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Klinger, Hans-Michael
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Klinger, Hans-Michael
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Klinger, Hans-Michael
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Klinger, H.-M.
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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"]]Details DOI WOS2010Journal 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"]]Details DOI PMID PMC WOS2007Journal 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"]]Details DOI PMID PMC WOS2008Journal Article [["dc.bibliographiccitation.firstpage","240"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Klinische Monatsblätter für Augenheilkunde"],["dc.bibliographiccitation.lastpage","242"],["dc.bibliographiccitation.volume","225"],["dc.contributor.author","Steven, P."],["dc.contributor.author","Klinger, Hans-Michael"],["dc.contributor.author","Hoerauf, Hans"],["dc.date.accessioned","2018-11-07T11:17:49Z"],["dc.date.available","2018-11-07T11:17:49Z"],["dc.date.issued","2008"],["dc.description.abstract","Purpose: The aim of this communcation is to report a case of epiretinal membrane removal with intra-operative unexpected subretinal extension of the membrane. Methods: This is an observational case report. An 83-year-old female patient with bilateral pigmented secondary macular pucker after laser coagulation for diabetic retinopathy underwent vitrectomy with membrane peeling and membrane excision. The specimen was studied by means of light and electron microscopy. Results: The pigmented membrane extended through the retina forming an epiretinal and an intraretinal portion. Electron microscopy revealed connective tissue, capillaries and two different cell types that were retinal pigment epithelium-like and fibroblast-like. Conclusion: Misinterpreted parafoveal telangiectasis and focal lasercoagulation is the likely cause for our findings."],["dc.identifier.doi","10.1055/s-2008-1027237"],["dc.identifier.isi","000255004300011"],["dc.identifier.pmid","18351540"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54903"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0023-2165"],["dc.title","Bilateral pigmented epi- and submacular membrane"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2010Journal 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"]]Details DOI PMID PMC WOS2006Journal Article [["dc.bibliographiccitation.firstpage","123"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Sportverletzung · Sportschaden"],["dc.bibliographiccitation.lastpage","126"],["dc.bibliographiccitation.volume","20"],["dc.contributor.author","Steckel, Hanno"],["dc.contributor.author","Musahl, Volker"],["dc.contributor.author","Harner, C. D."],["dc.contributor.author","Schultz, Wolfgang"],["dc.contributor.author","Klinger, Hans-Michael"],["dc.date.accessioned","2018-11-07T09:24:15Z"],["dc.date.available","2018-11-07T09:24:15Z"],["dc.date.issued","2006"],["dc.identifier.doi","10.1055/s-2006-927001"],["dc.identifier.isi","000241332200003"],["dc.identifier.pmid","16998764"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/29780"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0932-0555"],["dc.title","A comparison of orthopaedic sports medicine education in Germany and the US"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]Details DOI PMID PMC WOS2007Journal Article [["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"]]Details DOI WOS2007Review [["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"]]Details DOI PMID PMC WOS2017Conference Abstract [["dc.bibliographiccitation.journal","JDDG Journal der Deutschen Dermatologischen Gesellschaft"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Diering, Nina"],["dc.contributor.author","Klinger, H.-M"],["dc.contributor.author","Schoen, Michael Peter"],["dc.contributor.author","Moessner, R."],["dc.date.accessioned","2018-11-07T10:25:21Z"],["dc.date.available","2018-11-07T10:25:21Z"],["dc.date.issued","2017"],["dc.format.extent","160"],["dc.identifier.isi","000400154800406"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/42843"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.publisher","Wiley"],["dc.publisher.place","Hoboken"],["dc.relation.issn","1610-0387"],["dc.relation.issn","1610-0379"],["dc.title","Calcined Bursitis prepatellar: Casereport of a Female Patient with limited systemic Scleroderma and Literature Review"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]Details WOS2013Journal Article [["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"]]Details DOI PMID PMC WOS