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12. Similar Superior Patient-Reported Outcome Measures for Anterior and Posterolateral Approaches After Total Hip Arthroplasty: Postoperative Patient-Reported Outcome Measure Improvement After 3 months in 12,774 Primary Total Hip Arthroplasties Using the Anterior, Anterolateral, Straight Lateral, or Posterolateral Approach

Author

Peters, Rinne M., van Beers, Loes W.A.H., van Steenbergen, Liza N., Wolkenfelt, Julius, Ettema, Harmen B., ten Have, Bas L.E.F., Rijk, Paul C., Stevens, Martin, Bulstra, Sjoerd K., Poolman, Rudolf W., and Zijlstra, Wierd P.

Published
2018
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20. Functional recovery after reduced pediatric fractures of the forearm with respect to perceived limitations, common post-traumatic symptoms, range of motion, and dexterity:a prospective study

Author

Hepping, Ann M., Barvelink, Britt, Ploegmakers, Joris J. W., van der Palen, Job, Geertzen, Jan H. B., Bulstra, Sjoerd K., Harbers, Jorrit S., Stevens, Martin, Hepping, Ann M., Barvelink, Britt, Ploegmakers, Joris J. W., van der Palen, Job, Geertzen, Jan H. B., Bulstra, Sjoerd K., Harbers, Jorrit S., and Stevens, Martin

Abstract

Purpose: Studies on functional recovery after pediatric forearm fractures are scarce. Outcome measures are usually (retrospectively) incorporated to compare treatments. How these parameters recover has only rarely fallen within the scope. Aim was to provide insight into “normal recovery” by evaluating how limitations, post-traumatic symptoms, range of motion (ROM) and dexterity recuperate. Materials and methods: Prospective observational study regarding children 4 and 18 years with a reduced forearm fracture. Limitations, post-traumatic symptoms, ROM, and dexterity were evaluated 6 weeks, 3 and 6 months post-trauma. ROM of the unaffected side was used as a baseline. Results: Of 54 participants 25.9% and 5.9% perceived limitations after 3 respectively 6 months. Pain, swelling and hypertrichosis were common symptoms. Movements distal from the elbow were restrained 6 weeks post-trauma. Supination and palmar flexion were most affected, followed by dorsal flexion and pronation. Palmar flexion and pronation were still affected after 3 months and associated with treatment invasiveness. Dexterity was diminished at 6 weeks only. Conclusions: Mild limitations are common. Further investigation of the association between pain, reduced sensitivity and hypertrichosis with treatment invasiveness is warranted. Regarding ROM supination, pronation, palmar and dorsal flexion should be incorporated in future studies. Dexterity is an unsuitable outcome measure.IMPLICATIONS FOR REHABILITATION This study relates to monitoring recovery from pediatric forearm fractures. Physicians ought to realize that one in four children experience limitations preceding 3 months post-trauma, in which case involvement of a hand therapist should be considered. Pain, swelling and especially hypertrichosis are common post-traumatic symptoms in children and should on itself not immediately raise concerns for complex regional pain syndrome (CRPS). To assess recovery of range of motion measuring pronation, su

Published
2023

24. Duloxetine in OsteoArthritis (DOA) study

Author

Blikman, Tim, Rienstra, Wietske, van Raay, TM, ten Hagen, A J, Dijkstra, Baukje, Zijlstra, Wierd Pieter, Bulstra, Sjoerd K., Stevens, Martin, van den Akker-Scheek, Inge, Restoring Organ Function by Means of Regenerative Medicine (REGENERATE), Public Health Research (PHR), and SMART Movements (SMART)

Subjects
Pain, Diseases of the musculoskeletal system, Duloxetine Hydrochloride, Osteoarthritis, Hip, VALIDATION, RECOMMENDATIONS, CLASSIFICATION, DOUBLE-BLIND, Rheumatology, Osteoarthritis, MANAGEMENT, Humans, Orthopedics and Sports Medicine, Knee, SCALE, Hip, Research, NEUROPATHIC PAIN, PAINDETECT, Osteoarthritis, Knee, EFFICACY, Treatment Outcome, RC925-935, Duloxetine, SAFETY, Chronic Pain
Abstract

Background Some osteoarthritis (OA) patients experience inadequate pain relief from analgesics like acetaminophen and nonsteroidal anti-inflammatory drugs. This could be the result of experienced non-nociceptive centralized pain. Placebo-controlled randomized trials (RCT) have proven the effectiveness of duloxetine for OA and several chronic pain conditions where central sensitization (CS) is one of the key underlying pain mechanisms. Objectives Assess the efficacy of an 8-week duloxetine treatment compared to usual care in end-stage knee and hip OA patients with a level of centralized pain. Design Pragmatic, enriched, open-label RCT. Methods Patients were randomized to duloxetine or to care-as-usual. Primary outcome was pain in the index joint, measured with the pain domain of the Knee injury and Osteoarthritis Outcome Score (KOOS) or the Hip disability and Osteoarthritis Outcome Score (HOOS). The intention-to-treat principle was used, with mixed-model repeated measures to analyze the effect. Results One hundred eleven patients were randomized. Nearly 44% felt much to very much better after duloxetine usage compared to 0% in the care-as-usual group (p p Conclusions Adding duloxetine treatment seems to be beneficial for end-stage knee OA patients with neuropathic-like symptoms (at risk of CS). End stage Hip OA patients seem to be nonresponsive to duloxetine. Trial registration Dutch Trial Registry with number NTR 4744 (15/08/2014) and in the EudraCT database with number 2013–004313-41.

