9 results on '"Winkler, Philipp W."'
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2. Lateral Extra-articular Tenodesis Does Not Decrease Graft Failure in Revision Anterior Cruciate Ligament Reconstruction When Combined With Quadriceps or Patellar Tendon Grafts
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Vivacqua, Thiago Alberto, Winkler, Philipp W., Lucidi, Gian Andrea, Firth, Andrew D., Musahl, Volker, and Getgood, Alan
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- 2024
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3. Scapular morphology does not predict supraspinatus tendon tear propagation following an individualised exercise therapy programme.
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Nazzal, Ehab M., Mattar, Luke T., Winkler, Philipp W., Popchak, Adam J., Irrgang, James J., Lin, Albert, Musahl, Volker, and Debski, Richard E.
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SHOULDER exercises ,ROTATOR cuff ,EXERCISE therapy ,COMPUTED tomography ,ACROMION - Abstract
Purpose: To determine whether scapular morphology could predict isolated supraspinatus tendon tear propagation after exercise therapy. We hypothesised that a larger critical shoulder angle (CSA) and type III acromial morphology predict a positive change in tear size. Methods: Fifty‐nine individuals aged 40–70 years with isolated symptomatic high‐grade partial or full‐thickness supraspinatus tendon tears were included. Individuals participated in a structured, individualised 12‐week exercise therapy programme and underwent ultrasound to measure tear size at baseline and 12 months following therapy. Computed tomography images were segmented to create three‐dimensional subject‐specific bone models and reviewed by three trained clinicians to measure CSA and to determine acromion morphology based on the Bigliani classification. A binary logistic regression was performed to determine the predictive value of CSA and acromion morphology on tear propagation. Results: The CSA was 30.0 ± 5.4°. Thirty‐one individuals (52.5%) had type II acromial morphology, followed by type III and type I morphologies (25.4% and 22.0%, respectively); 81.4% experienced no change in tear size, four (6.8%) individuals experienced tear propagation and seven (11.9%) individuals had a negative change in tear size. No significant difference in tear propagation rates based on CSA or acromion morphology (not significant [NS]) was observed. The model predicted tear size status in 81.4% of cases but only predicted tear propagation 8.3% of the time. Overall, CSA and acromion morphology only predicted 24.3% (R2 = 0.243) of variance in tear propagation (NS). Conclusions: CSA and acromion morphology were NS predictors of tear propagation of the supraspinatus tendon 12 months following an individualised exercise therapy programme. Level of Evidence: II. [ABSTRACT FROM AUTHOR]
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- 2024
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4. A practical guide to the implementation of AI in orthopaedic research, Part 6: How to evaluate the performance of AI research?
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Oettl, Felix C., Pareek, Ayoosh, Winkler, Philipp W., Zsidai, Bálint, Pruneski, James A., Senorski, Eric Hamrin, Kopf, Sebastian, Ley, Christophe, Herbst, Elmar, Oeding, Jacob F., Grassi, Alberto, Hirschmann, Michael T., Musahl, Volker, Samuelsson, Kristian, Tischer, Thomas, and Feldt, Robert
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ARTIFICIAL intelligence ,MEDICAL scientists ,HEALTH services accessibility ,SOFTWARE engineers ,SAFETY standards - Abstract
Artificial intelligence's (AI) accelerating progress demands rigorous evaluation standards to ensure safe, effective integration into healthcare's high‐stakes decisions. As AI increasingly enables prediction, analysis and judgement capabilities relevant to medicine, proper evaluation and interpretation are indispensable. Erroneous AI could endanger patients; thus, developing, validating and deploying medical AI demands adhering to strict, transparent standards centred on safety, ethics and responsible oversight. Core considerations include assessing performance on diverse real‐world data, collaborating with domain experts, confirming model reliability and limitations, and advancing interpretability. Thoughtful selection of evaluation metrics suited to the clinical context along with testing on diverse data sets representing different populations improves generalisability. Partnering software engineers, data scientists and medical practitioners ground assessment in real needs. Journals must uphold reporting standards matching AI's societal impacts. With rigorous, holistic evaluation frameworks, AI can progress towards expanding healthcare access and quality. Level of Evidence: Level V. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Tibial plateau fractures are associated with poor functional outcomes and a low conversion rate to total knee arthroplasty.
