Klinger, Hans-Michael

[["dc.bibliographiccitation.firstpage","992"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","998"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Geyer, Michael"],["dc.contributor.author","Bueschken, Meike"],["dc.contributor.author","Buchhorn, Gottfried Hans"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T08:41:52Z"],["dc.date.available","2018-11-07T08:41:52Z"],["dc.date.issued","2010"],["dc.description.abstract","The aim of the study was to evaluate the time-zero mechanical and footprint properties of a suture-bridge technique for rotator cuff repair in an animal model. Thirty fresh-frozen sheep shoulders were randomly assigned among three investigation groups: (1) cyclic loading, (2) load-to-failure testing, and (3) tendon-bone interface contact pressure measurement. Shoulders were cyclically loaded from 10 to 180 N and displacement to gap formation of 5- and 10-mm at the repair site. Cycles to failure were determined. Additionally, the ultimate tensile strength and stiffness were verified along with the mode of failure. The average contact pressure and pressure pattern were investigated using a pressure-sensitive film system. All of the specimens resisted against 3,000 cycles and none of them reached a gap formation of 10 mm. The number of cycles to 5-mm gap formation was 2,884.5 +/- A 96.8 cycles. The ultimate tensile strength was 565.8 +/- A 17.8 N and stiffness was 173.7 +/- A 9.9 N/mm. The entire specimen presented a unique mode of failure as it is well known in using high strength sutures by pulling them through the tendon. We observed a mean contact pressure of 1.19 +/- A 0.03 MPa, applied on the footprint area. The fundamental results of our study support the use of a suture-bridge technique for optimising the conditions of the healing biology of a reconstructed rotator cuff tendon. Nevertheless, an individual estimation has to be done if using the suture-bridge technique clinically. Further investigation is necessary to evaluate the cell biological healing process in order to achieve further sufficient advancements in rotator cuff repair."],["dc.identifier.doi","10.1007/s00167-009-0941-7"],["dc.identifier.isi","000278931500027"],["dc.identifier.pmid","19826786"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/4969"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19563"],["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","Tendon-bone contact pressure and biomechanical evaluation of a modified suture-bridge technique 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","106"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Clinical Biomechanics"],["dc.bibliographiccitation.lastpage","111"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Buchhorn, Gottfried Hans"],["dc.contributor.author","Baums, Mike Herbert"],["dc.date.accessioned","2018-11-07T11:06:16Z"],["dc.date.available","2018-11-07T11:06:16Z"],["dc.date.issued","2007"],["dc.description.abstract","Background. In recent studies objective evaluations have demonstrated that arthroscopic rotator cuff repairs can have higher failure rates than open repairs. Thus, there is a need for a stronger tissue-holding stitch for arthroscopical repair. The purpose of this study was to compare the biomechanical properties of traditional open transosseous suture technique and modified Mason-Allen stitches versus double-loaded suture anchors and arthroscopic Mason-Allen stitches in rotator cuff repair. Methods. In 20 sheep shoulders the infraspinatus tendons were dissected from their insertion and were randomized to 2 repair groups: (1) repair with transosseous suture and modified Mason-Allen stitches, (2) repair with double loaded bioabsorbable suture anchors and arthroscopic Mason-Allen stitches: Both groups were coupled with braided, nonabsorbable polyester (Ethibond) suture sized USP No. 2. All repairs were cyclically loaded from 10 to 180 N with the use of a materials testing machine. The number of cycles to gap formation of 5 and 10 rum at the repair site and the mode of failure were recorded. Results. The number of cycles to 5-mm gap was mean 634 (SD 106) for group 1 and mean 750 (SD 107) for group 2 (P < 0.026). The corresponding values to 10-mm, gap were mean 1573 (SD 161) for group 1, and mean 1789 (SD 183 cycles) for group 2 (P < 0.012). In group 2 the mode of failure occurred by tissue pull-out, whereas in group 1 the failure occurred by a mixture of suture breakage and pull-out. Conclusions. This time-zero study demonstrates that the combination of bioabsorbable suture anchors and arthroscopic Mason-Allen stitches provides strength superior to that of the modified Mason-Allen transosseous suture technique under isometric cyclic loading conditions. However, additional evaluation is needed to examine the effects on the sustained strength of