Gert R. Roukema

ORCID: 0000-0002-8414-8808
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About
Contact & Profiles
Research Areas
  • Hip and Femur Fractures
  • Pelvic and Acetabular Injuries
  • Cardiac, Anesthesia and Surgical Outcomes
  • Bone fractures and treatments
  • Orthopedic Surgery and Rehabilitation
  • Shoulder Injury and Treatment
  • Elbow and Forearm Trauma Treatment
  • Emergency and Acute Care Studies
  • Trauma and Emergency Care Studies
  • Intensive Care Unit Cognitive Disorders
  • Orthopaedic implants and arthroplasty
  • Hip disorders and treatments
  • Foot and Ankle Surgery
  • Shoulder and Clavicle Injuries
  • Bone health and osteoporosis research
  • Trauma Management and Diagnosis
  • Musculoskeletal synovial abnormalities and treatments
  • Sports injuries and prevention
  • Orthopedic Infections and Treatments
  • Burn Injury Management and Outcomes
  • Tendon Structure and Treatment
  • Venous Thromboembolism Diagnosis and Management
  • Peripheral Nerve Disorders
  • Traumatic Ocular and Foreign Body Injuries
  • Anesthesia and Sedative Agents

Maasstad Ziekenhuis
2016-2025

Sint Franciscus Gasthuis
2018-2024

Rauma Group (Norway)
2017

GGD Rotterdam-Rijnmond
2009

Medisch Centrum Haaglanden
2009

Vrije Universiteit Amsterdam
2000

John Radcliffe Hospital
1998

University of Oxford
1998

Objectives To determine the validity of Manchester Triage System (MTS) in emergency care for general population patients attending department, children and elderly, commonly used MTS flowcharts discriminators across three different settings. Methods This was a prospective observational study European departments. All consecutive department during 1-year period (2010–2012) were included. Validity assessed by comparing urgency as determined triage nurses with patient according to predefined...

10.1371/journal.pone.0170811 article EN cc-by PLoS ONE 2017-02-02

Following internal fixation of intertrochanteric hip fractures, tip apex distance, fracture classification, position the screw in femoral head, and reduction are known predictors for cutout, but reliability these measurements is unknown. We investigated distance measurement, Cleveland head dividing system, three-grade classification system Baumgaertner reduction, AO as cutout.All patients with an who were managed either a dynamic or gamma nail between January 2007 June 2010 evaluated from...

10.2106/jbjs.k.00357 article EN Journal of Bone and Joint Surgery 2012-07-18

Aims Surgical site infection can be a devastating complication of hemiarthroplasty the hip, when performed in elderly patients with displaced fracture femoral neck. It results prolonged stay hospital, poor outcome and increased costs. Many studies have identified risk prognostic factors for deep infection. However, most combined rates following total hip arthroplasty internal fixation as well hemiarthroplasty, despite fact that they are different entities. The aim this study was to clarify...

10.1302/0301-620x.99b8.bjj-2016-1119.r1 article EN The Bone & Joint Journal 2017-08-01

<h3>Importance</h3> Decision-making on management of proximal femoral fractures in frail patients with limited life expectancy is challenging, but surgical overtreatment needs to be prevented. Current literature provides insight into the true outcomes nonoperative and operative this patient population. <h3>Objective</h3> To investigate vs institutionalized older expectancy. <h3>Design, Setting, Participants</h3> This multicenter cohort study was conducted between September 1, 2018, April 25,...

10.1001/jamasurg.2022.0089 article EN JAMA Surgery 2022-03-02

To evaluate functional and radiologic outcome in patients with a Neer type II lateral clavicle fracture treated the hook plate.Multicenter retrospective study.Five level I trauma centers.Forty-four patients, average age 38.4 years (18-66 years), plate between January 1, 2003, December 31, 2006.Open reduction internal fixation plate. Removal of all 44 implants after consolidation at mean 8.4 months (2-33 months) postoperatively.At an follow-up 27.4 (13-48 months), was assessed Constant-Murley...

10.1097/bot.0b013e318193d878 article EN Journal of Orthopaedic Trauma 2009-08-19

The primary aim of the present study was to verify potential risk factors for developing a delirium after hip fracture surgery. secondary this examine related clinical outcomes developed post-hip surgery.Data were extracted from prospective database and completed by retrospective review hospital records. A total 463 patients undergoing (hip hemiarthroplasty) surgery in level II trauma teaching between January 2011 May 2016 included. Delirium measured using Observation Screening Scale,...

10.2147/cia.s189760 article EN cc-by-nc Clinical Interventions in Aging 2019-02-01

The aim of this study was to develop an accurate and clinically relevant prediction model for 30-day mortality following hip fracture surgery. A previous protocol utilized as a guideline data collection the standard treatment. Two prospective, detailed databases 2 different hospitals (hospital A, training cohort; hospital B, testing cohort) were obtain data. On basis literature, results univariable analysis, expert opinion, 26 candidate predictors selected. Subsequently, model, including...

