Publications by authors named "Oest M"

Apples are among the most important fruits worldwide and the most consumed fruit in Germany. Due to higher energy and personnel costs, domestic apples are more expensive and thus offer an incentive for mixing with foreign goods. Moreover, imported apples have a higher carbon footprint, which is an obstacle regarding sales in times of climate change.

View Article and Find Full Text PDF
Article Synopsis
  • Radiotherapy (RTx) is a cancer treatment that can make bones weaker and more prone to fractures after treatment.
  • In a study, rat femurs (thigh bones) were irradiated to see how RTx affects their strength and any damage caused by stress.
  • The results showed that RTx significantly weakened the bones and caused more damage over time, even though the overall bone shape and density stayed the same.
View Article and Find Full Text PDF

Both high-cycle fatigue life and fatigue crack propagation resistance of human cortical bone allograft are radiation dose-dependent between 0 and 25 kGy such that higher doses exhibit progressively shorter lifetimes. Recently, we have shown that collagen chain fragmentation and stable crosslink accumulation may contribute to the radiation dose-dependent loss in fatigue crack propagation resistance of human cortical bone. To our knowledge, the influence of these mechanisms on high-cycle fatigue life of cortical bone have not been established.

View Article and Find Full Text PDF

Bone fragility is a well-documented long-term side effect of radiotherapy, which currently has no preventative treatments. In this study, we applied a caloric restriction (CR) diet to attenuate both local and systemic bone loss after irradiation (RTx) in an established female Balb/c mouse model (4 consecutive daily doses of 5 Gy to the right hindlimb only). CR mice were tapered down to a 30% reduced calorie diet (RTx/CR) one week before irradiation, while regular diet (RD) mice received food ad libitum (RTx/RD).

View Article and Find Full Text PDF
Article Synopsis
  • The wrapping technique aims to protect nerves from scar tissue and enhance their function, particularly after neurolysis for conditions like cubital tunnel syndrome (CuTS).
  • A study analyzed the effectiveness of AxoGuard® nerve protector, a porcine-derived matrix used during revision surgeries for CuTS, comparing outcomes between patients who had only surgery versus those who received the nerve wrapping.
  • Results showed that the wrapping group had significantly better clinical improvement, with 84.4% achieving excellent or good outcomes and no complications related to the implant, indicating that PECM wrapping may help reduce nerve scarring and improve nerve function.
View Article and Find Full Text PDF

Background: The Eaton-Littler ligament reconstruction is widely used for thumb carpometacarpal (CMC) instability, yet the existing literature lacks a thorough analysis of the outcomes for nontraumatic instability. This study aimed to assess the outcomes of the Eaton-Littler ligament reconstruction and to identify prognostic factors associated with postoperative pain.

Methods: Patients with nontraumatic CMC joint instability, unresponsive to conservative treatment, were included in this prospective study.

View Article and Find Full Text PDF

Background: Following the repair of a mixed peripheral nerve, functional recovery requires successful nerve regeneration across the repair site and, eventually, reinnervation of distal targets. Reliably determining a failing nerve repair so that revision may be performed before irreversible muscle atrophy remains a challenge in peripheral nerve surgery. This study aimed to ascertain whether any commonly used clinical examination tests during surveillance after nerve repair can detect a failing repair and prompt earlier salvage intervention.

View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted to evaluate how patients' mindsets changed after consulting a hand surgeon, focusing on their perceptions of illness and treatment.
  • 276 patients with hand and wrist conditions completed mindset questionnaires before and after their consultations, revealing significant improvements in illness perception and pain-related attitudes.
  • Results indicated that while both surgical and nonsurgical patients benefitted, surgical patients showed greater improvement, suggesting a need for tailored strategies to enhance mindset in nonsurgical patients.
View Article and Find Full Text PDF

Purpose: This study reviewed the results of the figure-of-eight ligament reconstruction, a technique used in the surgical management of thumb carpometacarpal (CMC) instability. This technique establishes joint stability through forces originating within the CMC joint, providing volar and dorsal support.

Methods: We evaluated the outcomes of 15 patients with nontraumatic, nonarthritic thumb CMC instability treated with the figure-of-eight ligament reconstruction technique.

View Article and Find Full Text PDF

Element profiling is a powerful tool for detecting fraud related to claims of geographical origin. However, these methods must be continuously developed, as mixtures of different origins in particular offer great potential for adulteration. This study is a proof of principle to determine whether elemental profiling is suitable for detecting mixtures of the same food but from different origins and whether calculated data from walnut mixtures could help to reduce the measurement burden.

View Article and Find Full Text PDF

Progressive osteolysis can occur at the cement-bone interface of joint replacements and the associated loss of fixation can lead to clinical loosening. We previously developed a rat hemiarthroplasty model that exhibited progressive loss of fixation with the development of cement-bone gaps under the tibial tray that mimicked patterns found in human arthroplasty retrievals. Here we explored the ability of a bisphosphonate (zoledronic acid, ZA) to attenuate cement-bone osteolysis and maintain implant stability.

View Article and Find Full Text PDF

 To determine thresholds in patient-reported outcome measures at baseline in patients electing to undergo triangular fibrocartilage complex (TFCC) surgery to select patients with clinically improved outcomes.  The study cohort comprised consecutive patients who underwent open TFCC repair between December 2011 and December 2018 in various clinics in the Netherlands. All patients were asked to complete the patient-rated wrist evaluation (PRWE) questionnaire at baseline as well as at 12 months postoperatively.

