113 research outputs found
The societal costs of femoral neck fracture patients treated with internal fixation
__Abstract__
The study rationale was to provide a detailed overview
of the costs for femoral neck fracture treatment with
internal fixation in the Netherlands. Mean total costs per
patient at 2-years follow-up were €19,425. Costs were higher
for older, less healthy patients. Results are comparable to
internationally published costs.
Introduction The aim of this study was to provide a detailed
overview of the cost and healthcare consumptio
Enhanced Fusarium head blight resistance in bread wheat and durum by alien introgression
PURPOSE: In the Netherlands, over 20,000 patients sustain a hip fracture yearly. A first hip fracture is a risk factor for a second, contralateral fracture. Data on the similarity of the treatment of bilateral femoral neck fractures is only scarcely available. The objectives of this study were to determine the cumulative incidence of non-simultaneous bilateral femoral neck fractures and to describe the patient characteristics and treatment characteristics of these patients. METHODS: A database of 1,250 consecutive patients with a femoral neck fracture was available. Patients with a previous contralateral femoral neck fractures were identified by reviewing radiographs and patient files. Patient characteristics, previous fractures, hip fracture type and details on treatment were collected from the patient files. RESULTS: One hundred nine patients (9%, 95% confidence interval 7-10%) had sustained a non-simultaneous bilateral femoral neck fracture. The median age at the first fracture was 81 years; the median interval between the fractures was 25 months. Overall, 73% was treated similarly for both fractures in terms of non-operative treatment, internal fixation or arthroplasty. In patients with identical Garden classification (30%), treatment similarity was 88%. CONCLUSIONS: The cumulative incidence of non-simultaneous bilateral femoral neck fractures was 9%. Most patients with identical fracture types were treated similarly. The relatively high risk of sustaining a second femoral neck fracture supports the importance of secondary prevention, especially in patients with a prior wrist or vertebral fracture
Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures
Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo
A single, midline, extraperitoneal incision for internal fixation of type C unstable pelvic ring fractures
Contains fulltext :
21782___.PDF (publisher's version ) (Open Access
Irradiation and healing of colonic anastomoses: an experimental study in the rat
Contains fulltext :
mmubn000001_247462527.pdf (publisher's version ) (Open Access)Promotores : T. Wobbes, T. Hendriks en J. Hoogenhout139 p
Open pelvic fracture: the killing fracture?
Contains fulltext :
190900.pdf (publisher's version ) (Open Access
The median extraperitoneal approach to the pelvic ring in perspective. Indications and limitations.
De bekkenklem in de behandeling van hemodynamisch instabiele patiënten met instabiele bekkenringfractuur.
Item does not contain fulltex
Combined preoperative irradiation and direct postoperative 5-fluorouracil without negative effects on early anastomotic healing in the rat colon
Contains fulltext :
23545___.PDF (publisher's version ) (Open Access
- …