the repair throughout the healing process. (c) 2006 Elsevier Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.clinbiomech.2006.07.009"],["dc.identifier.isi","000243680700015"],["dc.identifier.pmid","16996666"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/52266"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Sci Ltd"],["dc.relation.issn","0268-0033"],["dc.title","Biomechanical comparison of double-loaded suture anchors using arthroscopic Mason-Allen Stitches versus traditional transosseous suture technique and modified Mason-Allen stitches 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","81"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Physikalische Medizin Rehabilitationsmedizin Kurortmedizin"],["dc.bibliographiccitation.lastpage","87"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Hell, Anna-Kathrin"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Langlotz, A."],["dc.contributor.author","Mueckley, Thomas"],["dc.contributor.author","Schiele, R."],["dc.date.accessioned","2018-11-07T11:03:54Z"],["dc.date.available","2018-11-07T11:03:54Z"],["dc.date.issued","2007"],["dc.description.abstract","Back Pain is a common problem for adolescents and adults. it has high social but also economic importance in medicine and public health. Material and methods: A total of 2368 adolescents (1137 male, 1231 female; age 14.5 +/- 0.65, 13-18 years) who had undergone obligatory public health examination were included into the study. In the beginning the adolescents had to answer a questionnaire. Here were asked frequency and localisation of muscolu-skeletal and back pain but also social status and consumption of tobacco and alcoholic beverages. The clinical examination was performed by 4 well experienced school-doctors. At the beginning the doctors were instructed by an orthopaedic surgeon and the criteria for clinical signs of back pathologies were standardized. Results: The overall prevalence of LBP was 45.5%. From these 38.2% adolescents had occasional back pain, 4% during physical activity, and 3.3% reported permanent pain. The prevalence of back pathologies was 28.1%. The prevalence of back pain without concomitant back pathologies was 29%. In 11.7% of the adolescents pathologies of the back were detected without any symptoms. The combination of back pain and back pathology was observed in 16.5%. Metaanalysis revealed the following significant risk factors (p < 0.05) for developing LBP: Female gender (OR = 1.6), visit of a middle school (OR=1.5) or visit of a high school (OR = 1.7), smoking (OR = 1.5), scoliosis (OR = 1.8), round back (OR=1.6), and inclined pelvic tilting pelvis (OR=1.4). Conclusions: In our adolescent population back pain is a common problem with an overall life time prevalence of 45,5%. Objective pathological changes as detected by clinical examination are only found in 28.1% of these children. Other factors such as female gender, alcohol or smoking seem to be related to a higher prevalence of LBP as well. Therefore, early preventive programs for this age group may reduce the prevalence of LBP."],["dc.identifier.doi","10.1055/s-2007-961798"],["dc.identifier.isi","000246691400002"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51714"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0940-6689"],["dc.title","Prävalenz und assoziierte Faktoren des Rückenschmerzes bei Jugendlichen - Ergebnisse einer Querschnittsuntersuchung von 2368 Adoleszenten"],["dc.title.alternative","Prevalence and associated factors of lower back pain in 2368 adolescents"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","96"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","112"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Hofmann, Gunther O."],["dc.contributor.author","von Engelhardt, Lars Victor"],["dc.contributor.author","Li, Mengxia"],["dc.contributor.author","Neubauer, Henning"],["dc.contributor.author","Klinger, Hans Michael"],["dc.date.accessioned","2018-11-07T09:30:48Z"],["dc.date.available","2018-11-07T09:30:48Z"],["dc.date.issued","2013"],["dc.description.abstract","Both high tibial valgus osteotomy (HTO) and unicompartmental medial knee arthroplasty (UKA) are established methods for the treatment for moderate stages of OA. This is the first global meta-analysis to compare the long-term effects of both methods regarding survival, outcomes and complications of total arthroplasty. Literature research was performed using established medical databases: MEDLINE (via PubMed), EMBASE (via OVID) and the Cochrane register. Criteria for inclusion were as follows: English or German papers, a clinical trial with a clear description of survival, an outcome evaluation using a well-described knee score and a follow-up > 5 years. Statistical analysis was performed using the special meta-analysis software called \"Comprehensive Meta