Full Text Journal Articles by
Author Georg Gosheger

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Surgeons' non-transparent facemasks challenge the physician-patient relationship in the orthopedic outpatient clinic of a tertiary university hospital during the COVID-19 pandemic: a prospective cohort study of 285 patients.

Kristian Nikolaus Schneider, Christoph Theil, Georg Gosheger, Lukas Peter Lampe, Robert Rödl, Alexander Mellmann, Stefanie Kampmeier, Carolin Rickert,

Background and purpose - Facemasks play a role in preventing the respiratory spread of SARS-CoV-2, but their impact on the physician-patient relationship in the orthopedic outpatient clinic is unclear. We investigated whether the type of surgeons' facemask impacts patients' perception of the physician-patient relationship, influences their understanding of what the ... Read more >>

Acta Orthop (Acta orthopaedica)
[2022, 93:198-205]

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Effectiveness of Radial Extracorporeal Shockwave Therapy in Patients with Acute Low Back Pain-Randomized Controlled Trial.

Tobias Lange, Niklas Deventer, Georg Gosheger, Lukas P Lampe, Sebastian Bockholt, Albert Schulze Boevingloh, Tobias L Schulte,

The aim of this study was to investigate the effect of radial extracorporeal shockwave therapy (rESWT) primarily on acute lumbar back pain (aLBP), and secondarily on physical function and quality of life. This randomized, placebo-controlled, single-blinded trial with 12-week follow-up (FU) randomized 63 patients with aLBP 1:1 into two groups ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(23):]

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What Are the Potential Benefits and Risks of Using Magnetically Driven Antegrade Intramedullary Lengthening Nails for Femoral Lengthening to Treat Leg Length Discrepancy?

Adrien Frommer, Robert Roedl, Georg Gosheger, Maike Niemann, Dominik Turkowski, Gregor Toporowski, Christoph Theil, Andrea Laufer, Bjoern Vogt,

<h4>Background</h4>Limb lengthening with magnetically driven intramedullary lengthening nails is a fast-developing field and represents an alternative to external fixators. Although previous studies have assessed the application of magnetically driven intramedullary lengthening nails, these studies have been heterogenous regarding the nailing approach, the bone treated, and the implant type; they also ... Read more >>

Clin Orthop Relat Res (Clinical orthopaedics and related research)
[2021, :]

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Age-Related Changes in the Microvascular Density of the Human Meniscus.

Philipp A Michel, Christoph J Domnick, Michael J Raschke, Anna Hoffmann, Christoph Kittl, Elmar Herbst, Johannes Glasbrenner, Jendrik Hardes, Arne Streitbürger, Georg Gosheger, Mirco Herbort,

<h4>Background</h4>The microvascular anatomy of the meniscus of the human knee is regarded as a crucial factor in the injury response. Previous studies have investigated the zone-dependent distribution pattern, but no quantitative data exist on vascular density and its age-related changes.<h4>Hypothesis/purpose</h4>The aim of the present study was to histologically analyze the ... Read more >>

Am J Sports Med (The American journal of sports medicine)
[2021, 49(13):3544-3550]

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Prevalence of Musculoskeletal Diseases of the Upper Extremity Among Dental Professionals in Germany.

Carolin Rickert, Ulrike Fels, Georg Gosheger, Tobias Kalisch, Dennis Liem, Sebastian Klingebiel, Kristian Nikolaus Schneider, Dominik Schorn,

<h4>Objective</h4>Although many findings on occupational musculoskeletal complaints are available from American and European dentists, the corresponding data from Germany are still scarce. Therefore, the aim of this study was to provide additional information on the prevalence of and risk factors for musculoskeletal disorders of the upper extremity, particularly the shoulder ... Read more >>

Risk Manag Healthc Policy (Risk management and healthcare policy)
[2021, 14:3755-3766]

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What Is the Implant Survivorship and Functional Outcome After Total Humeral Replacement in Patients with Primary Bone Tumors?

Kristian Nikolaus Schneider, Jan Niklas Bröking, Georg Gosheger, Timo Lübben, Jendrik Hardes, Dominik Schorn, Maria Anna Smolle, Christoph Theil, Dimosthenis Andreou,

<h4>Background</h4>Total humeral replacement is an option to reconstruct massive bone defects after resection of locally advanced bone tumors of the humerus. However, implant survivorship, potential risk factors for implant revision surgery, and functional results of total humeral replacement are poorly elucidated because of the rarity of the procedure.<h4>Questions/purposes</h4>We asked: (1) ... Read more >>

Clin Orthop Relat Res (Clinical orthopaedics and related research)
[2021, 479(8):1754-1764]

Cited: 4 times

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Current strategies for the treatment of solitary and aneurysmal bone cysts: A review of the literature.

