Martin Stevens

Martin Stevens
University of Groningen | RUG · Department of Orthopaedic Surgery

PhD

About

257
Publications
59,568
Reads
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3,463
Citations
Additional affiliations
January 2009 - present
January 2007 - December 2009
January 1999 - December 2012
University of Groningen
Education
September 1987 - May 1992
University of Groningen
Field of study
  • Human Movement Sciences

Publications

Publications (257)
Article
Full-text available
Objectives Regular physical activity (PA) is considered important after total hip and knee arthroplasty (THA/TKA). Objective was to systematically assess literature on recommendations given by healthcare professionals to persons after THA and TKA and to provide an overview of existing interventions to stimulate PA and sports participation. Methods...
Article
Full-text available
Periprosthetic joint infection (PJI) is a devastating complication of joint arthroplasty surgery. Treatment success depends on accurate diagnostics, adequate surgical experience and interdisciplinary consultation between orthopedic surgeons, plastic surgeons, infectious disease specialists and medical microbiologists. For this purpose, we initiated...
Article
Full-text available
Background Results of ACL reconstruction are influenced by both patient and surgical variables. Until now a significant amount of studies have focused on the influence of surgical technique on primary outcome, often leaving patient variables untouched. This study investigates the combined influence of patient and surgical variables through multivar...
Article
Full-text available
Introduction Comprehensive regular foot self-care is one of the most critical self-management behaviors for people with diabetes to prevent foot ulcer development and related complications. Yet, adequate foot self-care is only practiced by very few of those affected. To improve diabetic foot syndrome prevention, a valid and reliable instrument for...
Article
Full-text available
Objectives There is strong evidence that social support is an important determinant of return to work (RTW). Little is known about the role of social support in RTW after total hip or knee arthroplasty (THA/TKA). Objective was to examine the influence of preoperative and postoperative perceived social support on RTW status 6 months postoperatively....
Article
Full-text available
Objectives Despite the many proven advantages of a physically active lifestyle in patient populations, prescription of exercise is currently not widely implemented in routine clinical practice. The aims of this study were twofold: (1) to assess perceptions of clinicians on the current practice of exercise is medicine (E=M) prescription in two Dutch...
Article
Full-text available
Objectives: Regular physical activity (PA) is considered important after total hip and knee arthroplasty (THA/TKA). Objective was to systematically assess literature on recommendations given by healthcare professionals to persons after THA and TKA and to provide an overview of existing interventions to stimulate PA and sports participation. Methods...
Thesis
Due to its unique anatomy and biomechanics, the shoulder shows some distinctive patterns while ageing. Several controversies are ongoing in the field of imaging, clinical testing, and existing and trending treatments for ageing patients with shoulder pain. Part 1 is an MRI study about osteoarthritis of the outer collar bone joint. Part 2 of the the...
Article
Full-text available
Background Some osteoarthritis (OA) patients experience inadequate pain relief from analgesics like acetaminophen and nonsteroidal anti-inflammatory drugs. This could be the result of experienced non-nociceptive centralized pain. Placebo-controlled randomized trials (RCT) have proven the effectiveness of duloxetine for OA and several chronic pain c...
Article
Full-text available
Objective: To provide an overview of barriers and facilitators that healthcare professionals (HCPs) perceive regarding the implementation of lifestyle interventions (LIs) in patients with hip and/or knee osteoarthritis (OA). Design: Scoping review. Data sources: The databases PubMed, Embase, CINAHL, PsycINFO and the Cochrane Library were searc...
Article
Full-text available
Introduction After rehabilitation following total hip or knee arthroplasty (THA/TKA), patients are advised to participate in physical activity (PA) and sports. However, profound insight into whether people adopt a physically active lifestyle is lacking. Aim is to gain insight into the performed amount and type of PA (including sports) and time spen...
Article
Purpose To identify factors affecting the implementation of lifestyle interventions (LIs) in patients with hip and/or knee osteoarthritis (OA) from the perspective of primary and secondary healthcare professionals (HCPs) in the Dutch healthcare system. Methods Multidisciplinary focus groups were composed. Data analysis was performed following them...
Article
Full-text available
Objectives: A key predictor for developing chronic residual pain after total knee or hip arthroplasty (TKA/THA) is sensitisation. Sensitisation can be defined as an 'increased responsiveness of nociceptive neurons in the nervous system'. Aim of this study is to investigate the effects of preoperative treatment with duloxetine in sensitised knee an...
Article
Full-text available
Context: Residents need their supervisors in the operating room to inform them on how to use their expertise in present and future occasions. A few studies hint at such explicit teaching behaviour, however without explaining its underlying mechanisms. Understanding and improving explicit teaching becomes more salient nowadays, as access of residen...
