Publications by authors named "C Plaass"

Background: This study evaluated the outcome of the Cartiva synthetic cartilage implant (SCI) in the treatment of hallux rigidus.

Methods: In the present retrospective matched case-control study, we compared 18 patients with Cartiva SCI (mean follow-up: 17.7 months) to 18 patients with metatarsophalangeal joint arthrodesis (mean follow-up: 20 months) using multiple function measures, along with four specified visual analog subscales for pain.

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Article Synopsis
  • Ligamentous injuries in the ankle are common, with this study focusing on the differences between isolated lateral ligament injuries and combined medial-lateral injuries, particularly given that isolated medial injuries are frequently overlooked.
  • The study involved 111 patients who underwent either isolated lateral ligament or combined ligament reconstruction, using various outcome measures to evaluate recovery.
  • Results indicated that while overall improvements were noted in both groups post-treatment, isolated lateral ligament reconstruction displayed significantly better dorsal extension and correlated positively with key functional outcomes.
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Use of SPECT/CT (Single Photon Emission Computed Tomography/Computed Tomography) is increasing providing additional information in patients with inconclusive clinical examination and unremarkable imaging findings presenting with chronic pain after total ankle arthroplasty. To differentiate the cause of pain after total ankle arthroplasty can be challenging. SPECT/CT combines structural and metabolic imaging as a hybrid tool leading to higher specificity and overall diagnostic accuracy presumably in cases of gutter impingement, prosthetic loosening, and osteoarthritis of adjacent joints.

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Objective: To assess the current treatment of osteochondral lesions of the ankle (OCLA) by German-speaking foot and ankle surgeons, focusing on the management of postoperative care and rehabilitation.

Design: A questionnaire was created by a panel of 4 experienced foot and ankle surgeons on behalf of the "Clinical Tissue Regeneration" (CTR) working group of the German Society of Orthopaedics and Trauma Surgery (DGOU), and distributed electronically to members of the CTR, participants of the German Cartilage Registry (Knorpelregister DGOU©), and members of 6 German-speaking orthopedics or sports medicine societies. Results were classified depending on the consensus within the answers (agreement ≥75% "strong tendency," 50%-74% "tendency," 25%-49% "weak tendency," <25% "no tendency").

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Article Synopsis
  • - SPECT/CT is becoming more common for evaluating chronic pain post-total ankle arthroplasty, especially when other clinical exams and imaging are inconclusive.
  • - This hybrid imaging tool combines structural and metabolic information, improving the ability to diagnose conditions like gutter impingement, prosthetic loosening, and adjacent joint osteoarthritis.
  • - SPECT/CT also aids in identifying periprosthetic joint infections, though it's important to consider basal tracer enhancement when interpreting the results.
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