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Assessing The Impact Of Surgical Approaches On Total HIP Replace-ment Outcomes: A Systematic Review Lengkong, Andriessanto C.; Rawung, Rangga B.V; Kambey, Stefan A.G.P
Eduvest - Journal of Universal Studies Vol. 4 No. 11 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i11.1814

Abstract

Total hip replacement is one of the most common and effective orthopedic surgical procedures to reduce pain and improve hip function in patients with severe conditions. This procedure has undergone many advances in the past few decades. However, there is debate among surgeons about which surgical approach is the most optimal to apply. This study aims to systematically assess and compare the outcomes of different surgical approaches in total hip replacement (THR) procedures. The method used in this study was a systematic literature review, in which literature was searched through academic databases such as PubMed, Scopus, and Google Scholar using relevant keywords. The collected data were then analyzed through three stages, namely data reduction, data presentation, and conclusion drawing. The results of this study show that each surgical method for total hip replacement has different advantages and disadvantages. The choice of surgical approach should be tailored to each patient's specific condition. Based on a review of the available literature, the anterior approach is often considered superior to the other approaches. The advantages include less surgical trauma, better postoperative pain reduction and a faster rehabilitation process. The anterior approach is considered safe, reliable and effective, and results in lower pain levels compared to other methods
Efficacy of High Tibial Osteotomy in the Treatment of Medial Compartment Osteoarthritis: A Systematic Review Lengkong, Andriessanto C.; Kambey, Stefan A.G.P
Eduvest - Journal of Universal Studies Vol. 4 No. 9 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i9.6378

Abstract

Osteoarthritis of the medial compartment of the knee is one of the common degenerative diseases among the adult population, causing chronic pain, stiffness, and limited joint function. High Tibial Osteotomy (HTO) has become an important treatment option to address deformity and reduce symptoms in patients with varus osteoarthritis. Objectives: This study aimed to conduct a systematic review of the existing literature to evaluate the efficacy of High Tibial Osteotomy in the treatment of osteoarthritis of the medial compartment of the knee. A literature search was conducted through PubMed, Google Scholar, and Cochrane Library databases for studies that met the inclusion criteria. Clinical outcomes, including improvement in pain, joint function, and radiological changes, were extracted and synthesized to provide a comprehensive picture of the efficacy of HTO. The results of the systematic review showed that High Tibial Osteotomy significantly reduced pain, improved joint function, and slowed disease progression in most patients with osteoarthritis of the medial compartment of the knee. Despite variations in surgical technique and reported clinical outcomes, HTO is generally considered an effective and sustainable procedure in the management of varus osteoarthritis. High Tibial Osteotomy shows strong promise as an important treatment option for patients with medial compartment osteoarthritis of the knee. However, it is important to take into account individual patient characteristics and consider additional therapies to maximize long-term outcomes. Further research is needed to deepen our understanding of this technique and to optimize its benefits in the treatment of osteoarthritis.