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4. Knieendoprothetik bei Tumoren

Author

Lübben, Timo, Deventer, Niklas, Gosheger, Georg, Matziolis, Georg, Section editor, Pfitzner, Tilman, Section editor, Reichel, Heiko, Section editor, Wirtz, Dieter Christian, Section editor, Wirtz, Dieter Christian, editor, Reichel, Heiko, editor, Matziolis, Georg, editor, and Pfitzner, Tilman, editor

Published
2023
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31. Shoulder dislocations in professional male football (soccer): A retrospective epidemiological analysis of the German Bundesliga from season 2012/2013 until 2022/2023.

Author

Schneider, Kristian Nikolaus, Zafeiris, Theodoros, Gosheger, Georg, Klingebiel, Sebastian, Rickert, Carolin, Schachtrup, Tim, and Theil, Christoph

Subjects
SHOULDER dislocations, MALE athletes, SOCCER, P-value (Statistics), RETROSPECTIVE studies, CONSERVATIVE treatment
Abstract

Purpose: Injuries exert a detrimental impact on the team performance in professional football. Shoulder dislocations are known for their severity and often cause substantial lay‐off times. However, there is a notable gap in the general understanding regarding the frequency and convalescence of these events in professional football. Thus, the aims of this study were (1) to determine the incidence, (2) to evaluate return to competition (RTC) and redislocation events (RDEs) and (3) to identify relevant player‐, match‐ and injury‐related parameters. Methods: All shoulder dislocations within the highest three German football leagues (1.–3. Bundesliga) during the seasons 2012/2013 until 2022/2023 were identified. Player‐, injury‐ and match‐related data were obtained by performing a media analysis. Data were analysed using descriptive statistics. p Value was set at 0.05. Results: A total of 90 first‐time shoulder dislocations in 89 players with a median age of 25 years (interquartile range [IQR]: 23–28) were available for analysis. The incidence was 9.1 per 1000 Bundesliga matches played and increased over time. Forty‐four (49%) shoulder dislocations were treated conservatively and 46 (51%) operatively. Median RTC was 24 days (IQR: 12–43) following conservative and 103 days (IQR: 85–135) following surgical treatment (p < 0.001). Twenty‐two (24%) players suffered a redislocation, of whom 13 (59%) underwent initial conservative and nine (41%) initial surgical treatment (not significant [n.s.]). RDE following conservative treatment was after a median of 4 months (IQR: 2–22) and 7 months (IQR: 3–23) following surgical treatment (n.s.). Conclusion: The incidence of shoulder dislocation within professional football is increasing and currently amounts to 9.1 per 1000 matches played. A conservative treatment leads to a quicker RTC, while frequency and time to RDE were similar regardless of treatment. The increasing incidence of shoulder dislocations in professional football necessitates an analysis of relevant injury mechanisms and the implementation of specific preventive measures. Level of Evidence: Level III. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Rate of Revision Surgery and Associated Risk Factors After Primary Arthroscopic ACL Repair With Additional Suture Augmentation.

Author

Schneider, Kristian Nikolaus, Theil, Christoph, Gosheger, Georg, Weller, Jan Frederic, Goth, Anna, and Ahlbaeumer, Georg

Subjects
RISK assessment, ANTERIOR cruciate ligament surgery, T-test (Statistics), BODY mass index, ARTHROSCOPY, DESCRIPTIVE statistics, MANN Whitney U Test, SURGICAL complications, KAPLAN-Meier estimator, REOPERATION, SUTURING, CASE-control method, HEALTH outcome assessment, SURVIVAL analysis (Biometry), CONFIDENCE intervals, DATA analysis software, JOINT instability, EVALUATION, DISEASE risk factors
Abstract

Background: Recent studies have suggested promising patient-reported outcomes after primary anterior cruciate ligament (ACL) repair with additional suture augmentation (SA). Purpose: To evaluate the risk for revision surgery and identify patient- and injury-related risk factors after ACL repair with SA in a large patient cohort subject to strict patient selection. Study Design: Case-control study; Level of evidence, 3. Methods: Included were 86 patients (61 female; 93% follow-up rate) who underwent arthroscopic ACL repair with SA between January 2017 and March 2019 by a single surgeon and had a minimum follow-up of 24 months. Patients were selected for surgery with regard to time to surgery (preferably on the day of injury), tear pattern (limited to Sherman types 1 and 2), and tissue quality (intact synovial coverage). Postoperatively, the patients who needed revision surgery were identified and compared with patients who did not undergo revision surgery, using the Mann-Whitney U test for nonparametric analysis and the Student t test for parametric analysis. A Kaplan-Meier analysis was performed to investigate the survival rate of the ACL repair. Results: A total of 9 patients (10%; median age, 48 years; interquartile range [IQR], 27-50 years) underwent revision surgery at 12 months postoperatively (IQR, 8-25 months). The median follow-up of patients without revision surgery was 35 months (IQR, 33-44 months). The revision-free survival rate was 97% (95% CI, 93%-100%) after 1 year, 93% (95% CI, 88%-98%) after 2 years, and 90% (95% CI, 83%-97%) after 4 years. Patient-related factors—such as sex (P =.98), age at surgery (P =.459), body mass index (P =.352), and preinjury level of sports (P =.53)—had no significant impact on the survival rate of the ACL repair. Injury-related factors—such as concomitant injuries of the medial (P =.860) and lateral menisci (P =.414) and the medial (P =.801) and lateral collateral ligaments (P =.534) or same-day surgery compared with a delay of surgery of up to 18 days (P =.277)—had no significant impact on the survival rate of the ACL repair. Conclusion: The revision rate of primary ACL repair with SA at a 2-year follow-up was 10%. Patient- and injury-related factors were not associated with the survival rate of the ACL repair. [ABSTRACT FROM AUTHOR]

Published
2024
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34. Enchondromatose

Author

Vogt, Björn, primary, Gosheger, Georg, additional, and Andreou, Dimosthenis, additional

Published
2022
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35. Evaluation of simultaneous bilateral femoral distraction osteogenesis with antegrade intramedullary lengthening nails in achondroplasia with rhizomelic short stature: a retrospective study of 15 patients with a minimum follow-up of 2 years

Author

Vogt, Björn, primary, Laufer, Andrea, additional, Gosheger, Georg, additional, Toporowski, Gregor, additional, Antfang, Carina, additional, Rölfing, Jan Duedal, additional, Rödl, Robert, additional, and Frommer, Adrien, additional

Published
2024
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37. Morphology of the knee after guided growth using tension-band devices: a retrospective multicenter study of 222 limbs and 285 implants

Author

Hvidberg, Emma, primary, Antfang, Carina, additional, Gosheger, Georg, additional, Vogt, Bjoern, additional, Abood, Ahmed, additional, Møller-San Pedro, Alexander, additional, Frommer, Adrien, additional, Weyer-Elberich, Veronika, additional, Møller-Madsen, Maria Kirstine, additional, Roedl, Robert, additional, Møller-Madsen, Bjarne, additional, and Rölfing, Jan Duedal, additional

Published
2023
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