Klinger, Hans-Michael

[["dc.bibliographiccitation.firstpage","1193"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Archives of Orthopaedic and Trauma Surgery"],["dc.bibliographiccitation.lastpage","1199"],["dc.bibliographiccitation.volume","130"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Buchhorn, Gottfried Hans"],["dc.contributor.author","Gilbert, Fabian"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H-M"],["dc.date.accessioned","2018-11-07T08:39:29Z"],["dc.date.available","2018-11-07T08:39:29Z"],["dc.date.issued","2010"],["dc.description.abstract","This experimental study aimed to compare the load-to-failure rate and stiffness of single- versus double-row suture techniques for repairing rotator cuff lesions using two different suture materials. Additionally, the mode of failure of each repair was evaluated. In 32 sheep shoulders, a standardized tear of the infraspinatus tendon was created. Then, n = 8 specimen were randomized to four repair methods: (1) Double-row Anchor Ethibond(A (R)) coupled with polyester sutures, USP No. 2; (2) Double-Row Anchor HiFi(A (R)) with polyblend polyethylene sutures, USP No. 2; (3) Single-Row Anchor Ethibond(A (R)) coupled with braided polyester sutures, USP No. 2; and (4) Single-Row Anchor HiFi(A (R)) with braided polyblend polyethylene sutures, USP No. 2. Arthroscopic Mason-Allen stitches were placed (single-row) and combined with medial horizontal mattress stitches (double-row). All specimens were loaded to failure at a constant displacement rate on a material testing machine. Group 4 showed lowest load-to-failure result with 155.7 +/- A 31.1 N compared to group 1 (293.4 +/- A 16.1 N) and group 2 (397.7 +/- A 7.4 N) (P < 0.001). Stiffness was highest in group 2 (162 +/- A 7.3 N/mm) and lowest in group 4 (84.4 +/- A 19.9 mm) (P < 0.001). In group 4, the main cause of failure was due to the suture cutting through the tendon (n = 6), a failure case observed in only n = 1 specimen in group 2 (P < 0.001). A double-row technique combined with arthroscopic Mason-Allen/horizontal mattress stitches provides high initial failure strength and may minimize the risk of the polyethylene sutures cutting through the tendon in rotator cuff repair when a single load force is used."],["dc.identifier.doi","10.1007/s00402-009-1036-0"],["dc.identifier.isi","000281171400018"],["dc.identifier.pmid","20049605"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/5156"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19006"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0936-8051"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Initial load-to-failure and failure analysis in single- and double-row repair techniques for rotator cuff repair"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1052"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","1060"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Buchhorn, Gottfried Hans"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Poppendieck, B."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H.-M."],["dc.date.accessioned","2018-11-07T11:09:36Z"],["dc.date.available","2018-11-07T11:09:36Z"],["dc.date.issued","2008"],["dc.description.abstract","The aim of the study was to evaluate the time zero mechanical properties of single- versus double-row configuration for rotator cuff repair in an animal model with consideration of the stitch technique and suture material. Thirty-two fresh-frozen sheep shoulders were randomly assigned to four repair groups: suture anchor single-row repair coupled with (1) braided, nonabsorbable polyester suture sized USP No. 2 (SRAE) or (2) braided polyblend polyethylene suture sized No. 2 (SRAH). The double-row repair was coupled with (3) USP No. 2 (DRAE) or (4) braided polyblend polyethylene suture No. 2 (DRAH). Arthroscopic Mason-Allen stitches were used (single-row) and combined with medial horizontal mattress stitches (double-row). Shoulders were cyclically loaded from 10 to 180 N. Displacement to gap formation of 5- and 10-mm at the repair site, cycles to failure, and the mode of failure were determined. The ultimate tensile strength was verified in specimens that resisted to 3,000 cycles. DRAE and DRAH had a lower frequency of 5- (P = 0.135) and 10-mm gap formation (P = 0.135). All DRAE and DRAH resisted 3,000 cycles while only three SRAE and one SRAH resisted 3,000 cycles (P < 0.001). The ultimate tensile strength in double-row specimens was significantly higher than in others (P < 0.001). There was no significant variation in using different suture material (P > 0.05). Double-row suture anchor repair with arthroscopic Mason-Allen/medial mattress stitches provides initial strength superior to single-row repair with arthroscopic Mason-Allen stitches under isometric cyclic loading as well as under ultimate loading conditions. Our results support the concept of double-row fixation with arthroscopic Mason-Allen/medial mattress stitches in rotator cuff tears with improvement of initial fixation strength and ultimate tensile load. Use of new polyblend polyethylene suture material seems not to increase the initial biomechanical aspects of the repair construct."],["dc.identifier.doi","10.1007/s00167-008-0590-2"],["dc.identifier.isi","000260526100014"],["dc.identifier.pmid","18758750"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6696"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/53044"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0942-2056"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Biomechanical characteristics of single-row repair in comparison to double-row repair with consideration of the suture configuration and suture material"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","329"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Scandinavian Journal of Medicine and Science in Sports"],["dc.bibliographiccitation.lastpage","337"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Klinger, H.