Published
2022
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27. Functional recovery after reduced pediatric fractures of the forearm with respect to perceived limitations, common post-traumatic symptoms, range of motion, and dexterity: a prospective study.

Author

Hepping, Ann M., Barvelink, Britt, Ploegmakers, Joris J. W., van der Palen, Job, Geertzen, Jan H. B., Bulstra, Sjoerd K., Harbers, Jorrit S., and Stevens, Martin

Subjects
RANGE of motion of joints, SCIENTIFIC observation, CONVALESCENCE, HEALTH outcome assessment, FUNCTIONAL assessment, TREATMENT effectiveness, FOREARM injuries, MOTOR ability, LONGITUDINAL method, CHILDREN
Abstract

Studies on functional recovery after pediatric forearm fractures are scarce. Outcome measures are usually (retrospectively) incorporated to compare treatments. How these parameters recover has only rarely fallen within the scope. Aim was to provide insight into "normal recovery" by evaluating how limitations, post-traumatic symptoms, range of motion (ROM) and dexterity recuperate. Prospective observational study regarding children 4 and 18 years with a reduced forearm fracture. Limitations, post-traumatic symptoms, ROM, and dexterity were evaluated 6 weeks, 3 and 6 months post-trauma. ROM of the unaffected side was used as a baseline. Of 54 participants 25.9% and 5.9% perceived limitations after 3 respectively 6 months. Pain, swelling and hypertrichosis were common symptoms. Movements distal from the elbow were restrained 6 weeks post-trauma. Supination and palmar flexion were most affected, followed by dorsal flexion and pronation. Palmar flexion and pronation were still affected after 3 months and associated with treatment invasiveness. Dexterity was diminished at 6 weeks only. Mild limitations are common. Further investigation of the association between pain, reduced sensitivity and hypertrichosis with treatment invasiveness is warranted. Regarding ROM supination, pronation, palmar and dorsal flexion should be incorporated in future studies. Dexterity is an unsuitable outcome measure. This study relates to monitoring recovery from pediatric forearm fractures. Physicians ought to realize that one in four children experience limitations preceding 3 months post-trauma, in which case involvement of a hand therapist should be considered. Pain, swelling and especially hypertrichosis are common post-traumatic symptoms in children and should on itself not immediately raise concerns for complex regional pain syndrome (CRPS). To assess recovery of range of motion measuring pronation, supination, dorsal, and palmar flexion is sufficient. [ABSTRACT FROM AUTHOR]

Published
2023
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30. Functional recovery after reduced pediatric fractures of the forearm with respect to perceived limitations, common post-traumatic symptoms, range of motion, and dexterity: a prospective study

Author

Hepping, Ann M., primary, Barvelink, Britt, additional, Ploegmakers, Joris J. W., additional, van der Palen, Job, additional, Geertzen, Jan H. B., additional, Bulstra, Sjoerd K., additional, Harbers, Jorrit S., additional, and Stevens, Martin, additional

Published
2022
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37. Response to Comment by Filardo et al

Author

Janssen, Maarten P F, Boymans, Tim A E J, Welting, Tim J M, van Rhijn, Lodewijk W, Bulstra, Sjoerd K, Emans, Peter J, Restoring Organ Function by Means of Regenerative Medicine (REGENERATE), and Public Health Research (PHR)

Published
2021

41. Total knee arthroplasty among working-age patients

Author

Hylkema, Tjerk H., Brouwer, Sandra, Bulstra, Sjoerd K., Stevens, Martin, Kuijer, P. Paul F.M., Brouwer, Sandra, Bulstra, Sjoerd K., Stevens, Martin, Kuijer, Paul P. F. M., Public and occupational health, APH - Quality of Care, APH - Societal Participation & Health, AMS - Musculoskeletal Health, and AMS - Sports

Published
2020

45. Effect of preoperative duloxetine treatment on postoperative chronic residual pain after total hip or knee arthroplasty: a randomised controlled trial

Author

Rienstra, Wietske, primary, Blikman, Tim, additional, Dijkstra, Baukje, additional, Stewart, Roy, additional, Zijlstra, Wierd, additional, van Raaij, Tom, additional, ten Hagen, Anita, additional, Bulstra, Sjoerd, additional, Stevens, Martin, additional, and van den Akker-Scheek, Inge, additional

Published
2021
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