Niklas Deventer, Nils Deventer, Georg Gosheger, Marieke de Vaal, Bjoern Vogt, Tymoteusz Budny,

This review of the literature aims to compare the etiology, the pathogenesis, the clinical diagnostics and the relevant treatment options of two different types of cystic bone lesions: the solitary bone cyst (SBC) and the aneurysmal bone cyst (ABC). Whereas the clinical symptoms and the radiographic appearance can be similar, ... Read more >>

J Bone Oncol (Journal of bone oncology)
[2021, 30:100384]

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Periprosthetic Stress Shielding of the Humerus after Reconstruction with Modular Shoulder Megaprostheses in Patients with Sarcoma.

Sebastian Klingebiel, Kristian Nikolaus Schneider, Georg Gosheger, Thomas Ackmann, Maximilian Timme, Carolin Rickert, Niklas Deventer, Christoph Theil,

(1) Background: Modular megaprosthetic reconstruction using a proximal humerus replacement has emerged as a commonly chosen approach after bone tumor resection. However, the long-term risk for revision surgery is relatively high. One factor that might be associated with mechanical failures is periprosthetic osteolysis around the stem, also known as stress ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(15):]

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Combined Transarterial Embolization and Percutaneous Sclerotherapy as Treatment for Refractory and Nonresectable Aneurysmal Bone Cysts.

Max Masthoff, Mirjam Gerwing, Kristian Nikolaus Schneider, Michael Köhler, Niklas Deventer, Philipp Schindler, Walter Heindel, Jendrik Hardes, Max Seidensticker, Georg Gosheger, Moritz Wildgruber,

<h4>Purpose</h4>To evaluate the safety and effectiveness of combined transarterial embolization and percutaneous sclerotherapy in the treatment of refractory and nonresectable aneurysmal bone cysts (ABCs) as assessed by imaging and clinical outcomes.<h4>Materials and methods</h4>This retrospective, single-center study included 16 consecutive patients (9 women and 7 men; median age, 17 years [range, ... Read more >>

J Vasc Interv Radiol (Journal of vascular and interventional radiology : JVIR)
[2021, 32(10):1425-1434.e2]

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The Bateman-Type Soft Tissue Reconstruction around Proximal or Total Humeral Megaprostheses in Patients with Primary Malignant Bone Tumors-Functional Outcome and Endoprosthetic Complications.

Helmut Ahrens, Christoph Theil, Georg Gosheger, Robert Rödl, Niklas Deventer, Carolin Rickert, Thomas Ackmann, Jan Schwarze, Sebastian Klingebiel, Kristian Nikolaus Schneider,

We aimed to evaluate the functional outcome and endoprosthetic complications following the Bateman-type soft tissue reconstruction around proximal or total humeral replacements in patients undergoing resection of a primary malignant bone tumor. Between September 2001 and December 2018, a total of 102 patients underwent resection of a primary malignant bone ... Read more >>

Cancers (Basel) (Cancers)
[2021, 13(16):]

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Evaluation of different treatment modalities for fractured and non-fractured simple bone cyst: A single-center review of 68 patients.

Niklas Deventer, Nils Deventer, Georg Gosheger, Marieke de Vaal, Tymoteusz Budny, Timo Luebben, Adrien Frommer, Bjoern Vogt,

<h4>Abstract</h4>Simple bone cysts (SBCs) occur most frequently in the proximal aspect of the humerus and femur in growing age and are associated with intercurrent pathological fractures in up to 87%. Therapeutic management of SBCs remains controversial. The aim of this study was to examine the outcome of conservative and various ... Read more >>

Medicine (Baltimore) (Medicine)
[2021, 100(31):e26703]

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Growth arrest: leg length correction through temporary epiphysiodesis with a novel rigid staple (RigidTack).

Bjoern Vogt, Robert Roedl, Georg Gosheger, Adrien Frommer, Andrea Laufer, Marie-Theres Kleine-Koenig, Christoph Theil, Gregor Toporowski,

<h4>Aims</h4>Temporary epiphysiodesis (ED) is commonly applied in children and adolescents to treat leg length discrepancies (LLDs) and tall stature. Traditional Blount staples or modern two-hole plates are used in clinical practice. However, they require accurate planning, precise surgical techniques, and attentive follow-up to achieve the desired outcome without complications. This ... Read more >>

Bone Joint J (The bone & joint journal)
[2021, 103-B(8):1428-1437]

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Staged reconstruction of unilateral neglected hip dislocation through total hip arthroplasty and subsequent intramedullary femoral lengthening.

