On 20 April 2022, M.S. Leliveld will defend her PhD dissertation, entitled: ‘Tibial Shaft Fractures: Incidence, Costs and Outcome After Tibial Nailing’.
- Promotor
- Co-promotor
- Date
- Wednesday 20 Apr 2022, 13:00 - 14:30
- Type
- PhD defence
- Space
- Professor Andries Querido room
- Building
- Education Center
- Location
- Erasmus MC
Dissertation in short:
The dissertation is divided into three parts.
The first part describes the long-term trends in the incidence of patients with a tibial fracture admitted to a hospital in the Netherlands between 1991 and 2012 and provides a detailed overview of the associated health care costs and productivity loss. Furthermore, the cost-effectiveness of the use of an antibiotic-coated intramedullary nail in open tibial fractures in Europe is analysed.
The second part focuses on patient-reported outcomes after intramedullary treatment of a tibial fracture. The frequency of anterior knee pain and the functional outcome after various surgical techniques for intramedullary nail insertion is described, for which a systematic review and pooled analysis of all available literature was performed. The validity, reliability, responsiveness and Minimal Important Change (MIC) of the Short Musculoskeletal Functional Assessment (SMFA) and Lower Extremity Functional Scale (LEFS) for patients with a tibial fracture are described.
The third part is about knee pain after treatment of a tibial fracture with an intramedullary nail, with an emphasis on the infrapatellar nerve as a possible source for this problem. The frequency of anterior knee pain and infrapatellar nerve damage after insertion of an intramedullary nail in the tibia has been investigated in a retrospective study. Also, is the effect of an infrapatellar nerve block on chronic anterior knee pain after intramedullary pin treatment for the fractured tibia investigated in a randomized trial. The surgical anatomy of the infrapatellar nerve in relation to incisions on the anteromedial aspect of the knee has been mapped to establish a safe zone for incisions to minimize the risk of infrapatellar nerve damage. Finally, the effect of the theoretical infrapatellar nerve-sparing transverse incision versus the longitudinal incision for the insertion of a tibial nail in a multicenter randomized study.
- More information
The public defence will begin exactly at 13.00 hrs. The doors will be closed once the public defence starts, latecomers can access the hall via the fourth floor. Due to the solemn nature of the ceremony, we recommend that you do not take children under the age of 6 to the first part of the ceremony.
A live stream link has been provided to the candidate.