Article
Full-text available
Background The Latitude total elbow prosthesis is a third-generation implant, developed to restore the natural anatomy of the elbow. Literature on this prosthesis is scarce. Aim of this study is to analyze the mid-term results of the Latitude total elbow prosthesis. Methods Sixty-two patients (21M, 41F) were retrospectively evaluated. Mean age at...
Article
Full-text available
Purpose Both personal and work-related factors affect return to work (RTW) after total knee arthroplasty (TKA) and total hip arthroplasty (THA). Little is known about work-related factors associated with the recovery process. This study aimed to determine which work-related factors are associated with time to RTW for both TKA and THA patients. Meth...
Article
Full-text available
Purpose This study compared the preoperative levels and postoperative recovery courses of physical and mental impairments, activity limitations and participation restrictions of working-age patients who return to work (RTW) by 3, 6 or 12 months after total knee arthroplasty (TKA). Methods A prospective survey study including TKA patients (aged < 65...
Article
Full-text available
Background: The incidence of triceps insufficiency after total elbow arthroplasty (TEA) varies in the literature, and a consensus on treatment strategy is lacking. We review the incidence, the risk factors, the clinical presentation, and the diagnosis and treatment of triceps insufficiency after TEA. Based on this information, we have formulated r...
Article
Full-text available
Total hip replacement (THR) and total knee replacement (TKR) are among the most common elective surgical procedures. There is a large consensus on the importance of physical activity promotion for an active lifestyle in persons who underwent THR or TKR to prevent or mitigate disability and improve the quality of life (QoL) in the long term. However...
Article
Full-text available
Objectives To gain first insight into the effectiveness of a home-based exercise programme for pre-frail older adults with independent use of novel ICT technology. Methods A pilot study. Forty pre-frail older adults joined a six-month home-based exercise programme using a tablet PC for exercise administration and feedback, and a necklace-worn moti...
Article
Full-text available
Purpose Objective measurements of sedentary and physical activity (PA) behavior are scarce among working-age patients who undergo total knee arthroplasty (TKA). Aim was to assess sedentary and PA behaviors using accelerometers and to identify compensation effects between occupational and leisure time of sedentary and PA behavior. Methods One year p...
Article
Full-text available
Background Reducing inequalities in physical activity (PA) and PA-associated health outcomes is a priority for public health. Interventions to promote PA may reduce inequalities, but may also unintentionally increase them. Thus, there is a need to analyze equity-specific intervention effects. However, the potential for analyzing equity-specific eff...
Article
Full-text available
Background: New surgical approaches have been developed to optimise elbow function after total elbow arthroplasty (TEA). Currently, there is no consensus on the best surgical approach. This study aims to investigate the functional outcomes, prosthetic component position and complication rates after a triceps-sparing and a triceps-detaching approac...
Presentation
Einleitung- OA ist die häufigste Gelenkerkrankung der Welt. Im Endstadium der Hüftgelenkarthrose ist die Implantation einer H-TEP indiziert. Die postoperative medizinische Rehabilitation variiert länderspezifisch stark. In den Niederlanden kehren die Patienten post-operativ innerhalb weniger Tage ohne weitere medizinische Rehabilitationsmaßnahme in...
Article
Full-text available
Introduction Hip fracture surgery is among the most performed surgical procedures in elderly patients. Mortality rates are high, however, and patients often fail to live independently following a hip fracture. To improve outcome, multidisciplinary care pathways have been initiated, but longer-term results are lacking. Aim of this study was to compa...
Chapter
Arthrose, auch Gelenkverschleiß genannt, ist der häufigste Grund für die Implantation eines künstlichen Hüft- oder Kniegelenks. Alterung und (starkes) Übergewicht sind zwei wichtige Ursachen für die Entstehung von Arthrose. Schmerzen, Schwellungen und Bewegungseinschränkungen des betroffenen Gelenks sind die Hauptsymptome. Ausgehend von den Symptom...
Chapter
Durch Ihre neue Hüft- oder Knieprothese können Sie wieder vermehrt körperlich aktiv werden. Körperliche Aktivität, Fitness und Gesundheit sind untrennbar miteinander verbunden. Ausreichende körperliche Aktivität hat einen positiven Einfluss auf die Gesundheit. Fitness ist das Ausmaß, in dem Sie Aktivitäten des täglichen Lebens durchführen können. A...
Article
Objective Supervisors and residents agree that entrusted autonomy is central to learning in the Operating Room (OR), but supervisors and residents hold different opinions about entrustment: residents regularly experience that they receive insufficient autonomy while supervisors feel their guiding is not appreciated as teaching. These opinions are c...