Bjoern Vogt, Christoph Theil, Georg Gosheger, Adrien Frommer, Burkhard Moellenbeck, Gregor Toporowski, Robert Roedl, Andrea Laufer,

<h4>Background and purpose</h4>Total hip arthroplasty (THA) is a successful approach to treat unilateral symptomatic neglected hip dislocation (NHD). However, the extensive leg length discrepancy (LLD) can hereby only be partially corrected. In case of residual LLD of more than 2 cm, subsequent femoral lengthening can be considered.<h4>Patients/material/methods</h4>Retrospective analysis of clinical data ... Read more >>

Int Orthop (International orthopaedics)
[2021, 45(12):3083-3090]

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Subtalar Arthroereisis for Flexible Flatfoot in Children-Clinical, Radiographic and Pedobarographic Outcome Comparing Three Different Methods.

Bjoern Vogt, Gregor Toporowski, Georg Gosheger, Jan Duedal Rölfing, Dieter Rosenbaum, Frank Schiedel, Andrea Laufer, Marie-Theres Kleine-Koenig, Christoph Theil, Robert Roedl, Adrien Frommer,

Subtalar arthroereises (STA) is a minimally invasive and reversible surgery to correct symptomatic flexible flatfoot (FFF) in children. Various techniques were described either applying expandable sinus tarsi implants or lateral calcaneus stop screws. Studies comparing the outcome of STA with different devices are rare. This retrospective single-center cohort study analyzes ... Read more >>

Children (Basel) (Children (Basel, Switzerland))
[2021, 8(5):]

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Primary Aneurysmal Bone Cyst and Its Recent Treatment Options: A Comparative Review of 74 Cases.

Nils Deventer, Martin Schulze, Georg Gosheger, Marieke de Vaal, Niklas Deventer,

(1) Background: An aneurysmal bone cyst (ABC) is a benign, locally aggressive tumor. Different treatment modalities are described in the literature i.e., en bloc resection, intralesional curettage and percutaneous sclerotherapy. (2) Methods: This single-center study is a review of 74 patients with primary ABCs who underwent a surgical treatment or ... Read more >>

Cancers (Basel) (Cancers)
[2021, 13(10):]

Cited: 2 times

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Poor performance of open incisional biopsy for the microbiological diagnosis of periprosthetic knee joint infection.

Jan Schwarze, Burkhard Moellenbeck, Georg Gosheger, Tom Schmidt-Braekling, Lukas Lampe, Sebastian Klingebiel, Thomas Ackmann, Christoph Theil,

The accurate preoperative diagnosis of periprosthetic joint infection (PJI) of total knee arthroplasty (TKA) can be difficult despite the use of a combination of serum and synovial markers. In such inconclusive cases, incisional open biopsy might be considered. This study investigates the usefulness of biopsies in patients with inconclusive diagnostic ... Read more >>

Sci Rep (Scientific reports)
[2021, 11(1):10989]

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Does the Duration of Primary and First Revision Surgery Influence the Probability of First and Subsequent Implant Failures after Extremity Sarcoma Resection and Megaprosthetic Reconstruction?

Christoph Theil, Kristian Nikolaus Schneider, Georg Gosheger, Ralf Dieckmann, Niklas Deventer, Jendrik Hardes, Tom Schmidt-Braekling, Dimosthenis Andreou,

Complications in megaprosthetic reconstruction following sarcoma resection are quite common. While several risk factors for failure have been explored, there is a scarcity of studies investigating the effect of the duration of surgery. We performed a retrospective study of 568 sarcoma patients that underwent megaprosthetic reconstruction between 1993 and 2015. ... Read more >>

Cancers (Basel) (Cancers)
[2021, 13(11):]

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Melorheostosis of the Fossa Intercondylaris Femoris - A Case Report and Review of the Literature.

Helmut Ahrens, Christoph Theil, Georg Gosheger, Sebastian Mühl, Niklas Deventer, Kristian Nikolaus Schneider,

<h4>Introduction</h4>Melorheostosis is a rare benign bone condition characterized by excessive segmental sclerosis of cortical bone being reminiscent of dripping candle wax. It typically affects the long bones and can cause impingement and nerve compression syndromes that may require surgical treatment.<h4>Case report</h4>We report the case of a 49-year-old male patient with ... Read more >>

J Orthop Case Rep (Journal of orthopaedic case reports)
[2021, 11(4):45-47]

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Temporary Proximal Tibial Epiphysiodesis for Correction of Leg Length Discrepancy in Children-Should Proximal Fibular Epiphysiodesis Be Performed Concomitantly?

