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9 results on '"Eversdijk, MG"'

1. Femoral Neck Shortening After Hip Fracture Fixation Is Associated With Inferior Hip Function: Results From the FAITH Trial

Author

Felton, J, Slobogean, GP, Jackson, SS, Della Rocca, GJ, Liew, S, Haverlag, R, Heetveld, MJ, Van Lieshout, Esther M.M., Zielinski, Stephanie, Patka, Petr, Eversdijk, MG, Peters, RW, den Hartog, Dennis, van Waes, O.J.F., Oprel, Pim, Herriott, C, Dobb, C, Surgery, and Emergency Medicine

Subjects
Male, medicine.medical_specialty, WOMAC, medicine.medical_treatment, Cohort Studies, Fracture Fixation, Internal, 03 medical and health sciences, Fixation (surgical), Postoperative Complications, 0302 clinical medicine, Fracture fixation, Humans, Medicine, Internal fixation, Orthopedics and Sports Medicine, Aged, Retrospective Studies, Femoral neck, Aged, 80 and over, 030222 orthopedics, Hip fracture, Femur Neck, Hip Fractures, business.industry, 030208 emergency & critical care medicine, Retrospective cohort study, Organ Size, General Medicine, Middle Aged, medicine.disease, Surgery, medicine.anatomical_structure, Orthopedic surgery, Female, business
Abstract

To describe the distribution of femoral neck shortening after internal fixation and to determine whether shortening is associated with inferior hip function at 24 months after a hip fracture in patients 50 years of age or older.Retrospective cohort study.A secondary analysis of data from 81 clinical centers included in the Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH) trial.Three hundred fifty patients, 50 years of age or older, who had an isolated femoral neck fracture and underwent timely operative fixation of the fracture.Femoral neck shortening was measured as a categorical variable and classified into one of the following groups, as determined by the Central Adjudication Committee: no shortening, mild shortening (≤5 mm), moderate shortening (6-10 mm), or severe shortening (10 mm).The primary outcome for the current analysis was hip function, as measured by the Western OntarioMcMaster Universities Osteoarthritis Index questionnaire, at 24 months after injury.Two-thirds of patients had no or mild shortening (≤5 mm), whereas one-third of patients had moderate or severe shortening (5 mm). After adjusting for surgical treatment, a greater amount of femoral neck shortening was found to be associated with poorer hip function (P0.01).We found that increasing femoral neck shortening was associated with inferior hip function. Although internal fixation often results in successful union, patients who heal in a shortened position report poorer functional outcomes.Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

Published
2019

3. Reliability, validity, responsiveness, and minimal important change of the Disablities of the Arm, Shoulder and Hand and Constant-Murley scores in patients with a humeral shaft fracture

Author

Mahabier, Kiran, den Hartog, Dennis, Theyskens, Nina, Verhofstad, Michiel, Van Lieshout, Esther M.M., Bos, Koen, Bronkhorst, M, Bruijninckx, MMM, de Haan, J, den Hoed, PT, Eversdijk, MG, Goslings, JC, Haverlag, R, Heetveld, MJ, Kerver, AJH, Kolkman, KA, Leenhouts, PA, Meylaerts, SAG, Onstenk, R, Poeze, M, Poolman, RW, Punt, BJ, Ritchie, ED, Roerdink, WH, Roukema, GR, Sintenie, JB, Soesman, NMR, van der Elst, M, van der Heijden, F, Van der Linden, FM, Van der Zwaal, P, van Dijk, JP, Van Jonbergen, HPW, Verleisdonk, E, Vroemen, J, Waleboer, M, Wittich, P, Zuidema, WP, Mahabier, Kiran, den Hartog, Dennis, Theyskens, Nina, Verhofstad, Michiel, Van Lieshout, Esther M.M., Bos, Koen, Bronkhorst, M, Bruijninckx, MMM, de Haan, J, den Hoed, PT, Eversdijk, MG, Goslings, JC, Haverlag, R, Heetveld, MJ, Kerver, AJH, Kolkman, KA, Leenhouts, PA, Meylaerts, SAG, Onstenk, R, Poeze, M, Poolman, RW, Punt, BJ, Ritchie, ED, Roerdink, WH, Roukema, GR, Sintenie, JB, Soesman, NMR, van der Elst, M, van der Heijden, F, Van der Linden, FM, Van der Zwaal, P, van Dijk, JP, Van Jonbergen, HPW, Verleisdonk, E, Vroemen, J, Waleboer, M, Wittich, P, and Zuidema, WP

Published
2017

4. The Acute Compartment Syndrome of the Lower Leg: A Difficult Diagnosis?

Author

Oprel, Pim, Eversdijk, MG, Vlot, John, Tuinebreijer, Wim, den Hartog, Dennis, Surgery, and Pediatric Surgery