Analysis\" (version 2.0; Biostat, Englewood, NJ, USA). Final meta-analysis after the full-text review included 46 studies about valgus HTO and 43 studies about medial UKA. There were no significant differences between valgus HTO and medial UKA in terms of the number of total required replacements. After a 5- to 8-year follow-up, 91.0% of the valgus HTO patients and 91.5% of medial UKA patients did not need a total replacement. This value was 84.4% for valgus HTOs and 86.9% for medial UKAs after a 9- to 12-year follow-up. Mean survival time to TKA was 9.7 years after valgus HTO and 9.2 years after medial UKA. Clinical outcome was significantly better after medial UKA in a 5- to 12-year follow-up. After more than 12 years, results were comparable in both groups. No significant differences were seen in the complication rates. This meta-analysis aimed to find the advantages and disadvantages of two established methods for the treatment for medial compartment knee osteoarthritis. Valgus HTO is more appropriate for younger patients who accept a slight decrease in their physical activity. Medial UKA is appropriate for older patients obtaining sufficient pain relief but with reduced physical activity. II."],["dc.identifier.doi","10.1007/s00167-011-1751-2"],["dc.identifier.isi","000313047100012"],["dc.identifier.pmid","22076053"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31395"],["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","The impact of a high tibial valgus osteotomy and unicondylar medial arthroplasty on the treatment for knee osteoarthritis: a meta-analysis"],["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","145"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Zeitschrift für Orthopädie und Unfallchirurgie"],["dc.bibliographiccitation.lastpage","152"],["dc.bibliographiccitation.volume","149"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Schiele, R."],["dc.contributor.author","Hofmann, Gunther O."],["dc.contributor.author","Schiltenwolf, M."],["dc.contributor.author","Grifka, J."],["dc.contributor.author","Vaitl, T."],["dc.contributor.author","Schneider, S."],["dc.contributor.author","Liebers, F."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T08:58:25Z"],["dc.date.available","2018-11-07T08:58:25Z"],["dc.date.issued","2011"],["dc.description.abstract","Aim: This metaanalysis was performed to evaluate the prevalence of the radiological assessed knee osteoarthritis in the whole community. Materials and Methods: Medical databases (Medline, EMBASE, Cochrane) were searched for the strategy: [\"Osteoarthritis\" and \"Knee\" and \"Prevalence\"]. The deadline for the search was 31.12.2009. Two investigators (first and senior author) independently made the selection from 17 studies (from a total of 1428) according to the inclusion criteria: a cross-sectional study of the whole community, radiological investigation and definition of knee ROA by an established radiological score. Only studies in English or German language were evaluated. Effect sizes (event rate, odds ratio [OR] and confidence interval [CI]) were calculated by the software \"Comprehensive Metaanalysis V2\". Study heterogeneity (I2) was determined accordingly to Higgins. Results: The kappa index for interobserver validity was k = 0.948. All studies judged the grade of osteoarthritis according to the Kellgren-Lawrence (KL) score. For calculation of knee ROA KL grades 2+ were estimated only. The total prevalence of knee ROA was 24.3% (CI 23.4-25.2%). The whole prevalence in male patients was 24.3% (CI 23.4-25.2%); I2 = 59.4 (p = 0.002) and in female patients 32.6% (CI 31.8-33.4%); I2 = 49,1 (p A 0.001). Younger male patients (age 50-) had a prevalence of 5.6 (CI 4.5-6.8). In older patients (80+) the male prevalence was 44.5% (CI 39.6-49.5%). In this age group female patients had a prevalence of 71.6% (CI 67.6-75.3%). The higher prevalence of knee ROA in female patients was significant (OR = 1.8 [1.7-1.9]; I2 = 46.0 [p < 0.001]). The prevalence of knee ROA was higher in male Asians compared with male Caucasians (OR = 1.1, CI 0.9-1.2; p = 0.080) in tendency. This difference was significant in female patients (OR = 2.2; CI 2.0-2.4; p < 0.001). Furthermore another trend was evaluated. Female patients (70-79 years) from the birth-year cohort 1920- had a prevalence of 37.8% (CI 35.9-39.7)%. In contrast female patients from the birth-year cohort 1920 had a prevalence of 62.8% (CI 60.8-64.8%) at 70-79 years. This difference was significant (OR = 2.8; CI 2.5-3.1; p < 0.001). Conclusions: This investigation confirms the high prevalence of knee ROA. The evaluated data may serve as a reference for medical or scientific investigations in the future."],["dc.identifier.doi","10.1055/s-0030-1250531"],["dc.identifier.isi","000289241600002"],["dc.identifier.pmid","21243591"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23636"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Thieme Medical Publ Inc"],["dc.relation.issn","1864-6743"],["dc.relation.issn","1864-6697"],["dc.title","The Prevalence of Radiological Osteoarthritis in Relation to Age, Gender, Birth-Year Cohort, and Ethnic Origins"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1553"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","1561"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Hofmann, Gunther O."