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| 1 | Treatment of acute periprosthetic infections with prosthesis retention: Review of current concepts显示文摘Periprosthetic joint infection(PJI) is a devastating complication after total joint arthroplasty, occurring in approximately 1%-2% of all cases. With growing populations and increasing age, PJI will have a growing effect on health care costs. Many risk factors have been identified that increase the risk of developing PJI, including obesity, immune system deficiencies, malignancy, previous surgery of the same joint and longer operating time. Acute PJI occurs either postoperatively(4 wk to 3 mo after initial arthroplasty, depending on the classification system), or via hematogenous spreading after a period in which the prosthesis had functioned properly. Diagnosis and the choice of treatment are the cornerstones to success. Although different definitions for PJI have been used in the past, most are more or less similar and include the presence of a sinus tract, blood infection values, synovial white blood cell count, signs of infection on histopathological analysis and one ormore positive culture results. Debridement, antibiotics and implant retention(DAIR) is the primary treatment for acute PJI, and should be performed as soon as possible after the development of symptoms. Success rates differ, but most studies report success rates of around 60%-80%. Whether single or multiple debridement procedures are more successful remains unclear. The use of local antibiotics in addition to the administration of systemic antibiotic agents is also subject to debate, and its pro's and con's should be carefully considered. Systemic treatment, based on culture results, is of importance for all PJI treatments. Additionally, rifampin should be given in Staphylococcal PJIs, unless all foreign material is removed. The most important factors contributing to treatment failure are longer duration of symptoms, a longer time after initial arthroplasty, the need for more debridement procedures, the retention of exchangeable components, and PJI caused by Staphylococcus(aureus or coagulase negative). If DAIR treatment is unsuccessful, the following treatment option should be based on the patient health status and his or her expectations. For the best functional outcome, one- or two-stage revision should be performed after DAIR failure. In conclusion, DAIR is the obvious choice for treatment of acute PJI, with good success rates in selected patients. | Jesse WP Kuiper Robin Tjeenk Willink Dirk Jan F Moojen Michel PJ van den Bekerom Sascha Colen | 2014 | World Journal of Orthopedics2014，5，5： | 12 |
| 2 | Diagnosing syndesmotic instability in ankle fractures显示文摘The precise diagnosis of distal tibiofibular syndesmotic ligament injury is challenging and a distinction should be made between syndesmotic ligament disruption and real syndesmotic instability.This article summarizes the available evidence in the light of the author’s opinion.Pre-operative radiographic assessment,standard radiographs,computed tomography scanning and magnetic resonance imaging are of limited value in detecting syndesmotic instability in acute ankle fractures but can be helpful in planning.Intra-operative stress testing,in the sagittal,coronal or exorotation direction,is more reliable in the diagnosis of syndesmotic instability of rotational ankle fractures.The Hook or Cotton test is more reliable than the exorotation stress test.The lateral view is more reliable than the AP mortise view because of the larger displacement in this direction.When the Hook test is used the force should be applied in the sagittal direction.A force of 100 N applied to the fibula seems to be appropriate.In the case of an unstable joint requiring syndesmotic stabilisation,the tibiofibular clear space would exceed 5 mm on the lateral stress test.When the surgeon is able to perform an ankle arthroscopy this technique is useful to detect syndesmotic injury and can guide anatomic reduction of the syndesmosis.Many guidelines formulated in this article are based on biomechanical and cadaveric studies and clinical correlation has to be established. | Michel PJ van den Bekerom | 2011 | World Journal of Orthopedics2011，2，7： | 10 |
| 3 | Current concepts in the management of radial head fractures显示文摘Fracture of the radial head is a common injury. Over the last decades, the radial head is increasingly recognized as an important stabilizer of the elbow. In order to maintain stability of the injured elbow, goals of treatment of radial head fractures have become more and more towards restoring function and stability of the elbow. As treatment strategies have changed over the years, with an increasing amount of literature on this subject, the purpose of this article was to provide an overview of current concepts of the management of radial head fractures. | Iza?k F Kodde Laurens Kaas Mark Flipsen Michel PJ van den Bekerom Denise Eygendaal | 2015 | World Journal of Orthopedics2015，6，11： | 9 |
