Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal Indonesian Journal of Medicine Indonesian Journal of Global Health research
Kuswara, Leonardus William
Unknown Affiliation
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Clinical Demographics Characteristic of Total Knee Arthroplasty at Prof IGNG Ngoerah General Hospital, Bali, Indonesia Aryana, I Gusti Ngurah Wien; Dharmayuda, Cokorda Gde Oka; Febyan, Febyan; Dimitri, Dominicus; Limena, Shianita; Kuswara, Leonardus William
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.616

Abstract

Background:  Total knee arthroplasty (TKA) is a widespread surgical procedure for severe arthritis. By 2030, primary TKA would reach over 1.2 million procedures annually in the United States. In Indonesia, the prevalence of joint disease is about 19.5 million cases. This study aims to evaluate the clinical demographics characteristics of TKA in Prof. Ngoerah General Hospital, Bali, Indonesia.Subjects and Method:  This is a descriptive study using a Cross-Sectional method with a total 57 adult patients undergoing TKA caused by Osteoarthritis grade III/IV in Prof IGNG Ngoerah Hospital from June 2020-June 2022. The dependent variable is the TKA procedure. Independent Variable is Age, gender, grade of knee osteoarthritis, comorbidities, and complications Data from the medical record was collected and stored in a Microsoft Office Excel 365 spreadsheet, the distributive table was analyzed and collected by using SPSS.Results:  Patient characteristic is dominated by an elderly female (84.2%), with age group 61-70 (38.6%). Comorbidities in this study include hypertension (28.1%), type II diabetes (10.5%), and rheumatoid disease (1.8%). The main complication recorded in this study includes joint stiffness (3.5%), and persistent pain (5.3%).Conclusion:  After Total Knee Arthroplasty was performed on 57 patients with a wide range of comorbidities, only a small number of complications occurred. This study implied that TKA could be performed even if the patient had some comorbidities as long as the patient pursued a complete pre and post-operative evaluation algorithm of the procedure.Keywords:  knee arthroplasty, osteoarthritis, human and medicine, rehabilitationCorrespondence:  IGN Wien Aryana, Consultant of Sports Medicine, Dept. Orthopaedic and Traumatology, Prof IGNG Ngoerah General Hospital, Faculty of Medicine, Udayana University. Jl. Diponegoro, Dauh Puri Klod. Denpasar City, Bali 80113 Email: wienaryanaortho@gmail.com. Mobile: +62811385263.Indonesian Journal of Medicine (2023), 08(02): 128-135https://doi.org/10.26911/theijmed.2023.08.02.01 
A Comparison Between the Open Posterior Approach and Arthroscopic Suture Fixation in Treating Posterior Cruciate Ligament Tibial Avulsion: A Systematic Review Kuswara, Leonardus William; Astawa, Putu; Aryana, I Gusti Ngurah Wien
Indonesian Journal of Global Health Research Vol 6 No S5 (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.v6iS5.4360

Abstract

Posterior cruciate ligament (PCL) avulsion fractures are rare but significant injuries that can lead to knee instability and degeneration if untreated. Treatment options range from conservative management to surgical fixation. The objective of this study is to evaluate and compare the outcomes of different treatment modalities for posterior cruciate ligament (PCL) avulsion fractures, with a focus on surgical interventions, specifically open surgery and arthroscopy. Methods: A systematic literature search was conducted using the MEDLINE, EMBASE, and Cochrane Library databases from August 17, 2003 to August 17, 2023. Studies included involved patients with PCL avulsion fractures treated via arthroscopic or open fixation. Data was extracted on demographics, surgical approaches, outcomes (Lysholm scores), and complications. The Coleman methodology score was applied to assess study quality by scoring factors like study size, design, follow-up, and outcome measures, and only studies scoring ≥60 were included for data analysis. Results: Out of 1,470 studies, 12 met the inclusion criteria. Lysholm scores ranged from 85 to 100 for open approaches and 80 to 100 for arthroscopic approaches. Arthroscopic treatment showed fewer complications, such as infections or hardware irritation, while both approaches demonstrated favorable outcomes. Postoperative limitations in motion were observed in both groups, with a slightly higher incidence in the arthroscopic cohort. Conclusions: Both arthroscopic and open surgical approaches effectively treat PCL avulsion fractures, with arthroscopy showing a slight advantage in postoperative outcomes and fewer complications. However, open surgery with a small open procedure also offers satisfactory results, particularly for complex fractures.
Co-Authors Aryana, I Gusti Ngurah Wien Dharmayuda, Cokorda Gde Oka Dimitri, Dominicus Febyan, Febyan Limena, Shianita Putu Astawa