Publications by authors named "J A Halm"

Ankle fractures are often accompanied by syndesmotic injuries, contributing to instability and potential long term complications. Syndesmotic injuries are traditionally fixed with either small fragment (3.5-mm diameter) or large fragment (4.

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Background: Injury prevalence is a metric which can be used to understand healthcare utilisation and prioritise injuries based on the magnitude of the injury rate. Given the ageing population in high-income countries and subsequently ageing of the injured population, the probability of long-term or permanent consequences of injuries is also likely to increase. By understanding past trends and exploiting patterns of prevalence injury rates (PIRs), future PIRs can be predicted.

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Background: The choice between primary arthrodesis (PA) and open reduction and internal fixation (ORIF) for acute Lisfranc injuries remains contentious. Apart from primary treatment, arthrodesis is often used for treating chronic Lisfranc injuries, including patients in whom initial ORIF or nonoperative treatment failed. The aim of this study was to compare PA and secondary arthrodesis (SA) in terms of complications and functional outcome.

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Article Synopsis
  • The study aimed to assess changes in the management of acute distal tibiofibular syndesmotic injuries among Dutch trauma and orthopedic surgeons through a digital survey.
  • Results showed a strong preference for using a single syndesmotic screw (SS) for certain fractures and two screws for Maisonneuve fractures, with a preferred size of 3.5 mm engaging three cortices.
  • A significant decline in the routine removal of SSs was noted (23.2% vs. 87.0% in 2012), while the use of suture buttons was less common, indicating a shift in surgical practices over time.
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Article Synopsis
  • Böhler's angle (BA) is essential for assessing calcaneal fractures and the effectiveness of reconstruction surgery, and this study explores its measurement using CT scans, as opposed to traditional radiographs.
  • The study involved two groups: one with calcaneal fractures and one without, comparing measurements of various Böhler angles from CT to the conventional method.
  • Findings indicate that the central and 3D Böhler angles closely align with traditional measurements, suggesting that 3D reconstruction may be a more accurate and visual method for analyzing severe injuries in the calcaneus.
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