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Kraml, Nikolaus, Haslhofer, David J., Winkler, Philipp W., Stiftinger, Julian M., Heidecke, Svenja, Kwasny, Oskar, Gotterbarm, Tobias, and Klasan, Antonio
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TOTAL knee replacement ,TIBIAL plateau fractures ,FUNCTIONAL status ,OLDER patients ,KNEE osteoarthritis ,PREHABILITATION - Abstract
Purpose: The aim of this study was to analyse the functional outcome and the conversion rate to total knee arthroplasty (TKA) after surgically treated tibial plateau fractures (TPF). Methods: All patients undergoing surgical treatment of TPF at a single institution between January 2003 and December 2019 were retrospectively reviewed. The Knee injury and Osteoarthritis Outcome Score (KOOS) and Tegner activity scale (TAS) were collected. The conversion rate to TKA was examined 2, 5, 7 and 10 years after surgical treatment of TPF. Results: Ninety‐four patients, with a mean follow‐up of 110.6 months (±60.0), were included in the functional outcome assessment. Mean KOOS scores were 75.4 for symptoms, 80.6 for pain, 84.3 for activities of daily living (ADL), 59.5 for sports and 61.3 for QOL. All subscales were significantly lower on the injured side compared with the contralateral leg. Lower KOOS was observed in patients with hardware removal and Schatzker type 5 and 6 injuries. Median TAS was postinjury (4) significantly lower than preinjury (5) (p < 0.001). The conversion rate to TKA was 6.3%, 10.9%, 11.7% and 12.2% after 2,5,7 and 10 years of follow‐up, respectively. Patients undergoing TKA were older than patients with no conversion to TKA (2 years follow‐up 53.8 vs. 64.5 years, p = 0.026). Conclusion: TPFs decrease the function of the knee when compared with the contralateral side and to the preoperative condition. Bicondylar fractures are associated with worse functional outcomes. A conversion rate to TKA of 12.2% was found at 10 years follow‐up. Level of Evidence: Level III. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Noninvasive and Reliable Quantification of Anteromedial Rotatory Knee Laxity: A Pilot Study on Healthy Individuals.
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Willinger, Lukas, Runer, Armin, Vieider, Romed, Muench, Lukas N., Siebenlist, Sebastian, and Winkler, Philipp W.
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MEDIAL collateral ligament (Knee) ,MOBILE apps ,STATISTICAL power analysis ,REPEATED measures design ,DATA analysis ,T-test (Statistics) ,RESEARCH evaluation ,PILOT projects ,ANTERIOR cruciate ligament ,TIBIA ,DESCRIPTIVE statistics ,ROTATIONAL motion ,KNEE joint ,ONE-way analysis of variance ,STATISTICS ,INTRACLASS correlation ,CONFIDENCE intervals ,DATA analysis software ,JOINT instability ,INTER-observer reliability - Abstract
Background: Anteromedial rotatory instability (AMRI) of the knee is a complex and severe condition caused by injury to the anterior cruciate ligament and/or the medial collateral ligament. Clinical studies dealing with AMRI are rare, and objective measurements are nonexistent. Purpose/Hypothesis: The objectives of this study were, first, to quantify anteromedial rotatory knee laxity in healthy individuals using a noninvasive image analysis software and, second, to assess intra- and interrater reliability and equivalence in measuring anteromedial knee translation (AMT). It was hypothesized that AMT could be reliably quantified using a noninvasive image analysis software. Study design: Cohort study; Level of evidence, 3. Methods: This prospective proof-of-concept study included healthy individuals aged 16 to 40 years with no history of knee injury or surgery. Three adhesive surface markers were placed on predefined landmarks on the medial side of the knee. Three independent investigators examined anteromedial rotatory knee laxity with an anterior drawer test in different tibial rotations (neutral tibial rotation, 15° of external tibial rotation, and 15° of internal tibial rotation). The entire examination of each knee was recorded, and AMT including the side-to-side difference (SSD) was assessed using a freely available and validated image analysis software (PIVOT iPad application). Group comparisons were performed using a 1-way analysis of variance with Bonferroni-adjusted post hoc analysis. Intraclass correlation coefficients (ICCs) were calculated to assess inter- and intrarater reliability of AMT measurements. Equivalence of measurements was evaluated using the 2 one-sided t -test procedure. Results: Anteromedial rotatory knee laxity was assessed in 30 knees of 15 participants (53% male) with a mean age of 26.2 ± 3.5 years. In all 3 raters, the highest AMT was observed in neutral tibial rotation (range of means, 2.2-3.0 mm), followed by external tibial rotation (range of means, 2.0-2.4 mm) and internal tibial rotation (range of means, 1.8-2.2 mm; P <.05). Intrarater reliability of AMT (ICC, 0.88-0.96) and SSD (ICC, 0.61-0.96) measurements was good to excellent and moderate to excellent, respectively. However, interrater reliability was poor to moderate for AMT (ICC, 0.44-0.73) and SSD (ICC, 0.12-0.69) measurements. Statistically significant equivalence of AMT and SSD measurements was observed between and within raters for almost all testing conditions. Conclusion: Anteromedial rotatory knee laxity could be quantified using a noninvasive image analysis software, with the highest AMT observed during neutral tibial rotation in uninjured individuals. Reliability and equivalence of measurements were good to excellent within raters and moderate between raters. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Embrace responsible ChatGPT usage to overcome language barriers in academic writing.
