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All Journal Indonesian Journal of Global Health research
Darma, Anak Agung Ngurah Bagus Surya
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Journal : Indonesian Journal of Global Health research

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Comparison of Plating Versus Intramedullary Nailing in Metaphyseal Fractures: A Systematic Review and Meta-Analysis Darma, Anak Agung Ngurah Bagus Surya; Subawa, I Wayan
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.v7i2.5117

Abstract

Metaphyseal fractures are common orthopedic injuries that often require surgical intervention for optimal management. The choice between plating and intramedullary nailing as fixation methods remains a subject of debate among orthopedic surgeons, with considerations including fracture type, patient characteristics, and surgical outcomes. This study aim to compare the efficacy, safety, and outcomes of plating versus intramedullary nailing in the treatment of metaphyseal fractures.Methods: A comprehensive search was conducted across major electronic databases for relevant studies published up to 2023. Studies comparing plating and nailing techniques in metaphyseal fracture fixation were included. Data regarding study characteristics, patient demographics, surgical techniques, outcomes, and follow-up durations were extracted and analyzed using appropriate statistical methods. Our primary outcomes were union rate and time, functional outcome using patient reported outcome measure, and complications. Results: The initial search yielded a total of 687 studies, of which 7 studies met the inclusion criteria, consisting of a total of 758 skeletally-mature patients with metaphyseal fractures treated with either intramedullary nailing or plate fixations. The meta-analysis revealed that there is no evidence to draw definitive conclusions on which indicates the best method in treating metaphyseal fractures. Subgroup analyses were performed based on fracture type, patient age, and other relevant factors to further elucidate the comparative effectiveness of plating versus screwing.Conclusion: The meta-analysis findings indicated that using intramedullary nailing led to shorter surgical and complications when compared to plate fixation. Additionally, both treatments frequently resulted in similar union times and union-related issues. However, further randomized controlled trials (RCTs) are necessary to bolster the existing evidence base.
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.
Comparison of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing for Tibial Shaft Fracture: A Systematic Review and Meta-Analysis Subawa, I Wayan; Darma, Anak Agung Ngurah Bagus Surya
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.v7i2.5130

Abstract

Tibia shaft fractures are thought to affect 4% of the elderly population. Both low energy and high energy mechanisms have the potential to damage the tibia. Two frequently utilized surgical procedures that are superior to other available choices (external fixation and conventional plate fixation) for the treatment of tibia shaft fractures are intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO). We compare minimally invasive plate osteosynthesis versus intramedullary nailing for tibial shaft fracture in terms of return to work, hospital stay, and complications over the duration of 1-2 years of follow-up.Methods: A PRISMA guided systematic review was done. A comprehensive literature search was performed to find study in English comparing between MIPO and IMN for tibial shaft fracture from January 2017 until August 2022. PubMed, Google Scholar, and Cochrane Library. The focus in this systematic review and meta-analysis is to compare outcome between MIPO and IMN for tibial shaft fracture. ((“Minimally Invasive Plate Osteosynthesis”, “Intramedullary Nailing”), AND (“Tibial Shaft Fracture”), AND (“Outcome Measure”)) were utilized in the search.Results: This meta-analysis included a total number of 214 patients with 91 patients undergoing MIPO and 123 patients undergoing IMN. The follow-up period was 1-2 years after the treatment. There were found no significant differences statistically in terms of hostpital stay, return to work, infection, malunion, and non union. Conclusion: Our investigations show that both IMN and MIPO are safe and effective methods in treating tibial shaft fractures, and our results show that both methods provide similar outcomes in length of stay, return to work, infection, malunion, and non-union aspects.
Co-Authors Aryana, I Gusti Ngurah Wien I Wayan Subawa