Adrien Frommer, Maike Niemann, Georg Gosheger, Maria Eveslage, Gregor Toporowski, Andrea Laufer, Thomas Ackmann, Robert Roedl, Bjoern Vogt,

The need for concomitant proximal fibular epiphysiodesis (PFE) when correcting leg length discrepancy (LLD) with temporary proximal tibial epiphysiodesis (PTE) in children is controversially discussed. This single center, retrospective cohort study analyzes proximal fibular growth in patients treated by PTE with and without concomitant PFE. Radiographic measurements were conducted before ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(6):]

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The Lymph-Sparing Quotient: A Retrospective Risk Analysis on Extremity Radiation for Soft Tissue Sarcoma Treatment.

Iqbal Sarif, Khaled Elsayad, Daniel Rolf, Christopher Kittel, Georg Gosheger, Eva Wardelmann, Uwe Haverkamp, Hans Theodor Eich,

Radiation therapy (RT) for extremity soft tissue sarcoma is associated with lymphedema risk. In this study, we analyzed the influence of lymph-sparing volume on the lymphedema occurrence in patients who received adjuvant extremity RT. The lymph-sparing quotient (LSQ) was calculated by dividing the lymph-sparing volume by the total extremity volume ... Read more >>

Cancers (Basel) (Cancers)
[2021, 13(9):]

Cited: 1 time

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Alignment of Physical Activity in Older Couples Affected by Osteoarthritis: Investigation by Accelerometry and Questionnaire.

Burkhard Moellenbeck, Frank Horst, Georg Gosheger, Christoph Theil, Leonie Seeber, Tobias Kalisch,

This study examined whether an alignment of physical activity (PA) between osteoarthritis patients and their spouses, which was previously proven by accelerometry, might also be revealed by self-report. The PA of 28 cohabitating couples (58-83 years) was assessed by means of synchronous accelerometry (ActiGraph wGTX3-BT) and compared to their according ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(7):]

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The change in plasma D-dimer does not help to guide the timing of reimplantation in two stage exchange for periprosthetic joint infection.

Thomas Ackmann, Jan Schwarze, Georg Gosheger, Tom Schmidt-Braekling, Kristian Nikolaus Schneider, Ralf Dieckmann, Sebastian Klingebiel, Burkhard Moellenbeck, Christoph Theil,

D-dimer has been included in the criteria by the Musculoskeletal Infection Society in 2018 as a novel parameter to diagnose prosthetic joint infection (PJI). However, it is unclear how D-dimer levels change in between stages of a two-stage exchange. We prospectively investigated 30 patients who underwent a two-stage exchange using ... Read more >>

Sci Rep (Scientific reports)
[2021, 11(1):7323]

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Revision TKA with a distal femoral replacement is at high risk of reinfection after two-stage exchange for periprosthetic knee joint infection.

Christoph Theil, Kristian Nikolaus Schneider, Georg Gosheger, Tom Schmidt-Braekling, Thomas Ackmann, Ralf Dieckmann, Adrien Frommer, Sebastian Klingebiel, Jan Schwarze, Burkhard Moellenbeck,

<h4>Purpose</h4>Megaprosthetic distal femoral reconstruction (DFR) is a limb-salvage procedure to address bone loss following two-stage revision for periprosthetic knee joint infection (PJI). The purpose of this study was to analyze the survival of DFR compared to hinged total knee arthroplasty (TKA). It was hypothesized that DFR was associated with a ... Read more >>

Knee Surg Sports Traumatol Arthrosc (Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA)
[2021, :]

Cited: 1 time

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[Postinfectious reactive arthritis after chlamydia infection in competitive sports : Clinical management and current literature review].

Sebastian Klingebiel, Horst Rieger, Georg Gosheger, Jan Christoph Theil, Carolin Rickert, Kristian Nikolaus Schneider,

<h4>Background</h4>Reactive arthritis following infection with chlamydia is a rare but important differential diagnosis in atraumatic joint swelling. A delayed diagnosis often leads to prolonged periods of absence from physical activity. This can have serious consequences, especially for the career of competitive athletes.<h4>Objectives</h4>Recommendation for the clinical management of postinfectious reactive arthritis for rapid ... Read more >>

Orthopade (Der Orthopade)
[2021, 50(3):179-187]

Cited: 1 time

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Everyday Physical Activity and Sedentary Behavior After Total Joint Arthroplasty: Do Patients and Partners Develop an Active Lifestyle?

Tobias Kalisch, Frank Horst, Georg Gosheger, Christoph Theil, Leonie Seeber, Burkhard Moellenbeck,

<h4>Background</h4>Osteoarthritis (OA) is a frequent cause of pain and disability, affecting half of the world's population aged 65 years or older. Due to experienced pain and limitations, OA patients generally spend most of their waking hours sedentary and fail to adhere to physical activity (PA) recommendations. As a result of ... Read more >>

Clin Interv Aging (Clinical interventions in aging)
[2021, 16:403-413]

Cited: 1 time

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