Full Text Journal Articles by
Author Philipp Pieroh

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Osteoporotic Fractures of the Thoracic and Lumbar Vertebra: Diagnosis and Conservative Treatment-A Systematic Review.

Ulrich Spiegl, Hartmut Bork, Sebastian Grüninger, Uwe Maus, Georg Osterhoff, Max J Scheyerer, Philipp Pieroh, Jörg Schnoor, Christoph-Eckhard Heyde, Klaus J Schnake,

<h4>Background</h4>The prevalence of osteoporotic vertebral body fractures in Europe is 18-26%. Although most of these injuries can be treated conservatively, the underlying concepts have not been defined clearly or uniformly. In this article, we present the current state of the evidence on the diagnosis and conservative treatment of osteoporotic fractures ... Read more >>

Dtsch Arztebl Int (Deutsches Arzteblatt international)
[2021, (Forthcoming):]

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Surgical Treatment Strategies for Pyogenic Spondylodiscitis of the Thoracolumbar Spine.

Max J Scheyerer, Christian Herren, Christian Kühne, Jörg Neufang, Philipp Pieroh, Nicolas H von der Höh,

<h4>Background</h4>Despite advances, the morbidity and mortality rates of patients with spondylodiscitis remains high, with an increasing incidence worldwide. Although conservative therapy has progressed, several cases require surgical intervention. However, the indication and opportunities for surgical treatment are still disputable.<h4>Methods</h4>In a joint consensus, the members of the 'Spondylodiscitis' working group of ... Read more >>

Z Orthop Unfall (Zeitschrift fur Orthopadie und Unfallchirurgie)
[2021, :]

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A Biomechanical Model for Testing Cage Subsidence in Spine Specimens with Osteopenia or Osteoporosis Under Permanent Maximum Load.

Stefan Schleifenbaum, Robin Heilmann, Elena Riemer, Rebekka Reise, Christoph-Eckhard Heyde, Jan-Sven Jarvers, Philipp Pieroh, Anna Völker, Nicolas Heinz von der Hoeh,

<h4>Background</h4>Intervertebral fusions in cases of reduced bone density are a tough challenge. From a biomechanical point of view, most current studies have focused on the range of motion or have shown test setups for single-component tests. Definitive setups for biomechanical testing of the primary stability of a 360° fusion using ... Read more >>

World Neurosurg (World neurosurgery)
[2021, 152:e540-e548]

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Percutaneous operative treatment of fragility fractures of the pelvis may not increase the general rate of complications compared to non-operative treatment.

Laura Gericke, Annemarie Fritz, Georg Osterhoff, Christoph Josten, Philipp Pieroh, Andreas Höch,

<h4>Purpose</h4>Despite an increasing number of fragility fractures of the pelvis (FFP) over the last 2 decades, controversy persists on their therapy with special regard to potential complications. Therefore, the present study compared the complication rates and in-hospital mortality of non-operative therapy, percutaneous treatment and open reduction and internal fixation (ORIF) of ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2021, :]

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The topography and morphometrics of the pubic ligaments.

Philipp Pieroh, Zhong-Lian Li, Shinichi Kawata, Yuki Ogawa, Christoph Josten, Hanno Steinke, Faramarz Dehghani, Masahiro Itoh,

<h4>Background</h4>Conflicting anatomical reports and the little attention given to the pubic ligaments impede the interpretation of radiological and clinical examinations on groin pain. Morphometric data on the pubic ligaments are lacking.<h4>Methods</h4>The muscular relations of the symphysis pubis were examined in layered dissection (n = 10), hemipelves (n = 60) and ... Read more >>

Ann Anat (Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft)
[2021, 236:151698]

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Free Flap Reconstruction of the Extremities in Patients Who are ≥65 Years Old: A Single-Center Retrospective 1-to-1 Matched Analysis.

Nick Spindler, Philipp Pieroh, Ulrich Spiegl, Sergey Arakelyan, Johannes Karl Maria Fakler, Christoph-Eckhard Heyde, Stefan Langer,

<h4>Purpose</h4>Demographic changes are leading to population aging, and free flap reconstructions for various indications are expected to become increasingly common among older patients. Therefore, this study evaluated free flap reconstruction of the extremities in older patients and compared the outcomes to those from younger patients who underwent similar procedures during ... Read more >>

Clin Interv Aging (Clinical interventions in aging)
[2021, 16:497-503]

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Total spine magnetic resonance imaging for detection of multifocal infection in pyogenic spondylodiscitis: a retrospective observational study.

