Gambaran Karakteristik Pasien Post-Arthroplasty Sendi Panggul dan Sendi Lutut di RSUD Raden Mattaher Jambi

Mela Vania; Budi  Justitia; Humaryanto; Deri  Mulyadi; Afifah  Amatullah

doi:10.20961/plexus.v5i5.3100

Authors

Mela Vania Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Jambi, Jambi, Indonesia
Budi Justitia Bagian Bedah, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Jambi, Jambi, Indonesia
Humaryanto Departemen Beadah Ortopedi dan Traumatologi, RSUD Raden Mattaher, Jambi, Indonesia
Deri Mulyadi Bagian Bedah, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Jambi, Jambi, Indonesia
Afifah Amatullah Departemen Ilmu Penyakit Dalam, RSUD Raden Mattaher, Jambi, Indonesia

DOI:

https://doi.org/10.20961/plexus.v5i5.3100

Keywords:

arthroplasty, sendi panggul, sendi lutut, karakteristik pasien, epidemiologi

Abstract

Pendahuluan: Data karakteristik pasien arthroplasty di Indonesia masih terbatas, padahal informasi mengenai karakteristik demografi, keluhan utama, diagnosis, dan komorbiditas pasien diperlukan untuk evaluasi pelayanan dan pengembangan strategi penatalaksanaan. Penelitian ini bertujuan mendeskripsikan karakteristik pasien post-arthroplasty sendi panggul dan sendi lutut di RSUD Raden Mattaher Jambi periode 2021-2023.

Metode: Studi deskriptif cross-sectional menggunakan 76 data rekam medis. Variabel diteliti meliputi demografi (jenis kelamin, usia, pekerjaan), keluhan utama, diagnosis utama, penyakit penyerta, dan jenis tindakan operasi. Analisis menggunakan distribusi frekuensi.

Hasil: Sebanyak 48 pasien menjalani arthroplasty panggul dan 28 pasien arthroplasty lutut. Karakteristik terbanyak adalah perempuan (64,6% panggul; 82,1% lutut), usia di atas 65 tahun (54,2% panggul; 50,0% lutut), ibu rumah tangga (48,0% panggul; 64,3% lutut). Penyakit komorbid tersering adalah hipertensi (55,2% panggul; 75,0% lutut). Keluhan utama terbanyak nyeri (81,25% panggul; 92,9% lutut). Diagnosis utama fraktur pada panggul (70,0%) dan osteoarthritis pada lutut (96,4%). Jenis operasi THA (7,0%) dan TKA (100,0%).

Kesimpulan: Pasien arthroplasty didominasi perempuan usia lanjut dengan pekerjaan ibu rumah tangga, keluhan utama nyeri, dan hipertensi sebagai komorbid tersering.

References

Agabiti, N., Piccinocchi, G., Cesaroni, G., Bisanti, L., Carinci, F., Costa, G., Forastiere, F., Marinacci, C., Russo, A., Spadea, T., Perucci, C. . (2018). The influence of socioeconomic status on utilization and outcomes of elective total hip replacement: A multicity population-based longitudinal study. International Journal for Quality in Health Care, 19(1), 37–44.

Agung, A. P., Priambodo, A., & Julianti, H. P. (2017). PERBEDAAN JENIS TOTAL KNEE ARTHROPLASTY TERHADAP. 6(1), 1–11.

Amalia, P. B., Astuti, D., Widyastuti, R., Profesi, P., Universitas, K., Malang, M., Baruharjo, P., Durenan, K., & Trenggalek, K. (2023). Analisis Faktor Risiko Terjadinya Osteoarthritis. 4(2).

Anis, H.K., Sodhi, N., Klika, A.K., Mont, M.A., Barsoum, W.K., Higuera, C.A., Krebs, V.E., Piuzzi, N. . (2022). The impact of smoking on patient-reported outcomes in total knee arthroplasty. The Journal of Arthroplasty, 37(6S), S120–S125.

Arirachakaran, A., Choowit, P., Putananon, C., Muangsiri, S., & Kongtharvonskul, J. (2018). Is unicompartmental knee arthroplasty (UKA) superior to total knee arthroplasty (TKA)? A systematic review and meta-analysis of randomized controlled trial. European Journal of Orthopaedic Surgery & Traumatology, 28(5), 883–895.

Burgers, P.T., Van Geene, A.R., Van den Bekerom, M.P., Van Lieshout, E.M., Blom, B., Aleem, I.S., Bhandari, M., & Poolman, R. . (2019). Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: A meta-analysis and systematic review of randomized trials. International Orthopaedics, 43(7), 1559–1569.

Fachri, M., Tekwan, G., & Sulistiawati. (2020). Total Knee Arthroplasty Di Rsud Abdul Wahab Sjahranie Samarinda. J. Ked. Mulawarman, 7(1), 20–28.

Ferguson, R.J., Palmer, A.J., Taylor, A., Porter, M.L., Malchau, H., Glyn-Jones, S. (2018). Hip replacement. The Lancet, 392(10158), 1662–1671.