Article
Background: Abnormal movement patterns due to compensatory mechanisms have been reported in patients with rotator cuff tears. The long head of the biceps tendon may especially be overactive and a source of pain and could induce abnormal muscle activation in these patients. It is still unknown why some patients with a rotator cuff tear develop comp...
Article
Full-text available
Mixing and matching in total hip arthroplasty is common practice worldwide. It is generally done in the interest of the patient, aiming to optimize the outcome of the treatment. We assessed the rules for mixed THAs based on European law, to create awareness of the legality. Despite evident medical benefits and similar or even superior revision ra...
Article
Full-text available
Background: There is no consensus on the optimal treatment for displaced midshaft clavicle fractures. Several studies indicate superior patient satisfaction in favour of operative reconstruction. It is unknown what drives superior satisfaction in this treatment group. The aim of this study was to explore patient satisfaction and identify contribut...
Chapter
Artrose, ook wel gewrichtsslijtage genoemd, is de meest voorkomende reden voor het plaatsen van een heup- of knieprothese. Veroudering en (ernstig) overgewicht zijn belangrijke oorzaken voor het ontstaan van artrose. Pijn, zwelling en verminderde beweeglijkheid van het aangedane gewricht zijn de belangrijkste klachten. Op basis van de klachten van...
Chapter
Dankzij uw heup- of knieprothese bent u weer in staat om lichamelijk actief te worden. Lichamelijke activiteit, fitheid en gezondheid zijn onlosmakelijk met elkaar verbonden. Voldoende lichamelijke activiteit heeft een positieve invloed op de gezondheid. Fitheid is de mate waarin u activiteiten van het dagelijks leven kunt uitvoeren. Ouder worden g...
Article
Objective Progressive autonomous task performance is the cornerstone of teaching residents in the operating room, where they are entrusted with autonomy when they meet their supervisors’ preferences. To optimize the teaching, supervisors need to be aware of how residents experience parts of the procedure. This study provides insight into how superv...
Article
Full-text available
Purpose: Total knee arthroplasty is increasingly performed on working-age individuals, but little is known about their recovery process. Therefore this study examined recovery courses of physical and mental impairments, activity limitations and participation restrictions among working-age total knee arthroplasty recipients. Associated sociodemograp...
Article
Full-text available
Background: Recent technological developments such as wearable sensors and tablets with a mobile internet connection hold promise for providing electronic health home-based programs with remote coaching for patients following total hip arthroplasty. It can be hypothesized that such a home-based rehabilitation program can offer an effective alternat...
Preprint
BACKGROUND The prescription of physical activity (PA) in clinical care has been advocated worldwide. This “exercise is medicine” (E=M) concept can be used to prevent, manage, and cure various lifestyle-related chronic diseases. Due to several challenges, E=M is not yet routinely implemented in clinical care. OBJECTIVE This paper describes the rati...
Article
Full-text available
Background The prescription of physical activity (PA) in clinical care has been advocated worldwide. This “exercise is medicine” (E=M) concept can be used to prevent, manage, and cure various lifestyle-related chronic diseases. Due to several challenges, E=M is not yet routinely implemented in clinical care. Objective This paper describes the rati...
Article
Background Patient-reported outcome measures (PROMs) after total hip arthroplasty (THA), can be influenced by patient characteristics (case-mix factors). We used the Dutch Arthroplasty Register (LROI) to determine the effect of case-mix on improvement of PROMs after primary THA. Methods We included all primary THAs ( n = 22,357) performed in the N...
Article
Full-text available
Introduction The way strength recovers after reduction of pediatric fractures of the upper extremity has not previously been the specific scope of research. This is remarkable, since strength measurements are often used as an outcome measure in studies on trauma of the upper extremity. The aim of this study was to evaluate how strength recovers aft...
Preprint
Full-text available
Background There is no consensus on the optimal treatment for displaced midshaft clavicle fractures. Several studies indicate superior patient satisfaction in favour of operative reconstruction. It is unknown what drives superior satisfaction in this treatment group. The aim of this study was to explore patient satisfaction and identify contributor...
Preprint
Full-text available
Background There is no consensus on the optimal treatment for displaced midshaft clavicle fractures. Several studies indicate superior patient satisfaction in favour of operative reconstruction. It is unknown what drives superior satisfaction in this treatment group. The aim of this study was to explore patient satisfaction and identify contributor...
Article
Objective: To identify what strategies supervisors use to entrust autonomy during surgical procedures and to clarify the consequences of each strategy for a resident's level of autonomy. Background: Entrusting autonomy is at the core of teaching and learning surgical procedures. The better the level of autonomy matches the learning needs of resi...
Book
Dit boek helpt mensen met een heup- of knieprothese gezond en fit ouder te worden. In eerste instantie door lichamelijke revalidatie en fysieke inspanning, maar ook bijvoorbeeld door de terugkeer naar werk. Het boek is bedoeld voor (familie van) personen die binnenkort een heup- of knieprothese krijgen of er al één hebben. Ook is het een goede info...