Jeanette Henkelmann, Timm Denecke, Philipp Pieroh, Stephanie Einhorn, Nicolas H von der Hoeh, Christoph-Eckhard Heyde, Anna Voelker,

<h4>Background</h4>Due to the unspecific symptoms of spondylodiscitis (SpD), an early radiological examination is necessary. However, controversially discussed is the need for magnetic resonance imaging of the entire spine to exclude multisegmental infections and to determine the required surgical interventions. The aims of this study were to assess the incidence of ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2021, 22(1):78]

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Total Spine Magnetic Resonance Imaging for Detection of Multifocal Infection in Pyogenic Spondylodiscitis: a retrospective observational Study

Jeanette Henkelmann, Timm Denecke, Philipp Pieroh, Stephanie Einhorn, Nicolas von der Hoeh, Christoph-Eckhard Heyde, Anna Voelker,

<h4>Background: </h4> Due to the unspecific symptoms of spondylodiscitis (SpD), an early radiological examination is necessary. However, controversially discussed is the need for magnetic resonance imaging of the entire spine to exclude multisegmental infections and to determine the required surgical interventions. The aims of this study were to assess the ... Read more >>

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The arterial blood supply of the symphysis pubis - Spatial orientated and highly variable.

Philipp Pieroh, Zhong-Lian Li, Shinichi Kawata, Yuki Ogawa, Christoph Josten, Hanno Steinke, Faramarz Dehghani, Masahiro Itoh,

<h4>Background</h4>Open surgical treatment of the pubic region and adductor related pathologies require an exact knowledge of the arterial blood supply of the symphysis pubis that seems furthermore important to explain the hematogenous occurrence of symphysitis. Pubic bone marrow oedema (PBME) is a frequent occurring magnetic resonance imaging finding in groin ... Read more >>

Ann Anat (Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft)
[2021, 234:151649]

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Biomechanical Model for Testing Cage Subsidence in the Osteoporotic Spine Under Permanent Maximum Load

Stefan Schleifenbaum, Robin Heilmann, Riemer Elena, Rebekka Reise, Christoph-Eckhard Heyde, Jan-Sven Jarvers, Philipp Pieroh, Anna Völker, Nicolas Heinz von der Hoeh,

<h4>Background: </h4> Fusions in cases of reduced bone density are a tough challenge. As not only does bone quality have an influence on force transmission, these forces must be bridged for much longer time, as a fusion takes longer than in bone-healthy patients. However, cage subsidence or displacement results to ... Read more >>

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Midterm Outcome after Posterior Stabilization of Unstable Midthoracic Spine Fractures in the Elderly

Ulrich Spiegl, Pia-Luise Hölbing, Jan-Sven Jarvers, Nicolas von der Höh, Philipp Pieroh, Georg Osterhoff, Christoph-Eckhard Heyde,

<h4>Background: </h4> The evidence for the treatment of midthoracic fractures in elderly patients is weak. The aim of this study was to evaluate midterm results after posterior stabilization of unstable midthoracic fractures in the elderly. <h4>Methods: </h4>: Retrospectively, all patients aged ≥65 suffering from an acute unstable midthoracic fracture treated ... Read more >>

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Spondylodiscitis due to transmitted mycotic aortic aneurysm or infected grafts after endovascular aortic aneurysm repair (EVAR): A retrospective single-centre experience with short-term outcomes.

Nicolas Heinz von der Höh, Philipp Pieroh, Jeanette Henkelmann, Daniela Branzan, Anna Völker, Dina Wiersbicki, Christoph-Eckhard Heyde,

<h4>Purpose</h4>To report the challenging therapeutic approach and the clinical outcome of patients with pyogenic spondylodiscitis transmitted due to infected retroperitoneal regions of primary infected mycotic aortic aneurysms (MAAs) or secondary infected aortic stent grafts after endovascular aneurysm repair (EVAR).<h4>Methods</h4>Between 2012 and 2019, all patients suffering from spondylodiscitis based on a ... Read more >>

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2021, 30(6):1744-1755]

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Integrity of the pectineal ligament in MRI correlates with radiographic superior pubic ramus fracture displacement.