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T09:23:08Z"],["dc.date.available","2018-11-07T09:23:08Z"],["dc.date.issued","2013"],["dc.description.abstract","Knee osteoarthritis is one of the most common orthopaedic diseases. Therapeutic options for this disease include conservative treatments and arthroscopic debridement and partial or complete replacement. This meta-analysis aimed to collect and analyse the available information on the effects of arthroscopic joint debridement related to the clinical outcomes, the required conversion to replacement and the factors for patient selection. A search for publications was performed in the PubMed, Cochrane and EMBASE medical databases. The primary search resulted in a total of 1,512 citations. The results from 30 papers were included in this study. The extracted dates were listed in a standardised protocol. The statistical evaluation was performed using Comprehensive Meta-analysis software (V2 Biostat, Englewood, NJ, USA). No randomised study that compared conservative and arthroscopic treatments for knee osteoarthritis was found. Most studies reported middle-term results after arthroscopic operations. The results of these studies showed excellent or good outcomes in more than 60 % of all patients. These results were correlated with a significant increase in the knee scores from baseline to follow-up; the standardised difference in means was 2.3 (CI 95 % 1.5-3.0, p < 0.001). The required conversion rate to replacement increased as the follow-up interval increased. The rates were as follows: 1 year-6.1 % (CI 95 %, 2.1-16.6 %), 2 years-16.8 % (CI 95 %, 10.2-26.3 %), 3 years-21.7 % (CI 95 %, 15.5-29.1 %) and 4 years-34.1 % (CI 95 %, 22.8-47.6 %). The mean survival time was 42.7 (CI 95 %, 14.5-71.1) months. Numerous factors influenced the outcome, including the radiological stage of the osteoarthritis and individual patient factors (e.g. time of history of osteoarthritis, weight and smoking). The local knee findings, such as axial dysalignment, missing effusion and massive crepitus, were also correlated with patient outcome. Arthroscopic joint debridement is a potential and sufficient treatment for knee osteoarthritis in a middle-term time interval. This procedure results in an excellent or good outcome in approximately 60 % of patients in approximately 5 years. Systematic review of studies, Level III."],["dc.identifier.doi","10.1007/s00167-012-2169-1"],["dc.identifier.isi","000320672600014"],["dc.identifier.pmid","22893268"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/29510"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1433-7347"],["dc.relation.issn","0942-2056"],["dc.title","The effects of arthroscopic joint debridement in the knee osteoarthritis: results of a meta-analysis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","638"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","644"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Nozaki, M."],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H.-M."],["dc.date.accessioned","2018-11-07T11:02:52Z"],["dc.date.available","2018-11-07T11:02:52Z"],["dc.date.issued","2007"],["dc.description.abstract","Frozen shoulder is said to be a self-limiting entity but full recovery often takes more than 2 years. For that, most patients are unwilling to tolerate painful restriction while awaiting resolution. We prospectively investigated 30 patients (16 women, 14 men) for the outcome of arthroscopic capsular release in idiopathic frozen shoulder. Results were determined by the assessment of subjective and objective parameters to estimate both shoulder function and general health status. Symptoms persisted without improvement for a minimum of 6 months of conservative treatment. Preoperative average American shoulder and elbow surgeons score (ASES) was 35, visual analog scale (VAS) to measure pain was 7, and simple shoulder test (SST) was 4. Mean scores of the physical component of SF-36 were considerably reduced. Mean forward elevation was 85 degrees, average abduction was 70 degrees, mean internal rotation was 15 degrees, and mean external rotation was 10 degrees. Patients were followed-up at 6 weeks, 3, 6, 12 months and by a mean of 36 months. Range of motion for all planes improved (P < 0.05). Median VAS reduced to 2, average ASES increased to 91, and