Hugo W Bolhuis

Publications (3)2.49 Total impact

• Article: Preliminary results of cannulated screw fixation for isolated pubic ramus fractures.

  Jasper Winkelhagen, Michel P J van den Bekerom, Hugo W Bolhuis, Mike Hogervorst
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  ABSTRACT: Isolated pubic ramus fractures are common fractures in the elderly, and treatment is typically non-operative. Up to 35 % of patients have a prolonged hospital stay due to pain. A small number of these patients do not respond to standard (non-operative) treatment. We retrospectively reviewed six patients with isolated pubic ramus fractures and persistent pain who were treated with percutaneous retrograde pubic ramus screw fixation. The study group consisted of six women with an average age of 81 years (72-86 years). Patients with symptomatic posterior pelvic ring injuries were excluded. All patients showed improvement after surgery, with three patients pain free and three patients with reduced pain. The mean time spent in the hospital was 9 days (range 3-18 days). There were complications post-operatively: two patients had pneumonia, two with confusional states, and one patient had a urinary tract infection. Despite these events, which are associated with surgery in patients with comorbidites from advanced age, retrograde pubic ramus screw fixation is an effective treatment option for patients with persistent pain from isolated pubic fractures.
  Strategies in Trauma and Limb Reconstruction 05/2012; 7(2):87-91.
• Article: Operative aspects of the syndesmotic screw: review of current concepts.

  Michel P J van den Bekerom, Mike Hogervorst, Hugo W Bolhuis, C Niek van Dijk
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  ABSTRACT: The distal tibiofibular syndesmosis is important for stability of the ankle mortise and thus for weight transmission and walking. Syndesmotic injuries are most commonly associated with fibular fractures, but they can also occur in isolation or with damage to the lateral ankle ligament after traumatic supination. The need for trans-syndesmotic fixation of the distal tibiofibular joint has been controversial. The goal of this review was to collect evidence on the technical aspects of performing an osteosynthesis using a syndesmotic screw and to formulate some recommendations for clinical practice.
  Injury 05/2008; 39(4):491-8. · 1.98 Impact Factor
• Article: Which ankle fractures require syndesmotic stabilization?

  Michel P J van den Bekerom, Bas Lamme, Mike Hogervorst, Hugo W Bolhuis
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  ABSTRACT: Syndesmotic ruptures associated with ankle fractures are most commonly caused by external rotation of the foot, eversion of the talus within the ankle mortise, and excessive dorsiflexion. The distal tibiofibular syndesmosis consists of the anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, and interosseous ligament, and it is essential for stability of the ankle mortise. Despite the numerous biomechanical and clinical studies pertaining to ankle fractures, there are no uniform recommendations regarding the use of the syndesmotic screw for specific injury patterns and fracture types. The objective of this review was to formulate recommendations for clinical practice related to the use of syndesmotic screw placement.
  The Journal of Foot and Ankle Surgery 46(6):456-63. · 0.52 Impact Factor