Alexis Klengel, Hanno Steinke, Philipp Pieroh, Andreas Höch, Timm Denecke, Christoph Josten, Georg Osterhoff,

<h4>Background</h4>Estimating the stability of pelvic lateral compression fractures solely by static radiographs can be difficult. In this context, the role of anterior pelvic soft tissues as potential secondary stabilizer of the pelvic ring has hardly been investigated.<h4>Purpose</h4>To correlate the initial radiographic appearance of the pubic ramus fracture with the integrity ... Read more >>

Acta Radiol (Acta radiologica (Stockholm, Sweden : 1987))
[2021, 62(1):67-72]

Cited: 1 time

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Minimally displaced acetabulum fractures in geriatric patients: a comparison of open, percutaneous and non-operative treatment from the German Pelvic Injury Register data.

Helene Ernstberger, Philipp Pieroh, Andreas Höch, Christoph Josten, Steven C Herath, Georg Osterhoff, ,

In elderly patients with minimally displaced acetabulum fractures, the patients' inability to partially weight-bear and the need for early mobilisation may trigger the decision towards a treatment with higher primary stability. The purpose of this study was to compare open reduction and internal fixation (ORIF), closed reduction and percutaneous fixation ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

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Mortality, complications and long-term functional outcome in elderly patients with fragility fractures of the acetabulum.

Johannes Wollmerstädt, Philipp Pieroh, Isabell Schneider, Suzanne Zeidler, Andreas Höch, Christoph Josten, Georg Osterhoff,

BACKGROUND:Early operative treatment of acetabulum fractures in geriatric patients has been suggested to reduce pain and allow for earlier mobilization. The aim of this study was to determine mortality, complications and functional outcome after operative and non-operative treatment. METHODS:Patients aged ≥60 years with operative treatment of low-energy fragility fracture of the ... Read more >>

BMC Geriatr (BMC geriatrics)
[2020, 20(1):66]

Cited: 2 times

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Nontraumatic avascular necrosis of the femoral head : Arthroscopic and navigation-supported core decompression.

Jan Theopold, Sarah Armonies, Philipp Pieroh, Pierre Hepp, Andreas Roth,

OBJECTIVE:The aim is to address core decompression and pathologies of the femoral head, treating them during the same procedure. Furthermore, radiation exposure will be reduced. INDICATIONS:Femoral head necrosis ARCO (Association Research Circulation Osseous) stages I-III. CONTRAINDICATIONS:Progressive femoral head necrosis as ARCO stages IIIC-IV. SURGICAL TECHNIQUE:Arthroscopically navigated core decompression of the femoral head ... Read more >>

Oper Orthop Traumatol (Operative Orthopadie und Traumatologie)
[2020, 32(2):107-115]

Cited: 2 times

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The fascial connections of the pectineal ligament.

Hanno Steinke, Dina Wiersbicki, Anna Völker, Philipp Pieroh, Charlotte Kulow, Benjamin Wolf, Georg Osterhoff,

In clinical settings, the pectineal ligament forms a basic landmark for surgical approaches. However, to date, the detailed fascial topography of this ligament is not well understood. The aim of this study was to describe the morphology of the pectineal ligament including its fascial connections to surrounding structures. The spatial-topographical ... Read more >>

Clin Anat (Clinical anatomy (New York, N.Y.))
[2019, 32(7):961-969]

Cited: 1 time

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On the importance of the innervation of the human cervical longitudinal ligaments at vertebral level.

Tina Stegmann, Hanno Steinke, Philipp Pieroh, Faramarz Dehghani, Anna Völker, Mathias Jakob Groll, Thomas Wolfskämpf, Michael Werner, Julia Kollan, Andreas Hinz, Mario Leimert,

PURPOSE:In our aging society, the prevalence of degenerative spinal diseases rose drastically within the last years. However, up till now, the origin of cervical pain is incompletely understood. While animal and small cadaver studies indicate that a complex system of sensory and nociceptive nerve fibers in the anterior (ALL) and ... Read more >>

Surg Radiol Anat (Surgical and radiologic anatomy : SRA)
[2020, 42(2):127-136]

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Real-time intraoperative 3D image intensifier-based navigation in reversed shoulder arthroplasty- analyses of image quality.

Jan Theopold, Philipp Pieroh, Ralf Henkelmann, Georg Osterhoff, Pierre Hepp,

<h4>Background</h4>Due to the high anatomical variability and limited visualization of the scapula, optimal screw placement for baseplate anchorage in reversed total shoulder arthroplasty (rTSA) is challenging. Image quality plays a key role regarding the decision of an appropriate implant position. However, these data a currently missing for rTSA and were ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2019, 20(1):262]

Cited: 1 time

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Fragility Fractures of the Pelvis Classification: A Multicenter Assessment of the Intra-Rater and Inter-Rater Reliabilities and Percentage of Agreement.