SST enhanced to a mean of 10 (P < 0.05). We stated improvement of the physical components in the SF-36 questionnaire in particular bodily pain and the role-physical score. There were no significant differences between the measurements in the early postoperative phase compared to the mid-term follow-up (P > 0.05). Our results demonstrate that arthroscopic release of refractory idiopathic frozen shoulder combined with a gentle manipulation provides reliable expectations for improvement in both clinical and general health status for most patients. We recommend the use of a limb-specific and a general-health-status questionnaire to conclude the benefit of the surgical intervention and contribute the optimization of a therapy concept more effectively."],["dc.identifier.doi","10.1007/s00167-006-0203-x"],["dc.identifier.isi","000246175300026"],["dc.identifier.pmid","17031613"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51488"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0942-2056"],["dc.title","Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","598"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","ACTA ORTHOPAEDICA BELGICA"],["dc.bibliographiccitation.lastpage","603"],["dc.bibliographiccitation.volume","76"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Freche, Sven"],["dc.contributor.author","Nusselt, Thomas"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Steckel, Hanno"],["dc.date.accessioned","2018-11-07T08:38:11Z"],["dc.date.available","2018-11-07T08:38:11Z"],["dc.date.issued","2010"],["dc.description.abstract","We retrospectively reviewed the records of 21 patients (23 shoulders) who underwent surgical treatment for septic arthritis of the shoulder joint, between 2000 and 2007. Patients were on average 63.7 (41-85) years old; they were treated either by arthroscopic debridement (12 shoulders) or by combined arthroscopic and open procedures (11 shoulders). The mean duration of symptoms prior to surgery was 16 (5-76) days. The mean Constant score recorded at the last follow-up - on average 35.3 months (25-43) after surgery - was 73 (46-82) points. Patients with symptoms for two weeks or less prior to surgery had better results and a lower re-operation rate than those with symptoms longer than two weeks. Early infection can be managed arthroscopically, and satisfactory results can be expected. In advanced infection, a more radical approach is more appropriate."],["dc.identifier.isi","000283676500006"],["dc.identifier.pmid","21138213"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/18710"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Acta Medica Belgica"],["dc.relation.issn","0001-6462"],["dc.title","Septic arthritis of the shoulder joint : An analysis of management and outcome"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","389"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Zeitschrift für Orthopädie und ihre Grenzgebiete"],["dc.bibliographiccitation.lastpage","396"],["dc.bibliographiccitation.volume","142"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Schiele, R."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Jung, R."],["dc.contributor.author","Longlotz, A."],["dc.contributor.author","Hell, Anna-Kathrin"],["dc.date.accessioned","2018-11-07T10:48:00Z"],["dc.date.available","2018-11-07T10:48:00Z"],["dc.date.issued","2004"],["dc.description.abstract","Aim: The purpose of the study was to evaluate the prevalence of foot pain and foot deformities in adolescents. It was aimed to obtain information on the association between foot pain and foot deformities. Method: A total of 2 368 adolescents (age 14.5 +/- 0.7 years) were evaluated. The frequency of foot pain was probed by using a self-reporting questionnaire. The foot deformities were evaluated during clinical examinations by school doctors. Results: The prevalence of foot pain was 14.0% and the prevalence of foot deformities was 13.7%. The prevalence of pain was significantly higher in adolescents with foot deformity (17.8%) than in persons without deformity (13.4%), p < 0.05. The prevalence of a flexible flat foot was 6.2% and the prevalence of a rigid flat foot was 0.5%. Other deformities registered were splay foot (2.3%) and flexible splay-flat foot (2.0). The prevalence of hallux-valgus deformity was 3.5%. A total of 3.5% patients were suffering from a plantar hyperkeratosis. This was significantly correlated to a high pain prevalence (the hyperkeratosis was significantly associated with a high prevalence of pain). Significant factors which were significantly associated with foot pain were foot deformity (1.4fold) and hyperkeratosis (75fold). Foot pain was 1.4fold higher in children with foot deformity and 75fold higher in feet with hyperkeratosis. Conclusion: The prevalence of foot pain and foot deformity in adolescent is high. Mild