A Suprapatellar Approach, When Compared With an Infrapatellar Approach, Yields Less Anterior Knee Pain and Better Patellofemoral Joint Function, for Intramedullary Nailing of Diaphyseal Tibial Fractures: Results of a Randomized Controlled Trial.

Objectives: To assess if a suprapatellar (SP) approach, when compared with an infrapatellar (IP) approach, yielded less patient-reported anterior knee pain and higher patellofemoral joint function at 6 weeks and 12 months postoperatively, when treating tibial fractures with intramedullary nailing.

Design: Prospective, parallel-group randomized control trial.

Setting: Tertiary level 1 trauma care center, Brisbane, Australia.

Laparoscopic sacrocolpopexy versus vaginal sacrospinous fixation for vaginal vault prolapse: a randomised controlled trial and prospective cohort (SALTO-2 trial).

Objective: To determine whether laparoscopic sacrocolpopexy (LSC) or vaginal sacrospinous fixation (VSF) is the most optimal surgical treatment in patients with POP-Q stage ≥2 vaginal vault prolapse (VVP).

Design: Multicentre randomised controlled trial (RCT) and prospective cohort study alongside.

Setting: Seven non-university teaching hospitals and two university hospitals in the Netherlands.

Validation of a proposed radiographic bone defect classification system.

Objectives: To clinically validate a recently proposed classification scheme of post-traumatic bone defects.

Methods And Materials: Open fractures were classified utilising a newly introduced classification system. This classification system is based on plain radiographs, assessing the extent and local geometry of bone loss, including: D1 - Incomplete Defects; D2 - Minor/Sub-Critical (Complete) Defects (<2 cm); and D3 - Segmental/Critical Sized Defects (≥2 cm).

Modelling the temperature suitability for the risk of West Nile Virus establishment in European Culex pipiens populations.

Increases in temperature and extreme weather events due to global warming can create an environment that is beneficial to mosquito populations, changing and possibly increasing the suitable geographical range for many vector-borne diseases. West Nile Virus (WNV) is a flavivirus, maintained in a mosquito-avian host cycle that is usually asymptomatic but can cause primarily flu-like symptoms in human and equid accidental hosts. In rare circumstances, serious disease and death are possible outcomes for both humans and horses.

Hysteropexy in the treatment of uterine prolapse stage 2 or higher: laparoscopic sacrohysteropexy versus sacrospinous hysteropexy-a multicentre randomised controlled trial (LAVA trial).

Objective: To investigate whether laparoscopic sacrohysteropexy (LSH) is non-inferior to vaginal sacrospinous hysteropexy (SSHP) in the surgical treatment of uterine prolapse.

Design: Multicentre randomised controlled, non-blinded non-inferiority trial.

Setting: Five non-university teaching hospitals in the Netherlands, one university hospital in Belgium.

Recovery of phosphorus and nitrogen from human urine by struvite precipitation, air stripping and acid scrubbing: A pilot study.

Sustainable and closed-loop nutrient cycling require the recovery of valuable resources from wastewater. Resource recovery from diluted wastewater streams is limited by diluted concentrations and unfavorable reaction kinetics. In comparison, source separated urine allows resource recovery from a highly concentrated nutrient stream, resulting in a more sustainable and efficient recovery practice.

Supercritical Carbon Dioxide-Sterilized Bone Allograft in the Treatment of Tunnel Defects in 2-Stage Revision Anterior Cruciate Ligament Reconstruction: A Histologic Evaluation.

Purpose: To examine the histologic properties of supercritical carbon dioxide (sCO)-sterilized bone allograft for tunnel grafting and determine in vivo graft quality, as well as graft incorporation and remodeling, in 2-stage revision anterior cruciate ligament (ACL) surgery.

Methods: Histologic evaluation was performed in 12 subjects undergoing 2-stage revision ACL reconstruction. In the first stage, the femoral and tibial tunnels were debrided, tunnel dimensions were measured, and tunnels were grafted with sCO-sterilized bone allograft.

Impaction bone grafting has potential as an adjunct to the surgical stabilisation of osteoporotic tibial plateau fractures: Early results of a case series.

Introduction: Osteoporotic tibial plateau fractures (TPFs) are difficult to treat with either open reduction internal fixation (ORIF) or acute total knee arthroplasty (TKA). They have high complication rates, poor outcomes and often fail in the short- to mid-term. We investigated the use of impaction bone grafting (IBG) as an adjunct to stabilise the fracture in a cohort of osteoporotic TPFs.

Hysteropexy in the treatment of uterine prolapse stage 2 or higher: a multicenter randomized controlled non-inferiority trial comparing laparoscopic sacrohysteropexy with vaginal sacrospinous hysteropexy (LAVA-trial, study protocol).

Background: Pelvic organ prolapse is a common health problem: the lifetime risk of undergoing surgery for pelvic organ prolapse by the age of 85 years is 19%. Pelvic organ prolapse has significant negative effects on a woman's quality of life. Worldwide, vaginal hysterectomy is the leading treatment method for patients with symptomatic uterovaginal prolapse.

Follow-up of mesh complications using the IUGA/ICS category-time-site coding classification.

