Publications by authors named "Lente H M Dankelman"

Article Synopsis
  • The study evaluated the occurrence and factors related to reoperations after repairing distal radius nonunion in patients at a multicenter academic institution from 2005 to 2021.
  • A total of 33 patients (13 males, median age 56) were reviewed, with an average follow-up period of nearly 5 years.
  • Results showed that about 24% of patients required unplanned reoperations, mainly due to infection, persistent nonunion, or hardware issues, with complications occurring in 27% of cases.
View Article and Find Full Text PDF

Introduction: This study compares computed tomography (CT) with plain radiography in its ability to assess distal radius fracture (DRF) malalignment after closed reduction and cast immobilization.

Methods: Malalignment is defined as radiographic fracture alignment beyond threshold values according to the Dutch guideline encompassing angulation, inclination, positive ulnar variance and intra-articular step-off or gap. After identifying 96 patients with correct alignment on initial post-reduction radiographs, we re-assessed alignment on post-reduction CT scans.

View Article and Find Full Text PDF

Purpose: Early and accurate assessment of distal radius fractures (DRFs) is crucial for optimal prognosis. Identifying fractures likely to lose threshold alignment (instability) in a cast is vital for treatment decisions, yet prediction tools' accuracy and reliability remain challenging. Artificial intelligence (AI), particularly Convolutional Neural Networks (CNNs), can evaluate radiographic images with high performance.

View Article and Find Full Text PDF

Purpose: The use of computed tomography (CT) in fractures is time consuming, challenging and suffers from poor inter-surgeon reliability. Convolutional neural networks (CNNs), a subset of artificial intelligence (AI), may overcome shortcomings and reduce clinical burdens to detect and classify fractures. The aim of this review was to summarize literature on CNNs for the detection and classification of fractures on CT scans, focusing on its accuracy and to evaluate the beneficial role in daily practice.

View Article and Find Full Text PDF