Abstract

Three patients, two adults and one child, developed an acute compartment syndrome of the lower leg. Due to delay in diagnosis, severe complications developed, resulting in two transfemoral amputations. In the youngest patient, the lower leg was able to be saved after extensive reconstructive surgery. In most cases, acute compartment syndrome of the lower leg is seen in combination with a fracture (40%), although other causes (minor trauma or vascular surgery) are also known. Moreover, patient history (pain out of proportion to the associated injury) and physical examination are central to the diagnosis. In some cases, however, a reliable diagnosis cannot be made clinically, as in the case of unconscious, intoxicated or intubated patients, as well as small children. Under these circumstances, intra-ompartmental pressure measurement can be of great assistance. After confirmation of the diagnosis, immediate fasciotomy of all lower leg compartments should be performed. The eventual outcome of this syndrome is directly related to the time elapsed between diagnosis and definitive treatment. Although the diagnosis can be difficult, delays in treatment should be avoided at all costs. The acute compartment syndrome of the lower leg is a surgical emergency and should be dealt with immediately.

Published
2010

5. HUMeral Shaft Fractures: MEasuring Recovery after Operative versus Non-operative Treatment (HUMMER): a multicenter comparative observational study

Author

Mahabier, Kiran, Van Lieshout, Esther M.M., Bolhuis, HW, Bos, Koen, Bronkhorst, Maarten, Bruijninckx, MMM, de Haan, J, Deenik, AR, Dwars, BJ, Eversdijk, MG, Goslings, JC, Haverlag, R, Heetveld, MJ, Kerver, AJH, Kolkman, KA, Leenhouts, PA (Kees), Meylaerts, SAG, Onstenk, R, Poeze, M, Poolman, RW, Punt, BJ, Roerdink, WH, Roukema, GR, Sintenie, JB, Soesman, NMR, Tanka, AKF, Ten Holder, EJT, van der Heijden, FHWM, van der Elst, M, Van der Linden, FM, Van der Zwaal, P, Van Jonbergen, HPW, van Dijk, JP, Verleisdonk, EJMM, Vroemen, JPAM, Waleboer, M, Wittich, P, Zuidema, WP, Polinder, Suzanne, Verhofstad, Michiel, den Hartog, Dennis, Mahabier, Kiran, Van Lieshout, Esther M.M., Bolhuis, HW, Bos, Koen, Bronkhorst, Maarten, Bruijninckx, MMM, de Haan, J, Deenik, AR, Dwars, BJ, Eversdijk, MG, Goslings, JC, Haverlag, R, Heetveld, MJ, Kerver, AJH, Kolkman, KA, Leenhouts, PA (Kees), Meylaerts, SAG, Onstenk, R, Poeze, M, Poolman, RW, Punt, BJ, Roerdink, WH, Roukema, GR, Sintenie, JB, Soesman, NMR, Tanka, AKF, Ten Holder, EJT, van der Heijden, FHWM, van der Elst, M, Van der Linden, FM, Van der Zwaal, P, Van Jonbergen, HPW, van Dijk, JP, Verleisdonk, EJMM, Vroemen, JPAM, Waleboer, M, Wittich, P, Zuidema, WP, Polinder, Suzanne, Verhofstad, Michiel, and den Hartog, Dennis

Abstract

Background: Fractures of the humeral shaft are associated with a profound temporary (and in the elderly sometimes even permanent) impairment of independence and quality of life. These fractures can be treated operatively or non-operatively, but the optimal tailored treatment is an unresolved problem. As no high-quality comparative randomized or observational studies are available, a recent Cochrane review concluded there is no evidence of sufficient scientific quality available to inform the decision to operate or not. Since randomized controlled trials for this injury have shown feasibility issues, this study is designed to provide the best achievable evidence to answer this unresolved problem. The primary aim of this study is to evaluate functional recovery after operative versus non-operative treatment in adult patients who sustained a humeral shaft fracture. Secondary aims include the effect of treatment on pain, complications, generic health-related quality of life, time to resumption of activities of daily living and work, and cost-effectiveness. The main hypothesis is that operative treatment will result in faster recovery. Methods/design: The design of the study will be a multicenter prospective observational study of 400 patients who have sustained a humeral shaft fracture, AO type 12A or 12B. Treatment decision (i.e., operative or non-operative) will be left to the discretion of the treating surgeon. Critical elements of treatment will be registered and outcome will be monitored at regular intervals over the subsequent 12 months. The primary outcome measure is the Disabilities of the Arm, Shoulder, and Hand score. Secondary outcome measures are the Constant score, pain level at both sides, range of motion of the elbow and shoulder joint at both sides, radiographic healing, rate of complications and (secondary) interventions, health-related quality of life (Short-Form 36 and EuroQol-5D), time to resumption of ADL/work, and cost-effectiveness. Data will be a