View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted to evaluate clinical outcomes and patient-reported experiences following thumb ulnar collateral ligament (UCL) reconstruction using a tendon autograft from December 2011 to February 2021.
  • Results showed that patients' Michigan Hand Outcomes Questionnaire (MHQ) scores significantly improved over 12 months, indicating better pain management and hand function post-surgery.
  • Although most patients experienced stability restoration, those with ongoing instability or diagnosed metacarpophalangeal arthritis had limited improvement in their outcomes, emphasizing the complexity of healing in such cases.
View Article and Find Full Text PDF

Background: Various operative techniques exist to reconstruct partial hypopharyngeal defects following total laryngectomy. The current study aimed to investigate and compare complications and functional results following commonly used reconstructive techniques.

Methods: A systematic review and meta-analysis were performed using studies that investigated outcomes after the reconstruction of a partial hypopharyngeal defect.

View Article and Find Full Text PDF

Fatigue crack propagation resistance and high-cycle S-N fatigue life of cortical bone allograft tissue are both negatively impacted in a radiation dose-dependent manner from 0 to 25 kGy. The standard radiation sterilization dose of 25-35 kGy has been shown to induce cleavage of collagen molecules into smaller peptides and accumulation of stable crosslinks within the collagen matrix, suggesting that these mechanisms may influence radiation-induced losses in cyclic fracture resistance. The objective of this study was to determine the radiation dose-dependency of collagen chain fragmentation and crosslink accumulation within the dose range of 0-25 kGy.

View Article and Find Full Text PDF

Background: Surgical management of midcarpal instability (MCI), also referred to as carpal instability nondissociative, remains controversial because of limited evidence on different techniques. This study aimed to assess and compare differences in patient-reported pain, hand and wrist function, satisfaction, range of motion, and return to work in patients with nontraumatic MCI who underwent surgical treatment either through dorsal wrist capsulodesis or 3-ligament tenodesis (3LT).

Methods: Patients with MCI and persisting complaints after conservative therapy treated with 3LT or dorsal capsulodesis were included.

View Article and Find Full Text PDF

The treatment of carpal boss is primarily conservative. Surgical treatment by performing a wedge excision of the bony protrusion, is possible. However, a common belief exists that carpal boss should not be operated because of the high recurrence rate.

View Article and Find Full Text PDF
Article Synopsis
  • - A systematic review and meta-analysis evaluated different surgical techniques for treating thumb ulnar collateral ligament (UCL) ruptures, focusing on which methods lead to better outcomes for patients.
  • - The review included 29 studies and assessed various postoperative outcomes like pain, strength, and range of motion, finding that all surgical techniques provided satisfactory results without significant differences among them.
  • - Although K-wire immobilization showed worse postoperative pain, it did not affect joint stability when compared to other immobilization methods; overall, recovery outcomes were excellent across all techniques.
View Article and Find Full Text PDF

Background: The authors hypothesized that the 3-ligament tenodesis (3-LT) procedure is still sufficient-even in scapholunate advanced collapse (SLAC) cases-to reduce pain and improve wrist function. The authors compared patient-reported outcomes of scapholunate interosseus ligament (SLIL) injury patients with SLAC, to SLIL injury patients treated with 3-LT, and then to patients who underwent proximal row carpectomy (PRC), as a control group.

Methods: The authors included all patients with a traumatic SLIL injury and associated SLAC components treated with 3-LT and completed patient-rated wrist evaluation (PRWE) questionnaires preoperatively and at 12-month follow-up.

View Article and Find Full Text PDF

Background: A significant proportion of patients report persistent pain after surgical release for de Quervain disease (DQ). This study aimed to investigate the effectiveness of a surgical release for DQ and to identify the preoperative factors associated with pain after a surgical release for DQ.

Methods: This prospective cohort study included 707 patients who underwent surgical release and completed a visual analogue scale questionnaire (VAS; range 0 to 100).

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers conducted a retrospective review of cases from a hospital, analyzing data from 34 patients, with a focus on patient demographics and injury details.
  • * Findings indicate no significant difference in recovery outcomes (measured by the British MRC scale, BrAT, and SPONEA scores) between traumatic and atraumatic conditions, suggesting that nerve transfers may be beneficial for both types of injury.
View Article and Find Full Text PDF

Background: Baseline mindset factors are important factors that influence treatment decisions and outcomes. Theoretically, improving the mindset prior to treatment may improve treatment decisions and outcomes. This prospective cohort study evaluated changes in patients' mindset following hand surgeon consultation.

View Article and Find Full Text PDF
Article Synopsis
  • Mental health significantly affects decision-making and outcomes in musculoskeletal healthcare, and there’s a need for a simple, low-burden tool for screening mental health in clinical settings.* -
  • The study aimed to identify key items from existing mental health questionnaires, assess the validity and reliability of a new ultrashort four-item screening tool, and evaluate its practical application in understanding pain and hand function.* -
  • Data were collected from over 19,000 patients with hand and wrist issues, using a structured approach to ensure the new screening tool was both effective and user-friendly for clinical purposes.*
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the patient-reported outcomes of individuals who had open repair surgery for thumb ulnar collateral ligament (UCL) injuries and to identify factors linked to less favorable outcomes.
  • A total of 76 patients were analyzed, showing significant improvements in their Michigan Hand Outcomes Questionnaire scores from before surgery to three and twelve months after.
  • The findings indicated that the timing of surgery (acute vs. delayed) did not significantly affect recovery outcomes, suggesting that immediate surgical intervention for UCL injuries may not always be necessary.
View Article and Find Full Text PDF