Findlay, D.M., Kuliwaba, J. . (2020). Bone-cartilage crosstalk: A conversation for understanding osteoarthritis. Bone Research, 4(16028).

Humaryanto, Iskandar, M. M., Gading, P. W., Justitia, B., & Mulyadi, D. (2024). INJURY AND OSTEOARTHRITIS OUTCOME SCORE (KOOS)DIDESA MARO SEBO, KECAMATAN JAMBI LUAR KOTA, KABUPATEN MUARO JAMBI, PROVINSI JAMBI. MEDIC, 4(1), 56–61.

Klussmann, A., Gebhardt, H., Liebers, F., Rieger, M. . (2021). Risk of knee osteoarthritis in relation to duration and type of occupational activities: A systematic review and meta-analysis. International Archives of Occupational and Environmental Health, 94(3), 437–458.

Kuperman, E. F., Schweizer, M., Joy, P., Gu, X., & Fang, M. M. (2016). The effects of advanced age on primary total knee arthroplasty : a meta-analysis and systematic review. BMC Geriatrics, 1–8. https://doi.org/10.1186/s12877-016-0215-4

Kurniawan, R., Siwi, K., Waritsu, C., Faj’ri Romadhona, N., & Mansyah, A. (2023). Studi Kasus PROGRAM FISIOTERAPI PADA KASUS POST ORIF TOTAL HIP REPLACEMENT. JarFisMU, 3(1), 28–36.

Lenza, M., Ferraz, S. de B., Viola, D. C. M., Garcia Filho, R. J., Cendoroglo Neto, M., & Ferretti, M. (2013). Epidemiology of total hip and knee replacement: a cross-sectional study. Einstein (São Paulo, Brazil), 11(2), 197–202. https://doi.org/10.1590/S1679-45082013000200011

Madanny, A. El, Wardhani, I. L., & Suroto, H. (2020). Epidemiology of Lower Extremity Arthroplasty. Jurnal Kesehatan Soetomo, 7(Kesehatan), 1–60.

Muhyi A, Adiratna BS, P. S. (2023). Prevalensi osteoarthritis genu berdasarkan karakteristik demografi pada pasien geriatri di RSUD K.R.M.T Wongsonegoro. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama, 11(2), 156–163.

Park JW, Lee YK, Kim HS, Kim JT, Ha YC, K. K. (2023). Perioperative Concerns and Complaints of Patients Undergoing Total Hip Arthroplasty. Clinics in Orthopedic Surgery, 15(1), 37–41.

Pina, M.d.F.d., Ribeiro, A. I & Santos, C. (2011). Epidimiology and Variability of Orthopaedic Procedures Worldwide. Eouropean Instructional Lectures, 11, 9–11.

Podmore, B., Hutchings, A., Van Der Meulen, J., Aggarwal, A., & Konan, S. (2018). Impact of comorbid conditions on outcomes of hip and knee replacement surgery: A systematic review and meta-analysis. BMJ Open, 8(7), 1–12. https://doi.org/10.1136/bmjopen-2018-021784

Polkowski GG, Ruh EL, Kwasny MJ, Kerkhoffs GM, Altena M, N. R. (2023). Epidemiology of total hip arthroplasty: demographics, comorbidities and outcomes. Arthroplasty, 5(2).

Ruiz, D., Koenig, L., Dall, T.M., Gallo, P., Narzikul, A., Parvizi, J., & Tongue, J. (2019). The direct and indirect costs to society of treatment for end-stage knee osteoarthritis. Journal of Bone and Joint Surgery American Volume, 101(5), 472–482.

Singh, J.A., Yu, S., Chen, L. and Cleveland, J. D. (2019). Rates of Total Joint Replacement in the United States: Future Projections to 2020-2040 Using the National Inpatient Sample. Complications and Healthcare Utilization. J Arthroplasty, 8(34), 1593–1597. https://doi.org/10.1016/j.arth.2019.04.005

Singh, V., Agarwal, S., & Agarwal, M. (2020). Indications and outcomes of hip arthroplasty in Indian population: A prospective study. Indian Journal of Orthopaedic, 54(4), 442–448.

Tol, M.C., van den Bekerom, M.P., Sierevelt, I.N., Hilverdink, E.F., Raaymakers, E.L., & Goslings, J. . (2017). Hemiarthroplasty or total hip arthroplasty for the treatment of a displaced intracapsular fracture in active elderly patients: 12-year follow-up of randomised trial. Bone & Joint Journal, 99-B(2), 250–254.

Wahyuni, A., Safei, I., Hidayati, P. H., Buraena, S., & Mokhtar, S. (2024). Karakteristik Osteoarthritis Genu pada Lansia yang Mendapatkan Rehabilitasi Medik di RSUD Hajjah Andi Depu. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 4(1), 62–72.

Zi-Sheng, A., You-Shui, G., Zhi-Zhen, J., Ting, Y., & Chang-Qing, Z. (2021). Hemiarthroplasty vs primary total hip arthroplasty for displaced fractures of the femoral neck in the elderly: A meta-analysis. Journal of Arthroplasty, 36(82969–2978).