Now showing 1 - 10 of 49
  • 2015Journal Article
    [["dc.bibliographiccitation.firstpage","1351"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","1358"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Sachs, Ch."],["dc.contributor.author","Kostuj, Tanja"],["dc.contributor.author","Schmidt-Horlohe, K."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, H.-M."],["dc.date.accessioned","2018-11-07T09:57:54Z"],["dc.date.available","2018-11-07T09:57:54Z"],["dc.date.issued","2015"],["dc.description.abstract","This laboratory study aimed to evaluate the loop security, knot security, cyclic loading resistance and load-to-failure rate of three different knot types with establishing a new experimental set-up. Additionally, the mode of failure of each knot was evaluated. With the use of nonabsorbable, braided polyethylene sutures, USP size No. 2 [Hi-Fi(A (R)); ConMed Linvatec], the arthroscopic knot types Dines, SMC as well as the surgeon's knot were tested using a material testing machine. The knots were tied openly as well as arthroscopically. The set-up enables testing of knot configurations while eliminating friction between knot loop and its suspension points. Including all test procedures, a total of 216 knots were tested. All openly tied knot types and ten of each type of arthroscopically tied knots resisted against cyclic loading of 1,000 cycles. With subsequent load-to-failure testing, openly tied knot types achieved significantly higher values of tensile strength than arthroscopically tied knots. Regarding clinical failure, defined as an elongation of 3 mm, Dines knot reached highest loop as well as knot security. Knot slippage was the most common failure mechanism at an elongation of 3 mm, whereas suture breakage was evaluated most at an elongation of 6 mm. The new experimental set-up confirms the loop security of arthroscopic knot types. Using a knot pusher clinically is a key factor to attain this as compared to openly hand-tied techniques. The Dines knot presented the highest reliability. It may provide a secure tissue healing during rehabilitation and consequently can be recommended for clinical application."],["dc.identifier.doi","10.1007/s00167-013-2711-9"],["dc.identifier.isi","000353829500013"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37261"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1433-7347"],["dc.relation.issn","0942-2056"],["dc.title","Mechanical testing of different knot types using high-performance suture material"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2010Journal Article
    [["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"]]
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  • 2007Journal Article
    [["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"]]
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  • 2010Journal Article
    [["dc.bibliographiccitation.firstpage","1037"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Archives of Orthopaedic and Trauma Surgery"],["dc.bibliographiccitation.lastpage","1040"],["dc.bibliographiccitation.volume","130"],["dc.contributor.author","Nusselt, T."],["dc.contributor.author","Freche, Sven"],["dc.contributor.author","Klinger, H.-M."],["dc.contributor.author","Baums, Mike Herbert"],["dc.date.accessioned","2018-11-07T08:40:34Z"],["dc.date.available","2018-11-07T08:40:34Z"],["dc.date.issued","2010"],["dc.description.abstract","Biodegradable implants lead to problems such as cyst formation, soft-tissue inflammation, loose implant fragments or local osteolysis. This report represents the first published case of an intraosseous foreign body granuloma in the humeral head after arthroscopic rotator cuff tear fixation with a poly-l-lactide (PLLA) suture anchor. A 48-year-old female patient presented with pain in her right shoulder. A refixation of her right supraspinatus tendon with a biodegradable suture anchor was performed 11 months ago at an external hospital. Laboratory tests showed normal values for C-reactive protein, leukocytes and the erythrocyte sedimentation rate. No signs of infection or instability were noted. The visual analogue scale (VAS) was 8, the simple shoulder test (SST) was 4 and the American shoulder and elbow surgeons score (ASES) was 44. Plain radiographs showed high lucency in the area of the tuberculum majus. MRI showed an intra- and extraosseous mass surrounded by fluid in this area. Surgical care involved arthroscopic debridement and removal of the suture anchor. Histological examination revealed a foreign body granuloma. At the 18-month follow-up the patient was nearly pain-free. The VAS was 2, SST was 10 and ASES was 88. Foreign body granulomas are a well known but rarely described complication that arises after the use of biodegradable suture anchors in shoulder surgery. Every patient presenting with shoulder pain after usage of a biodegradable fixation material should be evaluated closely. Orthopaedic surgeons should be aware of the possibility of delayed foreign body reactions, especially after using PLLA anchors."],["dc.identifier.doi","10.1007/s00402-010-1125-0"],["dc.identifier.isi","000280702200014"],["dc.identifier.pmid","20526849"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/4986"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19265"],["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","Intraosseous foreign body granuloma in rotator cuff repair with bioabsorbable suture anchor"],["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"]]
