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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Health Sains
Putri, Ni Nyoman Nila Manta Ary
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Comparison of Open and Endoscopic Approach in Carpal Tunnel Release: A Systematic Review Pramana, I Kadek Adi Surya; Putri, Ni Nyoman Nila Manta Ary
Jurnal Health Sains Vol. 6 No. 7 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i7.2659

Abstract

Carpal Tunnel Syndrome (CTS) is a musculoskeletal disorder caused by the compression of the median nerve, with an incidence of 1 to 3 cases per 1000 people annually and a prevalence of 50 per 1000 in the United States. The two main surgical treatments for CTS are open carpal tunnel release (OCTR) and endoscopic carpal tunnel release (ECTR). This study aims to compare the outcomes of ECTR and OCTR based on randomized controlled trials (RCTs). A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, focusing on RCTs published between 2013 and 2023. The outcomes analyzed included the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-S), Boston Carpal Tunnel Questionnaire Functional Status Scale (BCTQ-F), VAS score, and postoperative complications. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guidelines were used to assess the level of evidence. Seven studies, including 271 hands treated with ECTR and 285 hands treated with OCTR, were reviewed. The comparison results showed minimal differences in BCTQ-S (MD=0.06), BCTQ-F (MD=0.02), VAS (MD=0.03), and complications (ECTR vs OCTR = 5 vs 9). Both ECTR and OCTR produced similar results, with only slight differences observed. In conclusion, ECTR and OCTR offer comparable outcomes based on BCTQ-S, BCTQ-F, VAS score, and postoperative complications. Despite some differences, these findings should be interpreted cautiously and not considered conclusive.
STUDI ANALISIS FAKTOR-FAKTOR YANG TERKAIT DENGAN INFEKSI SENDI PROSTETIK SETELAH TOTAL KNEE ARTHROPLASTY : TINJAUAN SISTEMATIS SEPULUH TAHUN Pramana, I Kadek Adi Surya; Putri, Ni Nyoman Nila Manta Ary
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.10666

Abstract

Infeksi sendi prostetik (PJI) adalah komplikasi yang jarang namun serius setelah total knee arthroplasty (TKA), yang sering mengakibatkan morbiditas pasien yang signifikan, perpanjangan masa rawat inap, dan biaya finansial yang cukup besar. Tujuan dari tinjauan sistematis ini adalah untuk menganalisis faktor-faktor yang terkait dengan infeksi sendi prostetik setelah total knee arthroplasty. Studi ini mengikuti pedoman PRISMA 2020, meninjau publikasi berbahasa Inggris dari tahun 2015 hingga 2025. Editorial, tinjauan duplikat dari jurnal yang sama, dan makalah yang tidak memiliki DOI dikecualikan. Pencarian literatur dilakukan menggunakan PubMed, SagePub, SpringerLink, dan Google Scholar. Hasil: Sebanyak 1.800 artikel awalnya diidentifikasi melalui basis data online (PubMed, SagePub, SpringerLink, dan Google Scholar). Setelah tiga putaran penyaringan, delapan studi relevan dipilih untuk analisis teks lengkap. Kesimpulan: Risiko infeksi sendi prostetik setelah total knee arthroplasty dipengaruhi oleh kompleksitas bedah, obesitas, komorbiditas, dan nutrisi yang buruk. Mengidentifikasi dan mengelola faktor-faktor ini, terutama pada pasien berisiko tinggi, dapat mengurangi angka infeksi. Penelitian di masa depan harus memperbaiki prediksi risiko dan mengevaluasi strategi preventif yang ditargetkan untuk meningkatkan hasil pasien.
Co-Authors Pramana, I Kadek Adi Surya