Introduction: The International Urogynecological Association (IUGA) and the International Continence Society (ICS) developed a complication classification to facilitate international comparison and to improve our understanding of complications. This code was applied to surgical cases for the analysis of complications after mesh insertion.

Methods: The study included patients who had undergone vaginal prolapse repair with a trocar-guided polypropylene mesh between 2006 and 2010 in a Dutch peripheral hospital.

The biodrying concept: an innovative technology creating energy from sewage sludge.

A full-scale biodrying installation was treating 150 kton (wet weight) of dewatered waste activated sludge per year. The waste was treated at thermophilic conditions (65-75 °C) in a 2-step forced aeration process reducing the total wet sludge weight by 73%. The final product had a high caloric value (7700-10,400 (kJ/kg)), allowing a combustion for energy generation in external facilities.

Arthrodesis of the knee following failed arthroplasty.

Purpose: Primary stability in arthrodesis of the knee can be achieved by external fixation, intramedullary nailing or plate fixation. Each method has different features and results. We present a practical algorithm for arthrodesis of the knee following a failed (infected) arthroplasty, based on our own results and a literature review.

The value of the intra-operative clinical mechanical axis measurement in open-wedge valgus high tibial osteotomies.

Introduction: In high tibial osteotomies (HTO) the correction needs to be precise and intra-operative assessment is essential. The purpose of this study was to evaluate the use of the intra-operative clinical mechanical axis measurement and compare it to the post-operative weight bearing situation on standing whole leg radiographs (WLR). Secondly, we evaluated the preoperative planned wedge size and compared it to the final results in 27 HTOs.

[Ergonomic assessment of technical improvements in the work of manual labourers of a porphyry quarry].

Background: Previous investigations have shown an excess of musculoskeletal disorders in quarry workers referable to awkward postures and lifting of heavy weights. Recently several sorts of workbenches equipped with conveyor belts were introduced in order to improve job postures and, therefore, safety.

Methods: Using the OWAS method we investigated the postures of quarry workers using two technologically different workbenches which were compared with the traditional working method (completely manual).

Varus alignment leads to increased forces in the anterior cruciate ligament.

Background: Varus thrust of the knee is a dynamic increase of an often preexisting varus angle and it is suspected to be a major reason for failure of anterior cruciate ligament reconstructions. However, it is not known if a direct relationship exists between varus thrust and forces in the anterior cruciate ligament.

Hypothesis: Forces in the anterior cruciate ligament increase with increasing varus alignment, and consequently an anterior cruciate ligament deficiency in a varus-aligned leg leads to more lateral tibiofemoral joint opening.

Microbiological cultures of allografts of the femoral head just before transplantation.

Allografts of bone from the femoral head are often used in orthopaedic procedures. Although the donated heads are thoroughly tested microscopically before release by the bone bank, some surgeons take additional cultures in the operating theatre before implantation. There is no consensus about the need to take these cultures.

Pregnancy-related pelvic girdle pain in the Netherlands.

Objective: In this longitudinal cohort study, we assessed the prevalence, associated delivery-related and psychosocial factors and consequences of self-reported pelvic girdle pain during and after pregnancy in the Netherlands.

Methods: A total of 412 women, expecting their first child, answered questionnaires regarding back and pelvic girdle pain, habits, and biomedical, sociodemographic and psychosocial factors, at 12 and 36 weeks gestation, and 3 and 12 months after delivery. In addition, birth records were obtained.

Is there an association between depressive and urinary symptoms during and after pregnancy?

Depressive symptoms and urinary symptoms are both highly prevalent in pregnancy. In the general population, an association is reported between urinary symptoms and depressive symptoms. The association of depressive and urinary symptoms has not yet been assessed in pregnancy.

Psychosocial factors and mode of delivery.

Childbirth is a substantial physical and emotional endeavor. Because emergency Cesarean and instrumental vaginal delivery impose a greater mortality and physical and emotional morbidity on both the mother and the infant than normal vaginal delivery, it is important to identify factors that are associated with the risk of operative delivery. In previous investigations, some associations have been found, but the effect of psychosocial factors is not clear.

[Application of the OWAS method in the study of work postures among quarry manual workers].

Background: Previous ergonomic and epidemiologic studies revealed high postural risk (exceeding the N.I.O.

Which factors determine the sexual function 1 year after childbirth?

Objective: To evaluate which factors determine sexual activity and satisfaction with the sexual relationship 1 year after the first delivery.

Design: Prospective longitudinal cohort study.

Setting: Ten midwifery practices.

Bothersome lower urinary tract symptoms 1 year after first delivery: prevalence and the effect of childbirth.

Objective: To assess the severity of both stress urinary incontinence (SUI) and overactive bladder (OAB) symptoms during and after the first pregnancy, using a self-reported health-related quality-of-life questionnaire, and to assess the effect of pregnancy and childbirth on bothersome lower urinary tract symptoms (LUTS) persisting at 1 year after the first childbirth.

Patients And Methods: In a prospective cohort study, 344 women completed four self-reported questionnaires. Urogenital symptoms were assessed with the Urogenital Distress Inventory (UDI), assessing if a urogenital symptom is present and the amount of bother it causes, measured on a 4-point Likert scale, i.