Book
Dieser Ratgeber ist ein hilfreicher Begleiter für alle, die eine Gelenksersatzoperation an der Hüfte oder am Knie vor sich haben oder bereits eine Hüft- oder Knieprothese tragen. Sie können mit einfachen Maßnahmen und Übungen selbst dazu beitragen, dass der Eingriff Ihnen optimal nützt und Ihre Lebensqualität und Leistungsfähigkeit wieder hergestel...
Article
Full-text available
Forearm fractures are very common orthopaedic injuries in children. Most of these fractures are forgiving due to the unique and excellent remodelling capacity of the juvenile skeleton. However, significant evidence stating the limits of acceptable angulations and taking functional outcome into consideration is scarce. The aim of this study is, ther...
Article
Full-text available
Background: The aim of this study was to review the long-term results of the instrumented Bone Preserving (iBP) elbow prosthesis. Methods: Thirty-one patients (10 M, 21F, 28-77 year) were retrospectively evaluated using the Oxford Elbow Score (OES), Disabilities of Arm, Shoulder and Hand Outcome Measure (DASH), Mayo Elbow Performance (MEPS), phy...
Article
Full-text available
Purpose: It is important for patients of working age to resume work after total hip or knee arthroplasty (THA/TKA). A higher preoperative level of physical activity is presumed to lead to a better or faster recovery. Aim is to examine the association between preoperative physical activity (PA) level (total and leisure-time) and time to return-to-w...
Article
Full-text available
Reducing social inequalities in physical activity (PA) has become a priority for public health. However, evidence concerning the impact of interventions on inequalities in PA is scarce. This study aims to develop and test the application of a strategy for re-analyzing equity-specific effects of existing PA intervention studies in middle-aged and ol...
Article
Background: Outcome and survival after primary total hip arthroplasty (THA) can be affected by patient characteristics. We examined the effect of case-mix on revision after primary THA using the Dutch Arthroplasty Register. Methods: Our cohort included all primary THAs (n = 218,214) performed in patients with osteoarthritis in the Netherlands be...
Article
Background Total knee arthroplasty (TKA) is increasingly performed among working-aged individuals, highlighting the importance of work-related outcomes. Therefore, the aim is to examine the extent of both activity impairment outside work and work productivity (absenteeism, presenteeism, at-work productivity loss) at 6 and 24 months post-TKA surgery...
Article
Full-text available
Background and purpose — The multidisciplinary Clinical Practice Guideline for diagnosis and treatment of subacromial pain syndrome (SAPS) was created in 2012 by the Dutch Orthopedic Association. In brief, it stated that SAPS should preferably be treated nonoperatively. We evaluated the effect of the implementation of the guideline on the number of...
Preprint
Full-text available
BACKGROUND Recent technological developments such as wearable sensors and tablet PC use with mobile internet connection look promising for providing e-health home-based programs with remote coaching. It can be hypothesized that in the end, such a home-based rehabilitation program can be an alternative to regular physiotherapy. OBJECTIVE To determi...
Article
Full-text available
Background Recent technological developments such as wearable sensors and tablets with a mobile internet connection hold promise for providing electronic health home-based programs with remote coaching for patients following total hip arthroplasty. It can be hypothesized that such a home-based rehabilitation program can offer an effective alternati...
Article
Background: Mobility impairment is common in older adults and influences negatively the quality of life. Mobility may changes rapidly following hospital discharge. The Timed Up and Go test (TUG) is often used to assess functional mobility; however, because TUG may require supervision from a trained clinician, assessments may be infrequent. Object...
Article
Background: Grade I or low-grade chondrosarcoma (LGCS) is a primary bone tumour with low malignant potential. Historically, it was treated by wide resection, since accurate pre-operative exclusion of more aggressive cancers can be challenging and under-treatment of a more aggressive cancer could negatively influence oncological outcomes. Intralesi...
Article
Full-text available
Context For centuries now, the operating room (OR) has been the environment in which surgical trainees come to master procedures. Restricted working hours and insufficient levels of autonomy at the end of their training necessitate a shift towards alternative effective learning strategies. Self‐regulated learning is a promising strategy by which su...
Article
Full-text available
Background The identification of a neuropathic component to subacromial pain may lead to different pain management strategies. The purpose of this study was to adapt the Dutch modified painDETECT (mPDQ-NL) Knee, which discriminates between nociceptive and neuropathic pain, to fit patients with subacromial pain syndrome and subsequently assess its v...
Data
mPDQ-NL shoulder left and right (translated to English). (PDF)
Data
Factor loadings and distribution among components. (PDF)