10.2106/jbjs.23.01397 article EN cc-by-nc-nd Journal of Bone and Joint Surgery 2025-01-21

Aims The aim of this study was to assess differences in the clinical profile and baseline characteristics between patients with femoral neck fracture (FNF) trochanteric (TF). secondary explore potential outcomes mortality. Methods A prospective hip database (FAMMI) used obtain data for observational cohort study. Patients surgery January 2018 February 2021 who were aged older than 70 years prospectively included. Differences FNF TF evaluated by univariable logistic regression. multivariable...

10.1302/2633-1462.64.bjo-2024-0203.r1 article EN cc-by-nc-nd Bone & Joint Open 2025-04-01

Abstract Introduction The Olerud Molander Ankle Score (OMAS) is a widely used validated Patient Reported Outcome Measure (PROM). For clinical research, it important to determine the Minimal Clinically Important Difference (MCID). objective of this study was MCID OMAS at several moments in follow-up, cohort patients that underwent open reduction and internal fixation unstable ankle fractures with syndesmotic injury. Materials methods Data for descriptive were extracted from prospective...

10.1007/s00402-022-04533-y article EN cc-by Archives of Orthopaedic and Trauma Surgery 2022-07-11

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 fractures. Recent studies have presented a relatively high incidence non-union and identified speciic limitations shoulder function in subgroups patients these injuries. A prospective, multicentre randomised controlled trial (RCT) will conducted 21 hospitals Netherlands, comparing fracture consolidation after either...

10.1186/1471-2474-12-196 article EN cc-by BMC Musculoskeletal Disorders 2011-08-24

The aim of this study was to determine the relationship between volar plate removal and Soong classification following fixation for fractured distal radius. In retrospective cohort study, all consecutive patients who had a radius fracture in 2011–2015 were reviewed. Differences those did not analysed. total incidence calculated indications A 323 included. 17%. significantly higher compared with not. For placement classified as grade 2, almost six times than 0. grading stresses importance...

10.1177/1753193417726636 article EN cc-by-nc Journal of Hand Surgery (European Volume) 2017-08-21

Abstract Purpose The best treatment of humeral shaft fractures in adults is still under debate. This study aimed to compare functional and clinical outcome operative versus nonoperative adult patients with a fracture. We hypothesized that would result earlier recovery. Methods From October 23, 2012 03, 2018, fracture AO type 12A or 12B were enrolled prospective cohort 29 hospitals. Patients treated operatively nonoperatively. Outcome measures the Disabilities Arm, Shoulder, Hand score (DASH;...

10.1007/s00068-022-01890-6 article EN cc-by European Journal of Trauma and Emergency Surgery 2022-02-09

Factors associated with high mortality rates in geriatric hip fracture patients are frequently unmodifiable. Time to surgery, however, might be a modifiable factor of interest optimize clinical outcomes after surgery. This study aims determine the influence postponement surgery due non-medical reasons on acute surgery.This observational cohort enrolled consecutively admitted proximal femoral fracture, for which was performed between 1 January 2018 and 11 2021 two level II trauma teaching...

10.1302/0301-620x.104b12.bjj-2022-0172.r2 article EN cc-by-nc-nd The Bone & Joint Journal 2022-12-01

The primary aim of this study was to identify risk factors for delirium after hip fracture surgery. secondary purpose verify peri-operative clinical outcomes, adverse events and mortality rates in patients surgery.A prospective database used obtain data. In total, 2051 older than 70 years undergoing a surgery between 01-01-2018 01-01-2021 were included. A diagnosed by geriatrician based on the DSM-V criteria.The results showed that 16% developed during hospital admission. Multivariable...

10.2147/cia.s390906 article EN cc-by-nc Clinical Interventions in Aging 2023-02-01

Purpose:The primary objective of this study was to identify new risk factors and confirm previously reported associated with 30-day mortality after hip fracture surgery.Patients methods: A prospective database used obtain data.In total, 3523 patients who underwent surgery between 2011 2021 were included.Univariable multivariable logistic regression screen candidate factors.Twenty-seven baseline 16 peri-operative included in the univariable analysis 28 those analysis.Results: 8.6% died within...

10.2147/cia.s441280 article EN cc-by-nc Clinical Interventions in Aging 2024-03-01

Abstract Background Elbow dislocations can be classified as simple or complex. Simple are characterized by the absence of fractures, while complex associated with fractures. After reduction a dislocation, treatment options include immobilization in static plaster for different periods time so-called functional treatment. Functional is early active motion within limits pain without use sling hinged brace. Theoretically, should prevent stiffness introducing increased joint instability. The...

10.1186/1471-2474-11-263 article EN cc-by BMC Musculoskeletal Disorders 2010-11-12

Fractures of the humeral shaft are associated with a profound temporary (and in elderly sometimes even permanent) impairment independence and quality life. These fractures can be treated operatively or non-operatively, but optimal tailored treatment is an unresolved problem. As no high-quality comparative randomized observational studies available, recent Cochrane review concluded there evidence sufficient scientific available to inform decision operate not. Since controlled trials for this...

10.1186/1471-2474-15-39 article EN cc-by BMC Musculoskeletal Disorders 2014-02-11
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