A5086124324- Trauma Management and Diagnosis
- Bone fractures and treatments
- Hip and Femur Fractures
- Shoulder and Clavicle Injuries
- Shoulder Injury and Treatment
- Trauma and Emergency Care Studies
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Emergency and Acute Care Studies
- Orthopedic Infections and Treatments
- Burn Injury Management and Outcomes
- Wound Healing and Treatments
- Restraint-Related Deaths
- Congenital Diaphragmatic Hernia Studies
- Pelvic and Acetabular Injuries
- Total Knee Arthroplasty Outcomes
- Pressure Ulcer Prevention and Management
- Elbow and Forearm Trauma Treatment
- Surgical site infection prevention
- Hernia repair and management
- Intensive Care Unit Cognitive Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Hidradenitis Suppurativa and Treatments
- Nursing Roles and Practices
Amphia Ziekenhuis
2014-2024
Christie's
2014
Utrecht University
2013
Breda University of Applied Sciences
2013
Máxima Medisch Centrum
2004-2010
Radboud University Nijmegen
2004-2010
Background: Delirium in hip fractured patients is a frequent complication. Dementia an important risk factor for delirium and common frail elderly. This study aimed to extend the previous knowledge on factors consequences. Special attention was given with dementia delirium. Methods: retrospective cohort performed Amphia Hospital, Breda, Netherlands. A full electronic patient file system (Hyperspace Version IU4: Epic, Inc., Verona, WI, USA) used assess data between January 2014 September...
<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,...
Objectives To determine the impact of first lockdown in Netherlands’ measures during COVID-19 pandemic on number and type trauma-related injuries presenting to emergency department (ED). Design A single-centre retrospective cohort study. Setting level 2 trauma centre Breda, The Netherlands. Participants All patients with seen at ED between 11 March 10 May 2020 (the Dutch period) were included this Comparable groups generated for 2019 2018. Main outcome Primary outcomes total admitted...
Multiple rib fractures are common injuries in both the young and elderly. Rib account for 10% of all trauma admissions seen up to 39% patients after thoracic trauma. With morbidity mortality rates increasing with number as well poor quality life at long-term follow-up, multiple pose a serious health hazard. Operative fixation flail chest is beneficial over nonoperative treatment regarding, among others, pneumonia intensive care unit (ICU) hospital length stay. no high-quality evidence on...
The aim of this survey study was to evaluate the current opinion and practice trauma orthopaedic surgeons in Netherlands removal implants after fracture healing. A web-based questionnaire consisting 44 items sent all active members Dutch Trauma Society Orthopaedic determine their habits opinions about implant removal. Though is not routinely done Netherlands, 89% agreed that a good option case pain or functional deficits. Also infection bone one main reasons for removing (> 90%), while...
<h3>Importance</h3> Following clean (class I, not contaminated) surgical procedures, the rate of site infection (SSI) should be less than approximately 2%. However, an 12.2% has been reported following removal orthopedic implants used for treatment fractures below knee. <h3>Objective</h3> To evaluate effect a single dose preoperative antibiotic prophylaxis on incidence SSIs <h3>Design, Setting, and Participants</h3> Multicenter, double-blind, randomized clinical trial including 500 patients...
A spigelian hernia develops through a defect present in locus minoris resistentiae between abdominal muscles. It is generally considered rare but probably underdiagnosed. This study was undertaken to characterize the history, presenting features and efficacy of surgical correction hernia.Medical charts 25 patients treated for over 22 years were studied retrospectively. Patients invited an outpatient interview physical examination.Dominant symptoms intermittent palpable mass (22 patients)...
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...
The purpose of this study was to analyze the number and type complications that occurred after fracture implant removal investigate whether should be performed routinely in children.In a retrospective study, patient records were used for analyses characteristics, surgery reports, complications. Children under age 16 years with limb due trauma, treated either Kirschner wires (K-wires), elastic stable intramedullary nails (ESIN), or screw fixation between 2000 2007, included. Exclusion...
