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The Analysis Study of Characteristics and Effectiveness of Postoperative Rehabilitation Strategies in Ankle Fractures: A Comprehensive Systematic Review Jatniko Fadhilah; Hedaya Pancar Pangestu
The International Journal of Medical Science and Health Research Vol. 6 No. 3 (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/svw09v38

Abstract

Background: Rehabilitation after ankle fracture surgery is critical for optimizing functional recovery. This systematic review explores various post-surgical rehabilitation strategies, including weight-bearing protocols, compression therapy, manual therapy, and active controlled motion, focusing on their efficacy in improving patient outcomes. Methods: A systematic review was conducted using seven randomized controlled trials and one retrospective analysis. Studies were assessed for interventions such as early versus delayed weight-bearing, compression stockings, manual therapy, active controlled motion, and ankle supports. Key outcomes included functional scores (OMAS, AOFAS), quality of life measures, range of motion, and return-to-activity timelines. Results: Early weight-bearing was associated with better functional recovery and earlier return to work, while active controlled motion improved range of motion and patient-reported outcomes. Compression therapy effectively reduced swelling and enhanced functional outcomes, but manual therapy showed limited benefits. Ankle supports, such as walker boots and stirrup braces, reduced pain and improved gait parameters compared to Tubigrip. Overall, no significant increase in complications was observed with early mobilization strategies. Conclusion: Individualized rehabilitation plans incorporating early mobilization, compression therapy, and supportive devices can optimize functional recovery after ankle fracture surgery. Future research should focus on long-term outcomes and cost-effectiveness of these strategies.
The Analysis Studies of Causes and Frequencies of Reoperations after Endoprosthesis Reconstructions for Extremity Tumor Surgery: A Comprehensive Systematic Review Jatniko Fadhilah; Amarvir Singh
The International Journal of Medical Science and Health Research Vol. 7 No. 1 (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/qpxdxp39

Abstract

Introduction: Recent advancements in endoprosthetic implant designs and fixation methods have greatly enhanced the options available for reconstructing osseous defects following tumor excision. Endoprosthetic reconstruction offers multiple benefits, including versatility, improved ambulatory function, and early rehabilitation, while allowing for complete tumor resection and reducing the risk of recurrence. This systematic review aims to aggregate evidence on the complications and outcomes of primary extremity tumor endoprosthetic reconstructions to guide clinical decision-making. Methods: This review follows the PRISMA 2020 guidelines, analyzing studies published between 2004 and 2024 that address complications like infection, structural failure, and prosthesis survival in primary extremity tumor endoprosthetic reconstructions. A comprehensive search strategy across databases like PubMed, ScienceDirect, and Cochrane Library will identify eligible studies. Results: Eight studies meeting the inclusion criteria were analyzed for complications in endoprosthetic reconstructions. The studies highlighted complications such as infection, reoperation rates, and prosthesis survival. Discussion: The study discusses key articles examining complications, emphasizing factors like bone resection, implant fixation types, and tumor characteristics, which influence reoperation rates and prosthesis failure. Despite promising functional outcomes, the risk of complications, particularly infection and mechanical failure, remains significant. Surgical technique, postoperative care, and tumor characteristics are critical in optimizing outcomes. Conclusion: This review identifies key complications in primary extremity tumor endoprosthetic reconstructions, emphasizing the need for long-term follow-up, standardized reporting, and personalized surgical approaches. Further research with homogeneous cohorts is required to enhance understanding and improve patient outcomes.
What are The Clinical Outcomes of Arthroscopic versus Open Surgical Reconstruction for Anterior Cruciate Ligament (ACL) Injuries : A Systematic Review Shina Niko Apredo; Jatniko Fadhilah
The International Journal of Medical Science and Health Research Vol. 15 No. 2 (2025): 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/avh4tm05

Abstract

Introduction Anterior Cruciate Ligament (ACL) rupture is a common knee injury that often requires surgical intervention to restore stability and function. The primary surgical options are traditional open reconstruction and modern minimally invasive arthroscopic techniques. Despite extensive research, there is no definitive consensus on the superiority of one method over the other, prompting this systematic review to synthesize current evidence on their comparative clinical outcomes. Methods This systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. A comprehensive search of databases including PubMed, Google Scholar, Springer, Semantic Scholar, and Wiley Online Library was performed using PICO-based keywords to identify relevant studies. The review included randomized controlled trials and comparative observational studies that compared clinical outcomes of primary open versus arthroscopic ACL reconstruction in adult patients. Data on knee stability, functional scores, and complication rates were extracted and synthesized. Results Twenty studies were included in the final analysis. The synthesis of evidence revealed no consistent, statistically significant long-term differences between open and arthroscopic ACL reconstruction in primary outcomes, including knee stability (Lachman test, pivot-shift test, KT-1000) and patient-reported functional scores (Lysholm, IKDC). However, high rates of radiographic osteoarthritis were observed at long-term follow-up regardless of the surgical technique. Furthermore, factors such as the management of associated meniscal injuries and specific variations within arthroscopic techniques (e.g., all-inside vs. transtibial) appeared to be more influential on specific outcomes than the open versus arthroscopic approach itself. Discussion The findings indicate that both surgical methods are effective in restoring knee stability and function. The clinical debate is shifting from a simple open versus arthroscopic comparison to a more nuanced evaluation of procedural variables within arthroscopy, such as graft choice and the use of adjunctive procedures. The high incidence of long-term osteoarthritis suggests that the initial trauma may be a more critical determinant of joint health than the reconstruction method. Conclusion Arthroscopic and open ACL reconstruction techniques yield broadly comparable long-term clinical and functional outcomes. The choice of procedure does not appear to be the most critical factor for long-term success. Future research should focus on refining specific surgical techniques, developing strategies to mitigate post-traumatic osteoarthritis, and personalizing treatment based on patient-specific factors like associated injuries.