| 4 | Long-term Outcomes of 1,730 Calcaneal Fractures: Systematic Review of the Literature显示文摘 | Ewout S. Veltman Job N. Doornberg Sjoerd A.S. Stufkens Jan S.K. Luitse Michel P.J. van den Bekerom | 2013 | The Journal of Foot and Ankle Surgery2013，，4： | 4 |
| 5 | Biomechanical and Clinical Evaluation of Posterior Malleolar Fractures. A Systematic Review of the Literature显示文摘 | Michel P. J. van den Bekerom Daniel Haverkamp Peter Kloen | 2009 | The Journal of Trauma: Injury, Infection, and Critical Care2009，，1： | 2 |
| 6 | Syndesmosis and deltoid ligament injuries in the athlete 显示文摘 | McCollum GA van den Bekerom MP Kerkhoffs GM | 2013 | Knee Surg Sports Traumatol Arthrosc2013，21，6： | 1 |
| 7 | 2-stage revision recommended for treatment of fungal hip and knee prosthetic joint infections显示文摘 | Kuiper JW van den Bekerom MP van der Stappen J | 2013 | Acta Orthop2013，84，6： | 1 |
| 8 | Two-dimensional and three-dimensional computed tomography for the classification and characterisation of tibial plateau fractures显示文摘 | Job N. Doornberg Maarten V. Rademakers Michel P. van den Bekerom Gino M. Kerkhoffs Jaimo Ahn E.Ph. Steller Peter Kloen | 2011 | Injury2011，，12： | 1 |
| 9 | Which ankle fractures require syndesmotic stabilization?显示文摘 | van den Bekerom MP Lamme B Hogervorst M | 2007 | J Foot Ankle Surg2007，46，6： | 1 |
| 10 | Operative treatment for femoral shaft nonunions, a systematic review of the literature 显示文摘 | Somford M P van den Bekerom M P Kloen P | 2013 | Strategies Trauma Limb Reconstr2013，8，2： | 1 |
| 11 | The diagnosisand treatment of deltoid ligament lesions in supination-external rotation ankle fractures:a review显示文摘 | 8tufkens SA van den Bekerom MP Knupp M et aI | 2012 | Strategies Trauma Limb F{econstr2012，7，2： | 1 |
| 12 | Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly:A meta-analysis and systematic review of randomized trials显示文摘 | Burgers Ptpw Geene Arv Bekerom Mpjvd | 2012 | International Or- thopaedics2012，36，8： | 1 |
| 13 | Role of decision aids in orthopaedic surgery显示文摘Medical treatment of patients inherently entails the risk of undesired complication or side effects. It is essential to inform the patient about the expected outcomes, but also the possible undesired outcomes. The patients preference and values regarding the potential outcomes should be involved in the decision making process. Even though many orthopaedic surgeons are positive towards shared decision-making, it is minimally introduced in the orthopaedic daily practice and decision-making is still mostly physician based. Decision aids are designed to support the physician and patient in the shareddecision-making process. By using decision aids, patients can learn more about their condition and treatment options in advance to the decision-making. This will reduce decisional conflict and improve participation and satisfaction. | Isha A ten Have Michel PJ van den Bekerom Derek FP van Deurzen Michel GJS Hageman | 2015 | World Journal of Orthopedics2015，6，11： | 1 |
| 14 | Long-term outcome after 1822 operatively treated ankle frac-tures: a systematic review of the literature显示文摘 | Stufkens S A van den Bekerom M P Kerkhoffs G Mt | 2011 | Injury2011，42，2： | 1 |
| 15 | Oiagnosing syndesmotic instability in ankle fractures显示文摘 | van den Bekerom MP | | World J Orthop 2010，2，7： | 1 |
| 16 | A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck:a randomised controlled multicentre trial in patients aged 70 years and over显示文摘 | van den Bekerom MP Hilverdink EF Sierevelt IN | | 0，，10： | 1 |
| 17 | Long-term outcome after 1822 operatively treated ankle fractures:a systematic review of the literature显示文摘 | Stufkens SA van den Bekerom MP Kerkhoffs GM | 2011 | Injury2011，42，2： | 1 |
| 18 | Arthroscopic debridement for gradeⅢandⅣchondromalacia of the knee in patients older than 60years显示文摘 | van den Bekerom MP Patt TW Rutten S | 2007 | J Knee Surg2007，20，4： | 1 |
| 19 | Current concepts review: operative techniques for stabilizing the distal tibiofibular syndesmosis 显示文摘 | van den Bekerom MP Raven EE | 2007 | Foot Ankle Int2007，28，： | 1 |
| 20 | Eval- uation of the integrity of the deltoid ligament in supination external rotation ankle fractures:A systematic review of the literature显示文摘 | Mutsaerts EL Van den Bekerom MP Van Dijk CN | 2009 | Arch Orthop Trauma Surg2009，129，2： | 1 |
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