The purpose of this study was to evaluate the results our correction osteotomies distal radial malunions without a bone graft. Eleven consecutive patients (mean age 52 years, range 18-71) were treated. A dorsal approach utilised perform an opening-wedge osteotomy which then stabilised with two columnar plates filling gap. All went on radiographic union gap within mean period 3 months (range 2-6 months). had satisfactory in terms function and pain. Correction stabilisation bicolumnar locked...
Background: Rib fracture nonunion is a probable cause of chronic pain following chest trauma, although its prevalence remains unknown. The aims this study were to determine rib nonoperative management and if presence was associated with the number fractures, or classification anatomical location, type, displacement.Methods: This multicenter prospective cohort included trauma patients three more fractured ribs but without flail segment, who participated in group FixCon trial between January...
Background: Hip fractures in the elderly population are associated with high morbidity and mortality. However, there is still a lack of information on mortality loss independence extremely people hip fracture. Objective: To study functional outcomes after osteosynthesis very old patients our clinic. Patients methods: Hospital charts all over 90 years who were operated for fracture between January 2007 December 2011 reviewed. Outcome measures mortality, preoperative postoperative mobility,...
Rib fractures are common in ageing people after trauma and delirium is a complication often seen acutely hospitalized elderly patients. For both conditions, have an increased risk for institutionalization, morbidity, mortality. This study the first to investigate factors of patients with rib trauma. A retrospective chart review was performed on ≥65 years admitted blunt chest wall Amphia hospital Breda, Netherlands, between July 2013 June 2018. Baseline patient, trauma- treatment-related...
Abstract Background Surgical stabilization of rib fractures (SSRF) is associated with improved respiratory symptoms and shorter intensive care admission in patients flail chest. For multiple fractures, the benefit SSRF remains a topic debate. This study investigated barriers facilitators healthcare professionals to as treatment for traumatic fractures. Methods Dutch were asked complete an adapted version Measurement Instrument Determinants Innovations questionnaire identify SSRF. If ≥ 20%...
The clinical results of removal metal implants after fracture healing are unknown and the question whether to remove or leave them in is part discussion worldwide. We present design a prospective multicentre cohort study determine main indications for expectations implant removal, influence on complaints, incidence surgery related complications socio-economic consequences removal. In at least 200 patients with healed osteosynthesis included analyzing outcome Six hospitals Netherlands...
Over 75 % of patients presenting with a proximal humerus fracture are 70 years or older. Very little is known about the outcome after operative treatment these fractures in very old patients. This study was performed to gain more insight safety and functional surgical elderly.In this observational study, we analyzed all operatively treated patients, aged older, between January 2003 December 2008 our center. Patient selection on clinical grounds, based physical, mental, social criteria....
In the Netherlands about 18,000 procedures with implant removal are performed annually following open or closed reduction and fixation of fractures, which 30-80% concern foot, ankle lower leg region. For clean surgical procedures, rate postoperative wound infections (POWI) should be less than ~2%. However, rates 10-12% have been reported, specifically after fractures. Currently, surgeons individually decide if antibiotics prophylaxis is given, since no guideline exists. This leads to...
Introduction The Emergency Management of Severe Burns (EMSB) referral criteria have been implemented for optimal triaging burn patients. Admission to a centre is indicated patients with severe burns or specific characteristics like older age comorbidities. Patients not meeting these can also be treated in hospital without centre. Limited information available about the organisation care and aims this study are determine injury characteristics, treatment (costs), quality life scar admitted...
The presence of six or more rib fractures a displaced fracture due to cardiopulmonary resuscitation (CPR) has been associated with longer hospital and intensive care unit (ICU) length stay (LOS). Evidence on the effect surgical stabilization (SSRF) following CPR is limited. This study aimed evaluate outcomes after SSRF versus nonoperative management in patients multiple CPR.An international, retrospective was performed who underwent for between January 1, 2012, July 31, 2020. Patients were...