deformities (flexible flat foot and splay foot) are physiological variations without any association to foot pain. Pathological conditions that are associated with foot pain are the rigid flat foot, the hallux valgus and the cavus deformity. Plantar hyperkeratosis is an indicator of foot pathology."],["dc.identifier.doi","10.1055/s-2004-822844"],["dc.identifier.isi","000223942600001"],["dc.identifier.pmid","15346298"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/48095"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0044-3220"],["dc.title","Die Prävalenz von Beschwerden und Deformierungen des Fußes bei Adoleszenten"],["dc.title.alternative","The Prevalence of Foot Pain and Foot Deformities in Adolescents: Results of a Cross-Sectional Study"],["dc.title.subtitle","Ergebnisse einer Querschnittuntersuchung"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","565"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","573"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Spahn, Gunter"],["dc.contributor.author","Kahl, Enrico"],["dc.contributor.author","Mueckley, Thomas"],["dc.contributor.author","Hofmann, Gunther O."],["dc.contributor.author","Klinger, Hans Michael"],["dc.date.accessioned","2018-11-07T11:14:47Z"],["dc.date.available","2018-11-07T11:14:47Z"],["dc.date.issued","2008"],["dc.description.abstract","Both mechanical shavers and radiofrequency-based devices are used to treat symptomatic partial thickness chondral lesions. Controversy exists as to which mode of treatment provides better outcomes. The purpose of this study was to compare clinical results after bipolar radiofrequency-based chondroplasty (RFC) to mechanical shaver debridement (MSD). Patients (n = 60) included in the study presented with knee pain associated with a medial meniscus tear and idiopathic ICRS grade III defect of the medial femoral condyle. Patients who had osteoarthritis, grade II or higher cartilage defects of the tibial joint surface, the lateral compartment, or the femoro-patellar joint, or had previously undergone surgery on the affected knee were excluded. Patients underwent partial meniscectomy; during the procedure, they were randomly assigned to receive bipolar RFC (Paragon, ArthroCare Corporation, Austin, TX) or MSD (Full radius resector LR 4.85 x 12.5 cm), Arthrex, Naples, FL). Postoperatively, the same physiotherapist provided instructions for a daily 2-h home training program consisting of isometric, isotonic, and leg lifting exercises; patients were provided the option of using crutches. Clinical outcomes were assessed using the Tegner score, visual analogue scale (VAS) score, and Knee and Osteoarthritis Outcome Score (KOOS) assessment, which consists of five principal domains including pain, symptoms, function in daily living (ADL), and knee related quality of life (QOL), where a score of 0 indicates extreme symptoms and 100 represents no symptoms. Age and time from injury onset did not differ significantly between the RFC and MSD groups (43 +/- 10 vs. 44 +/- 9 years, P = 0.732; 8 +/- 3 vs. 7 +/- 4 months, P = 0.279). No complications or adverse events were observed. Preoperatively, mean (+/- SD) scores for all KOOS principal domains were < 20 and did not differ significantly (P > 0.05) between treatment groups. Post-operatively, the RFC patients returned to activity significantly earlier than MSD patients (17 +/- 7 vs. 22 +/- 6 days, P = 0.002). VAS pain scores at 6 h, 24 h, 6 weeks, and 1 year were significantly ( P < 0.001) lower for the RFC group than for the MSD group ( 4 +/- 2, 2 +/- 0.5, 2 +/- 1, 2 +/- 1 vs. 8 +/- 1, 4 +/- 1, 4 +/- 1, 3 +/- 1, respectively). At 1 year, RFC patients had significantly better Tegner score (4.1 +/- 0.8 vs. 2.8 +/- 0.6, P < 0.001) and KOOS domain scores for pain, symptoms, ADL, QOL, respectively (81.1 +/- 8, vs. 59.4 +/- 12.8; 80.7 +/- 7.5 vs. 59.6 +/- 7.5; 81.5 +/- 6.5 vs. 60.1 +/- 6.9; 80 +/- 10 vs. 61.3 +/- 12.5; P < 0.001) than MSD patients. Significantly fewer RFC patients (2% vs 23%, p = 0.026) reported using NSAIDS for knee pain at 1 year. Patients undergoing radiofrequency-based chondroplasty for ICRS grade III medial femoral condyle chondral lesions in conjunction with partial meniscectomy had significantly better clinical outcomes through 1 year than patients with similar pathology receiving chondral debridement using the mechanical shaver."],["dc.identifier.doi","10.1007/s00167-008-0506-1"],["dc.identifier.isi","000256322000006"],["dc.identifier.pmid","18327566"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54218"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0942-2056"],["dc.title","Arthroscopic knee chondroplasty using a bipolar radiofrequency-based device compared to mechanical shaver: results of a prospective, randomized, controlled study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]