Publications by authors named "I Besmens"

Objective: Lower extremity trauma significantly impacts patients' lives, requiring a nuanced approach to evaluate outcomes beyond clinical measures. The LIMB-Q, a patient-reported outcome measure (PROM), assesses the multifaceted impacts of lower extremity trauma, including physical and emotional dimensions, from the patient's perspective. This study validates the German version of the LIMB-Q.

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Background And Aims: Peripheral nerve injuries often require bridging when direct repair is not feasible. Nerve autografts are the gold standard, but they can lead to donor site morbidity. Silk fibroin-based nerve conduits, like the novel SILKBridge, offer a promising alternative.

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Article Synopsis
  • Robotic surgery, specifically using the Symani Surgical System, has shown promise in reconstructive procedures, particularly for extremity reconstruction through microsurgical anastomosis.
  • The study analyzed 8 patients with soft tissue defects who underwent free tissue transfer and found that the system allows for various anastomosis techniques while achieving an average procedure time of about 33 minutes.
  • The results indicate that robotic-assisted surgery is a safe and effective method with potential benefits in precision and ergonomics, suggesting a positive future for reconstructive microsurgery.
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Background: Lower extremity trauma can have a significant impact on a patient's quality of life. The LIMB-Q is a recently developed and validated patient-reported outcome measure that assesses patient-specific outcomes and experience of health care. The aim of this study was to translate and linguistically validate the LIMB-Q from English to German.

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Measuring the outcome of peripheral nerve surgery is challenging because of the spectrum of functional impairment is dependent on the level and severity of the lesion. There are no nerve-specific patient-reported outcome measures, and no universally accepted outcome measurement both in terms of the parameters to be assessed and the methods and timing of the assessment. Nevertheless, the use of patient-reported outcome measures is fundamental to better understand the needs and expectations of patients, to take advantage of all treatment opportunities to offer the best possible support to these patients.

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