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Perbandingan penanganan operatif dengan non operatif pada tatalaksana dislokasi bahu anterior terhadap rekurensi: systematic review



Abstract

Background: Shoulder dislocations are very prone to recurrent shoulder dislocations, the best treatment for reducing recurrence is controversial in several studies. Thus, the aim of this study was to compare operative and nonoperative management of anterior dislocation of the shoulder against recurrence.

Method: The literature search used PubMed and Google Scholar databases and met the inclusion criteria from 2010-2020 regarding the comparison of operative and non-operative treatment on anterior shoulder dislocation on recurrence. This systematic review was prepared by using the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes).

Result: Five studies were reviewed with a total sample size of 635 samples. Three studies stated that the recurrence rate for operative was 10-13% and non-operative was 41-71% and there was a significant difference. Meanwhile, two other studies stated that there was no significant difference between operative and non-operative on recurrence rates.

Conclusion: Studies suggest that non-operative management recurs more frequently in shoulder dislocation than operative management.

 

Pendahuluan: Dislokasi bahu sangat rentan untuk terjadi dislokasi bahu berulang (recurrent). Hingga saat ini, penanganan yang terbaik dalam menurunkan rekurensi masih bersifat kontroversial dalam beberapa studi. Untuk itu, tujuan dari studi ini adalah untuk membandingan penanganan operatif dengan non operatif pada tatalaksana dislokasi bahu anterior terhadap rekurensi

Metode: Pencarian literatur menggunakan database PubMed dan Google Scholar, serta memenuhi kriteria inklusi dari tahun 2010-2020 mengenai perbandingan operatif dan non operatif pada dislokasi bahu anterior terhadap rekurensi. Penulian systematic review ini disusun menggunakan protocol PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). 

Hasil: Lima studi yang diulas dengan jumlah sampel sebanyak 635 sampel. Tiga studi menyebutkan recurrence rate pada operatif sebesar 10-13% dan non operatif sebesar 41-71% dan terjadi perbedaan yang signifikan. Sedangkan, dua studi lainnya menyebutkan recurrence rate pada operatif dan non operatif menunjukkan tidak ada perbedaan yang signifikan.

Kesimpulan: Keseluruhan studi menyebutkan bahwa penanganan non operatif lebih sering mengalami rekurensi pada dislokasi bahu dibandingkan dengan penanganan operatif.

Keywords: Dislokasi bahu anterior non operatif operatif rekurensi.

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How to Cite

Ardhaswari, M. S. P. P. ., Astawa, P., & Asmara, A. A. G. Y. (2023). Perbandingan penanganan operatif dengan non operatif pada tatalaksana dislokasi bahu anterior terhadap rekurensi: systematic review. Intisari Sains Medis, 14(2), 774–779. https://doi.org/10.15562/ism.v14i2.891
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Made Sabrina Prativa Prasaditya Ardhaswari
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Putu Astawa
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Anak Agung Gde Yuda Asmara
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