitudinal skin incision may lead to fewer complications, such as nerve injuries, and is associated with improved functional outcomes compared to the other techniques. This suggests that the longitudinal approach could be a preferable option for surgical management of De Quervain's disease.
The Analysis Study of Surgical Management and Outcome of Acute Compartment Syndrome: An Orthopaedic and Traumatology Systematic Review Supriyadi, Agung; Andimapali, Zulfikar; Fitria, Adina
The International Journal of Medical Science and Health Research Vol. 5 No. 2 (2024): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/84tvev44

Abstract

Background: Acute compartment syndrome (ACS) is a serious medical condition that occurs when increased pressure within a closed muscle compartment reduces blood flow and can lead to permanent damage. This systematic review aims to analyze the management strategies, complications, and outcomes of acute compartment syndrome based on current literature. Methods: The review analyzed data from multiple studies, including both prospective and retrospective studies. Results: The analysis included eight studies with a total of 1,019 patients. Factors influencing outcomes in ACS included the time to fasciotomy, fracture status, muscle necrosis indicators, and patient-related factors. Early intervention and appropriate management were associated with better functional outcomes and reduced complications. Conclusion: Effective management of ACS relies heavily on timely intervention and proper post-surgical care. The studies reviewed highlight the importance of early fasciotomy and monitoring for complications to improve patient outcomes.