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Kayaalp, M. Enes, Ollivier, Matthieu, Winkler, Philipp W., Dahmen, Jari, Musahl, Volker, Hirschmann, Michael T., and Karlsson, Jon
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CHATGPT ,ACADEMIC discourse ,ACADEMIC language ,NATIVE language ,COMMUNICATION barriers ,ORTHOGRAPHY & spelling ,LANGUAGE models - Abstract
The article discusses the use of ChatGPT, an artificial intelligence chatbot tool, in academic writing. While some researchers have expressed concerns about its potential impact on the integrity of scholarly writing, others argue that it can be used responsibly as a language editing tool. The article emphasizes the need to understand the capabilities and limitations of ChatGPT and suggests incorporating it into editorial regulations to improve efficiency for non-native English writers. It also addresses the language barrier in scientific publishing and the importance of maintaining ethical standards in academic writing. [Extracted from the article]
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- 2024
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8. Biomechanical Analysis of Tibial Motion and ACL Graft Forces After ACLR With and Without LET at Varying Tibial Slopes: Letter to the Editor.
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Winkler, Philipp W., Kayaalp, M. Enes, Runer, Armin, Zsidai, Bálint, Lucidi, Gian Andrea, Debski, Richard E., Samuelsson, Kristian, and Musahl, Volker
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ANTERIOR cruciate ligament transplantation , *BIOMECHANICS , *MATERIALS testing , *TENODESIS , *ANTERIOR cruciate ligament injuries , *ANTERIOR cruciate ligament surgery , *COMPLICATIONS of prosthesis , *TREATMENT effectiveness , *TIBIA , *ANTERIOR cruciate ligament , *BONE grafting , *EVALUATION - Abstract
The article presents a commentary on the paper "Biomechanical Analysis of Tibial Motion and ACL Graft Forces After ACLR With and Without LET at Varying Tibial Slopes," by S. L. Pearce, A. R. Bryniarski and J. R. Brown. Topics covered include the concerns over the methodology of the study, the decision to standardize each slope to 5 degrees and the lack of report on posterior tibial slope, knee kinematics and anterior cruciate ligament (ACL).
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- 2024
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9. Editorial Commentary: Early Outcomes of Suture Tape Augmentation in Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction Are Promising but Require Long-term Proof.
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Rupp MC, Winkler PW, Willinger L, and Runer A
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The management of anterior cruciate ligament (ACL) injuries continually evolves, with new interest in all-soft tissue quadriceps tendon autograft, as well as new interest in suture tape augmentation of the graft, particularly in high-risk patients with young age; female sex; lower-limb alignment, tibial, or femoral abnormalities; hyperlaxity; concomitant meniscal and/or additional ligamentous injuries; or participation in high-risk sports. Load-sharing suture tape enhances the biomechanical stability of the reconstructed ACL, especially during the initial ingrowth and ligamentization phase, and biomechanical evidence highlights a reduced risk of graft elongation and failure under the loads encountered during daily physical activities and sport. Optimal tape tensioning could be achieved in knee hyperextension, when the ACL is at maximal length, to avoid overconstraint. The published 2-year outcomes of this technique are excellent. Current comparative studies, however, have not shown superiority. Additional controlled studies and studies with longer-term follow-up are needed, as well as comparison to extra-articular tenodesis augmentation., Competing Interests: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: M-C.R. receives travel reimbursement from Arthrex and is an Editorial Board member of Arthroscopy. All other authors (P.W.W., L.W., A.R.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
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- 2024
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