Philipp Pieroh, Andreas Höch, Tim Hohmann, Florian Gras, Sven Märdian, Alexander Pflug, Silvan Wittenberg, Christoph Ihle, Notker Blankenburg, Kevin Dallacker-Losensky, Tanja Schröder, Steven C Herath, Daniel Wagner, Hans-Georg Palm, Christoph Josten, Fabian M Stuby,

<h4>Background</h4>The fragility fractures of the pelvis (FFP) classification was established to address the specific fracture morphology and dynamic instability in the elderly. Although this system is frequently used, data on the intra-rater and inter-rater reliabilities are lacking.<h4>Methods</h4>Six experienced and 6 inexperienced surgeons and 1 surgeon trained by the originator of ... Read more >>

J Bone Joint Surg Am (The Journal of bone and joint surgery. American volume)
[2019, 101(11):987-994]

Cited: 3 times

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Trends and efficacy of external emergency stabilization of pelvic ring fractures: results from the German Pelvic Trauma Registry.

Andreas Höch, Suzanne Zeidler, Philipp Pieroh, Christoph Josten, Fabian M Stuby, Steven C Herath, ,

<h4>Purpose</h4>External emergency stabilization (EES) of unstable pelvic fractures reduces haemorrhage and mortality. Available are non-invasive procedures (sheet sling and pelvic binder) and invasive procedures (external fixator and pelvic C-clamp). Nevertheless, there is no recommended standard as to which procedure for EES should be used.<h4>Methods</h4>Prospectively collected data between 2007 and 2016 ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2021, 47(2):523-531]

Cited: 2 times

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Age and "general health"-beside fracture classification-affect the therapeutic decision for geriatric pelvic ring fractures: a German pelvic injury register study.

Andreas Höch, Philipp Pieroh, Florian Gras, Tim Hohmann, Sven Märdian, Francis Holmenschlager, Holger Keil, Hans-Georg Palm, Steven C Herath, Christoph Josten, Hagen Schmal, Fabian M Stuby, ,

<h4>Purpose</h4>Pelvic ring fractures in the elderly gain increasing importance. Nonetheless, data on factors influencing treatment decision in relation to fracture classification, age, and the resulting treatment are still rare.<h4>Methods</h4>Prospectively collected data of the German Pelvic Injury Registry from patients aged over 65 years with a pelvic ring fracture were evaluated retrospectively. ... Read more >>

Int Orthop (International orthopaedics)
[2019, 43(11):2629-2636]

Cited: 4 times

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The comparative analyses of decalcification procedures and methyl benzoate pre-treatment on tissue preservation and antigenicity in human acetabular labra.

Philipp Pieroh, Angela Ehrlich, Chalid Ghadban, Ludmilla Litvak, Hanno Steinke, Christoph Josten, Johannes Karl Maria Fakler, Faramarz Dehghani,

The histological processing of musculoskeletal tissue might be challenging. The alteration of tissue composition e.g. by calcification of soft tissue in the elderly, after trauma or surgical interventions makes the histological processing of fixed tissue difficult. Additional steps of decalcification are then needed that probably affect the staining quality. In ... Read more >>

Histol Histopathol (Histology and histopathology)
[2019, 34(8):899-908]

Cited: 1 time

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Intra- and interrater reliabilities and a method comparison of 2D and 3D techniques in cadavers to determine sacroiliac screw loosening.

Philipp Pieroh, Maximilian Lenk, Tim Hohmann, Ronny Grunert, Daniel Wagner, Christoph Josten, Andreas Höch, Jörg Böhme,

Sacroiliac (SI) screw loosening may indicate persistent instability, non-union and contribute to pain. Yet, there is no reliable objective measurement technique to detect and monitor SI screw loosening. In 9 cadaveric pelvises one of two SI screw was turned back approximately 20 mm and subsequently assessed by optical measurement, fluoroscopy and ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):3141]

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Spraying urea solution reduces formaldehyde levels during gross anatomy courses.

Shinichi Kawata, Eizo Marutani, Shuichi Hirai, Naoyuki Hatayama, Takuya Omotehara, Kenta Nagahori, Zhonglian Li, Hidenobu Miyaso, Philipp Pieroh, Munekazu Naito, Masahiro Itoh,

Formaldehyde (FA) is frequently used to embalm human cadavers that are employed to teach gross anatomy to medical and dental students. However, exposure to FA is harmful to both students and educators. The aim of this study was to reduce the FA levels in the anatomy dissection hall by spraying ... Read more >>

Anat Sci Int (Anatomical science international)
[2019, 94(2):209-215]

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