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  • 2007Review
    [["dc.bibliographiccitation.firstpage","99"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Scandinavian Journal of Medicine and Science in Sports"],["dc.bibliographiccitation.lastpage","108"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Starman, J. S."],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Fu, Freddie H."],["dc.date.accessioned","2018-11-07T11:03:56Z"],["dc.date.available","2018-11-07T11:03:56Z"],["dc.date.issued","2007"],["dc.description.abstract","In traditional anterior cruciate ligament reconstruction, there is a subset of patients complaining of knee instability, especially rotational instability, and athletes not able to return to their preinjury level of sports activity. Currently, controversy exists over the usefulness of the double bundle technique (DBT) in addressing these problems. In order to evaluate the DBT, we completed a literature review from 1969 to February 2006 focusing on anatomy, magnetic resonance imaging, graft incorporation, biomechanics, kinematics, surgical techniques, complications and outcome. The DBT is not a standardized technique, which makes it difficult to compare results. Cadaver studies have proven biomechanical advantages with respect to ap-stability, but assessing the rotational stability remains difficult. There is a lack of available outcome studies with sufficient follow-up to demonstrate the potential advantages of DBT. The theoretical advantages of DBT require careful evaluation with outcome, biomechanical and kinematic studies. In addition, studies are needed to address issues such as graft incorporation and complications. An advantage offered by DBT is the possibility to identify rupture patterns that can lead to surgical preservation of an intact and augmentation of an injured bundle. The approach of augmentating a single bundle technique reconstruction with adequate anterior-posterior but poor rotational stability is promising."],["dc.identifier.doi","10.1111/j.1600-0838.2006.00600.x"],["dc.identifier.isi","000244886700002"],["dc.identifier.pmid","17076829"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51723"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Blackwell Publishing"],["dc.relation.issn","0905-7188"],["dc.title","The double-bundle technique for anterior cruciate ligament reconstruction: a systematic overview"],["dc.type","review"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2021Journal Article
    [["dc.bibliographiccitation.journal","Zeitschrift für Orthopädie und Unfallchirurgie"],["dc.contributor.author","von Knoch, Marius"],["dc.contributor.author","Baums, Mike H."],["dc.contributor.author","Lehmann, Wolfgang"],["dc.contributor.author","Frosch, Stephan"],["dc.date.accessioned","2021-06-01T09:41:48Z"],["dc.date.available","2021-06-01T09:41:48Z"],["dc.date.issued","2021"],["dc.description.abstract","Abstract Background The present study used a systematic review to analyse the risk of perioperative injections during arthroscopic reconstruction of the rotator cuff of the shoulder. The questions of interest were whether perioperative local injection increases the infection risk and whether the number of postoperative revisions is increased. Material and Methods A systematic review of the U. S. National Library of Medicine/National Institutes of Health (PubMed) database and the Cochrane Library was performed using the PRISMA checklist. The keywords used were “shoulder” and “arthroscopy” and “injection” and “risk”. In the course of the study, work that was not also primarily concerned with the reconstruction of the rotator cuff was excluded. English original articles and case series were included that contained at least some arthroscopic reconstructions of the rotator cuff. The risk of bias was determined using the Newcastle-Ottawa Scale. The content of the articles relevant to the research questions was analysed. Results 48 hits were primarily generated. 