Published
2014

7. Displaced midshaft fractures of the clavicle: non-operative treatment versus plate fixation (Sleutel-TRIAL). A multicentre randomised controlled trial

Author

Stegeman, SA, Jong, M, Sier, CFM, Krijnen, PAJ, Duijff, JW, Van Thiel, TPH, de Rijcke, PAR, Soesman, NMR, Hagenaars, Tjebbe, Boekhoudt, FD, de Vries, MR, Roukema, GR, Tanka, AFK, van den Bremer, J, Van der Meulen, HGWM, Bronkhorst, Maarten, van Dijkman, BA, van Zutphen, SWAM, Vos, DI, Schep, Niels, Eversdijk, MG, van Olden, GDJ, Van den Brand, JGH, Hillen, RJ, Frolke, JPM, Schipper, IB, Stegeman, SA, Jong, M, Sier, CFM, Krijnen, PAJ, Duijff, JW, Van Thiel, TPH, de Rijcke, PAR, Soesman, NMR, Hagenaars, Tjebbe, Boekhoudt, FD, de Vries, MR, Roukema, GR, Tanka, AFK, van den Bremer, J, Van der Meulen, HGWM, Bronkhorst, Maarten, van Dijkman, BA, van Zutphen, SWAM, Vos, DI, Schep, Niels, Eversdijk, MG, van Olden, GDJ, Van den Brand, JGH, Hillen, RJ, Frolke, JPM, and Schipper, IB

Abstract

Background: The traditional view that the vast majority of midshaft clavicular fractures heal with good functional outcomes following non-operative treatment may be no longer valid for all midshaft clavicular fractures. Recent studies have presented a relatively high incidence of non-union and identified speciic limitations of the shoulder function in subgroups of patients with these injuries. Aim: A prospective, multicentre randomised controlled trial (RCT) will be conducted in 21 hospitals in the Netherlands, comparing fracture consolidation and shoulder function after either non-operative treatment with a sling or a plate fixation. Methods/design: A total of 350 patients will be included, between 18 and 60 years of age, with a dislocated midshaft clavicular fracture. The primary outcome is the incidence of non-union, which will be determined with standardised X-rays (Antero-Posterior and 30 degrees caudocephalad view). Secondary outcome will be the functional outcome, measured using the Constant Score. Strength of the shoulder muscles will be measured with a handheld dynamometer (MicroFET2). Furthermore, the health-related Discussion: This trial will provide level-1 evidence for the comparison of consolidation and functional outcome between two standardised treatment options for dislocated midshaft clavicular fractures. The gathered data may support the development of a clinical guideline for treatment of clavicular fractures.

Published
2011

8. HUMeral shaft fractures: measuring recovery after operative versus non-operative treatment (HUMMER): a multicenter comparative observational study.

Author

Mahabier KC, Van Lieshout EM, Bolhuis HW, Bos PK, Bronkhorst MW, Bruijninckx MM, De Haan J, Deenik AR, Dwars BJ, Eversdijk MG, Goslings JC, Haverlag R, Heetveld MJ, Kerver AJ, Kolkman KA, Leenhouts PA, Meylaerts SA, Onstenk R, Poeze M, Poolman RW, Punt BJ, Roerdink WH, Roukema GR, Sintenie JB, Soesman NM, Tanka AK, Ten Holder EJ, Van der Elst M, Van der Heijden FH, Van der Linden FM, Van der Zwaal P, Van Dijk JP, Van Jonbergen HP, Verleisdonk EJ, Vroemen JP, Waleboer M, Wittich P, Zuidema WP, Polinder S, Verhofstad MH, and Den Hartog D

Subjects
Activities of Daily Living, Clinical Protocols, Cost-Benefit Analysis, Disability Evaluation, Fracture Fixation economics, Health Care Costs, Humans, Humeral Fractures diagnosis, Humeral Fractures economics, Humeral Fractures physiopathology, Humeral Fractures surgery, Netherlands, Pain Measurement, Prospective Studies, Recovery of Function, Return to Work, Surveys and Questionnaires, Time Factors, Treatment Outcome, Fracture Fixation methods, Fracture Healing, Humeral Fractures therapy, Research Design
Abstract