-M."],["dc.contributor.author","Koelling, Sebastian"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Kahl, E."],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Smith, M. Mitchell"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Miosge, Nicolai"],["dc.date.accessioned","2018-11-07T08:29:38Z"],["dc.date.available","2018-11-07T08:29:38Z"],["dc.date.issued","2009"],["dc.description.abstract","Our objective was to evaluate the cell biology and biomechanical aspects of the healing process after two different techniques in open rotator cuff surgery - double-loaded bio-absorbable suture anchors combined with so-called arthroscopic Mason-Allen stitches (AAMA) and a trans-osseous suture technique combined with traditional modified Mason-Allen stitches (SMMA). Thirty-six mature sheep were randomized into two repair groups. After 6, 12, or 26 weeks, evaluation of the reinsertion site of the infraspinatus tendon was performed. The mechanical load-to-failure and stiffness results did not indicate a significant difference between the two groups. After 26 weeks, fibrocartilage was sparse in the AAMA group, whereas the SMMA group showed the most pronounced amount of fibrocartilage. We found no ultrastructural differences in collagen fiber organization between the two groups. The relative expression of collagen type II mRNA in the normal group was 1.11. For the AAMA group, 6 weeks after surgery, the relative expression was 55.47, whereas for the SMMA group it was 1.90. This in vivo study showed that the AAMA group exhibited a tendon-to-bone healing process more favorable in its cell biology than that of the traditional SMMA technique. Therefore, the AAMA technique might also be more appropriate for arthroscopic repair."],["dc.identifier.doi","10.1111/j.1600-0838.2008.00791.x"],["dc.identifier.isi","000266431300005"],["dc.identifier.pmid","18397194"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6178"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16696"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","0905-7188"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Cell biological and biomechanical evaluation of two different fixation techniques for rotator cuff repair"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1466"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","1472"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Fischer, A."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H.-M."],["dc.date.accessioned","2018-11-07T11:21:38Z"],["dc.date.available","2018-11-07T11:21:38Z"],["dc.date.issued","2009"],["dc.description.abstract","The aim of the study was to evaluate the time zero contact pressure over a defined rotator cuff footprint using different repair and stitch techniques in an established sheep model. Forty fresh-frozen sheep shoulders were randomly assigned to five repair groups: single-row repair using simple stitches (SRA-s), single-row repair using horizontal mattress stitches (SRA-m), and single-row repair using arthroscopic Mason-Allen stitches (SRA-ama). Double-row repair was either performed with a combination of simple and horizontal mattress stitches (DRA-sm) or with arthroscopic Mason-Allen/horizontal mattress stitches (DRA-amam). Investigations were performed using a pressure-sensitive film system. The average contact pressure and pressure pattern were measured for each group. Contact pressure was lowest in SRA-m followed by SRA-s. SRA-ama showed highest contact pressure of all single-row treatment groups (P < 0.05). DRA-amam presented the highest overall contact pressure (P < 0.05), whereas DRA-sm exerted contact pressure equal to that of SRA-ama. Both double-row techniques showed the most expanded pressure pattern. Average contact pressures for the more complex single- and double-row techniques utilizing arthroscopic Mason-Allen stitches were greater than were those of the repair techniques utilizing simple and horizontal mattress stitches. However, the contact pattern between the anchors could be increased by using the double-row technique, resulting in more footprint coverage compared to patterns utilizing the single-row techniques. These results support the use of the more complex arthroscopic Mason-Allen stitches and may improve the environment for healing of the repaired rotator cuff tendon."],["dc.identifier.doi","10.1007/s00167-009-0771-7"],["dc.identifier.isi","000272159700015"],["dc.identifier.pmid","19305972"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?goescholar/3950"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55818"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0942-2056"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Comparative evaluation of the tendon-bone interface contact pressure in different single- versus double-row suture anchor repair techniques"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","319"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Archives of Orthopaedic and Trauma Surgery"],["dc.bibliographiccitation.lastpage","323"],["dc.bibliographiccitation.volume","131"],["dc.contributor.author","Nusselt, Thomas"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Freche, Sven"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Baums, Mike Herbert"],["dc.date.accessioned","2018-11-07T08:58:54Z"],["dc.date.available","2018-11-07T08:58:54Z"],["dc.date.issued","2011"],["dc.description.abstract","Septic arthritis of the sternoclavicular joint (SCJ) is a rare condition and has many diagnostic and therapeutic standards. The purpose of this study was to evaluate our experience with surgical and diagnostic management to provide a surgical pathway to help surgeons treat this disease. We retrospectively reviewed five patients who were managed surgically between 1999 and 2007. All patients underwent structured diagnostic and treatment protocols. The functional outcome was evaluated using the Constant Score. The patients had the following underlying medical conditions: laryngeal cancer, port-explantation linked to a rectum carcinoma, spondylodiscitis, and brain stem infarct with reduced general condition; one patient had no underlying medical problems. Three patients underwent a simple incision, debridement and drainage, and two patients underwent an extended intervention with partial resection of the sternoclavicular joint. The mean duration of follow-up was 29 months (range 24-36 months). All patients had well-healed wounds without signs of reinfection. The Constant Score for the functional outcome at the time of the last follow-up was 76 points (range 67-93 points). All patients recovered completely from SCJ disease. Our recommendations for the management of septic arthritis of the sternoclavicular joint include standard treatment steps and assessments. The early stages of infection can be managed by simple incision, debridement and drainage. In advanced stages of infection, a more radical intervention is preferable."],["dc.identifier.doi","10.1007/s00402-010-1178-0"],["dc.identifier.isi","000287450700006"],["dc.identifier.pmid","20721567"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6613"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23758"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0936-8051"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Surgical management of sternoclavicular septic arthritis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]