9 articles corresponded to the inclusion criteria and were analysed. In the 6 studies with details on the injected substances, cortisone was used in 98 – 100% of the cases. The reported infection and revision rates based on insurance data were higher with injection than without. The risk of bias in the studies analysed here was rather low based on the Newcastle-Ottawa Score. The risk of infection after a cortisone injection before, during or after surgery was increased. Injection was associated with infection in up to 8% of cases with injections within two weeks of surgery. The risk of infection was increased by up to 11 times with injections within 4 weeks after the operation. Likewise, the risk of revision surgery after injection was increased, with the time intervals between injection and surgery sometimes differing between studies. Discussion Local infections and to a lesser extent revision surgery are associated with perioperative injections (with cortisone) within 3 months preoperatively and 4 weeks postoperatively. However, there were only database studies of insurance data with several studies from a few centres. Thus, no causal relationships could be proven. Currently, however, the following can be recommended using a cautious approach: The interval between injection with cortisone before surgery should be at least 2 weeks, better 3 months. No cortisone injections should be applied intraoperatively. Postoperatively, cortisone should not be injected for at least 4 weeks. If, in exceptional cases, deviations from these time limits are required, patients should be informed about an increased risk of complications."],["dc.description.abstract","Zusammenfassung Hintergrund Die vorliegende Arbeit analysierte durch einen systematischen Review das Risiko von perioperativen Injektionen bei arthroskopischer Rekonstruktion der Rotatorenmanschette der Schulter. Von Interesse war die Frage, ob perioperative lokale Injektionen das Infektionsrisiko erhöhen und ob die Anzahl postoperativer Revisionen erhöht ist. Material und Methoden Es wurde eine systematische Durchsicht der Datenbank der U. S. National Library of Medicine/National Institutes of Health (PubMed) und der Cochrane Library unter Anwendung der PRISMA-Checkliste durchgeführt. Als Suchwörter dienten „shoulder“ und „arthroscopy“ und „injection“ und „risk“. Im Verlauf wurden Arbeiten ausgeschlossen, die sich nicht auch primär mit der Rekonstruktion der Rotatorenmanschette beschäftigten. Englischsprachige Originalarbeiten und Fallserien, die mindestens anteilig arthroskopische Rekonstruktionen der Rotatorenmanschette enthielten, wurden eingeschlossen. Das Verzerrungsrisiko wurde mithilfe der Newcastle-Ottawa Scale ermittelt. Die für die Forschungsfragen relevanten Artikel wurden inhaltlich analysiert. Ergebnisse Es wurden primär 48 Treffer generiert. Neun Artikel entsprachen den Einschlusskriterien und wurden analysiert. In 6 Arbeiten mit näheren Angaben zur injizierten Substanz war in 98 – 100% der Fälle Kortison verwendet worden. Die berichteten Infektions- und Revisionsraten waren mit Injektion höher als ohne. Das Verzerrungsrisiko der hier analysierten Studien war auf Grundlage der Ermittlung der Newcastle-Ottawa Scale eher gering. Das Risiko einer Infektion nach einer Injektion mit Kortison vor, während oder nach einer Operation war erhöht. Innerhalb von 2 Wochen vor Operation war eine Injektion in bis zu 8% der Fälle mit einer Infektion assoziiert. Innerhalb von 4 Wochen nach Operation war das Infektionsrisiko um bis zu 11-fach erhöht. Ebenso war das Risiko einer Revisionsoperation nach Injektion erhöht, wobei die zeitlichen Abstände zwischen Injektion und Operation zwischen den Studien teilweise differierten. Diskussion Lokale Infektionen und in geringerem Maße Revisionsoperationen sind mit perioperativen Injektionen (mit Kortison) innerhalb von 3 Monaten vor und bis 4 Wochen nach Operation assoziiert. Es lagen aber lediglich Datenbankanalysen von Versichertendaten mit mehreren Arbeiten aus wenigen Zentren vor. Somit konnten keine kausalen Zusammenhänge nachgewiesen werden. Aktuell kann aber bei vorsichtiger Herangehensweise Folgendes empfohlen werden: Der zeitliche Abstand zwischen Injektion mit Kortison vor Operation sollte mindestens 2 Wochen, besser 3 Monate betragen. Intraoperative Injektionen mit Kortison sind nicht empfehlenswert. Postoperativ sollte für mindestens 4 Wochen keine Injektion mit Kortison erfolgen. Wenn im Ausnahmefall von diesen zeitlichen Grenzen abgewichen wird, ist eine Aufklärung der Patienten über ein erhöhtes Risiko angezeigt."],["dc.identifier.doi","10.1055/a-1394-6469"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/85042"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-425"],["dc.relation.eissn","1864-6743"],["dc.relation.issn","1864-6697"],["dc.title","Risk Analysis of Perioperative Injections in Arthroscopic Reconstruction of the Rotator Cuff of the Shoulder – A Systematic Review"],["dc.title.alternative","Perioperative Injections"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2007Journal Article
    [["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"]]
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  • 2009Journal Article