Background: Fractures of the humeral shaft are associated with a profound temporary (and in the elderly sometimes even permanent) impairment of independence and quality of life. These fractures can be treated operatively or non-operatively, but the optimal tailored treatment is an unresolved problem. As no high-quality comparative randomized or observational studies are available, a recent Cochrane review concluded there is no evidence of sufficient scientific quality available to inform the decision to operate or not. Since randomized controlled trials for this injury have shown feasibility issues, this study is designed to provide the best achievable evidence to answer this unresolved problem. The primary aim of this study is to evaluate functional recovery after operative versus non-operative treatment in adult patients who sustained a humeral shaft fracture. Secondary aims include the effect of treatment on pain, complications, generic health-related quality of life, time to resumption of activities of daily living and work, and cost-effectiveness. The main hypothesis is that operative treatment will result in faster recovery., Methods/design: The design of the study will be a multicenter prospective observational study of 400 patients who have sustained a humeral shaft fracture, AO type 12A or 12B. Treatment decision (i.e., operative or non-operative) will be left to the discretion of the treating surgeon. Critical elements of treatment will be registered and outcome will be monitored at regular intervals over the subsequent 12 months. The primary outcome measure is the Disabilities of the Arm, Shoulder, and Hand score. Secondary outcome measures are the Constant score, pain level at both sides, range of motion of the elbow and shoulder joint at both sides, radiographic healing, rate of complications and (secondary) interventions, health-related quality of life (Short-Form 36 and EuroQol-5D), time to resumption of ADL/work, and cost-effectiveness. Data will be analyzed using univariate and multivariable analyses (including mixed effects regression analysis). The cost-effectiveness analysis will be performed from a societal perspective., Discussion: Successful completion of this trial will provide evidence on the effectiveness of operative versus non-operative treatment of patients with a humeral shaft fracture., Trial Registration: The trial is registered at the Netherlands Trial Register (NTR3617).

Published
2014
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9. Displaced midshaft fractures of the clavicle: non-operative treatment versus plate fixation (Sleutel-TRIAL). A multicentre randomised controlled trial.

Author

Stegeman SA, de Jong M, Sier CF, Krijnen P, Duijff JW, van Thiel TP, de Rijcke PA, Soesman NM, Hagenaars T, Boekhoudt FD, de Vries MR, Roukema GR, Tanka AF, van den Bremer J, van der Meulen HG, Bronkhorst MW, van Dijkman BA, van Zutphen SW, Vos DI, Schep NW, Eversdijk MG, van Olden GD, van den Brand JG, Hillen RJ, Frölke JP, and Schipper IB

Subjects
Adolescent, Adult, Disability Evaluation, Female, Fracture Healing, Fractures, Ununited, Humans, Male, Middle Aged, Prospective Studies, Quality of Life, Recovery of Function, Treatment Outcome, Young Adult, Bone Malalignment therapy, Bone Plates, Clavicle injuries, Fracture Fixation, Internal methods, Fractures, Bone therapy, Orthotic Devices
Abstract

Background: The traditional view that the vast majority of midshaft clavicular fractures heal with good functional outcomes following non-operative treatment may be no longer valid for all midshaft clavicular fractures. Recent studies have presented a relatively high incidence of non-union and identified speciic limitations of the shoulder function in subgroups of patients with these injuries., Aim: A prospective, multicentre randomised controlled trial (RCT) will be conducted in 21 hospitals in the Netherlands, comparing fracture consolidation and shoulder function after either non-operative treatment with a sling or a plate fixation., Methods/design: A total of 350 patients will be included, between 18 and 60 years of age, with a dislocated midshaft clavicular fracture. The primary outcome is the incidence of non-union, which will be determined with standardised X-rays (Antero-Posterior and 30 degrees caudocephalad view). Secondary outcome will be the functional outcome, measured using the Constant Score. Strength of the shoulder muscles will be measured with a handheld dynamometer (MicroFET2). Furthermore, the health-related Quality of Life score (ShortForm-36) and the Disabilities of Arm, Shoulder and Hand (DASH) Outcome Measure will be monitored as subjective parameters. Data on complications, bone union, cosmetic aspects and use of painkillers will be collected with follow-up questionnaires. The follow-up time will be two years. All patients will be monitored at regular intervals over the subsequent twelve months (two and six weeks, three months and one year). After two years an interview by telephone and a written survey will be performed to evaluate the two-year functional and mechanical outcomes. All data will be analysed on an intention-to-treat basis, using univariate and multivariate analyses., Discussion: This trial will provide level-1 evidence for the comparison of consolidation and functional outcome between two standardised treatment options for dislocated midshaft clavicular fractures. The gathered data may support the development of a clinical guideline for treatment of clavicular fractures., Trial Registration: Netherlands National Trial Register NTR2399.

Published
2011
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