    [["dc.bibliographiccitation.firstpage","782"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","785"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Fu, Freddie H."],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T08:28:20Z"],["dc.date.available","2018-11-07T08:28:20Z"],["dc.date.issued","2009"],["dc.description.abstract","In order to describe the arthroscopic presence of the double bundle structure and to evaluate the value of different portals in knee arthroscopy, we assessed the AM and PL bundle anatomy. We prospectively examined the knees of 60 patients undergoing arthroscopic surgery for pathology unrelated to the ACL. Arthroscopy was performed in a two portal technique using an anterolateral (ALP) and an anteromedial (AMP) portal. With the arthroscope in the ALP, we could distinguish an AM and PL bundle in 28%. Switching the arthroscope to the AMP, differentiation of the bundles was possible in 67%. In all remaining cases visualization of the PL bundle was possible after retraction of the AM bundle. Use of AMP increased visualization of the PL bundle. It seems reasonable to perform arthroscopy for ACL reconstruction with the arthroscope in the AMP and to establish an additional medial working portal to increase the visualization of the femoral ACL insertion sites for optimal femoral tunnel placement."],["dc.identifier.doi","10.1007/s00167-009-0783-3"],["dc.identifier.isi","000267367400011"],["dc.identifier.pmid","19333575"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6694"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16395"],["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","Arthroscopic evaluation of the ACL double bundle structure"],["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"]]
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  • 2010Journal Article
    [["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"]]
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  • 2006Journal Article
    [["dc.bibliographiccitation.firstpage","482"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Knee Surgery Sports Traumatology Arthroscopy"],["dc.bibliographiccitation.lastpage","486"],["dc.bibliographiccitation.volume","14"],["dc.contributor.author","Baums, Mike Herbert"],["dc.contributor.author","Kahl, E."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T09:54:44Z"],["dc.date.available","2018-11-07T09:54:44Z"],["dc.date.issued","2006"],["dc.description.abstract","Anterior impingement syndrome is a generally accepted diagnosis for a condition characterized by anterior ankle pain with limited and painful dorsiflexion. The cause can be either soft tissue or bony obstruction. We reviewed 26 (16 male and 10 female) athletes with a mean age of 27 years treated arthroscopically for symptoms due to soft-tissue (group I, n = 12) and bony obstruction (group II, n = 14). They suffered from anterior pain, reduction of dorsiflexion and recurrent swelling with severe impairment in their sports activities. There was no clinical improvement for at least 6 months despite of conservative treatment with a mean duration of symptoms about 20 months. There were no further operations. Evaluation included the Karlsson ankle rating score, the activity score of Tegner, and a visual analogue scale (VAS) reflecting patients' pain. Conventional radiographs and Magnetic resonance imaging (MRI) were done preoperatively. All patients were available for follow up after 31 months (range, 25-48 months) with a significant improvement (p < 0.05) of the Karlsson score from 66 to a mean of 92 at the follow-up examination. The mean Tegner score was eight points compared to three points preoperatively. Regarding the subjective assessment observed by the decrease of pain and the ability of the athelete to return to competition sport, there were 25 very satisfied and one unsatisfied athlete. No significant difference in the outcome of group I and II (p > 0.05) could be estimated. The results demonstrate 'excellent' to 'good' results for arthroscopic treatment of sports-related anterior ankle pain in a group of athletes who were involved in competition sport. The promising clinical results confirm an effective way of treating soft-tissue and bony impingement. In addition, we recommend prior to surgery, an adequate course of non-operative treatment, including modifications in the exercise program and athletic activity."],["dc.identifier.doi","10.1007/s00167-005-0672-3"],["dc.identifier.isi","000237437500015"],["dc.identifier.pmid","15952005"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/36602"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0942-2056"],["dc.title","Clinical outcome of the arthroscopic management of sports-related \"anterior ankle pain\": a prospective study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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