Publications by authors named "Philipp Drees"

Article Synopsis
  • The study focuses on evaluating the long-term performance of Vitamin E-infused highly cross-linked polyethylene (VEPE) monoblock cups in total hip arthroplasty (THA), particularly concerning migration and wear patterns over ten years.
  • The research involved 101 patients and assessed clinical outcomes using the Harris Hip Score and pain/satisfaction scales, finding significant improvements and minimal wear and migration of the cups.
  • Results showed a 100% survival rate with no need for cup-related revisions, suggesting that VEPE cups could effectively reduce issues like aseptic loosening, but longer follow-up is necessary for validation.
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Introduction: To consider the inherent respondent burden of PROMs, the HOOS-12 as a shortform of the well-established HOOS questionnaire has been published. While the HOOS-12 has been validated in an initial study, further evaluation in other, non-English speaking cohorts is necessary. We therefore aimed to evaluate responsiveness, convergent construct validity, internal consistency, and floor and ceiling effects of the HOOS-12 in a cross-sectoral german cohort.

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Purpose: Despite numerous studies demonstrating promising short-term outcomes of Total Knee Arthroplasty (TKA) with Customized Individually Made (CIM) implants, there is a significant lack of data on their mid-term effectiveness. Given the increasing number of TKAs performed annually, the rising demand for CIM implants, and the associated burden of revision surgeries, understanding the mid-term performance of CIM implants is crucial. Therefore, this study aims to report on the mid-term (minimum 5 years) outcomes of TKA using a CIM implant.

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Being implicated in bone metastasis development, bone sialoprotein (BSP) expression is upregulated in patients with cancer. While BSP regulates cancer cell adhesion to the extracellular matrix, to the best of our knowledge, the specific adhesive molecular interactions in metastatic bone disease remain unclear. The present study aimed to improve the understanding of the arginine-glycine-aspartic acid (RGD) sequence of BSP and the integrin receptors αvβ3 and αvβ5 in BSP-mediated cancer cell adhesion.

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Article Synopsis
  • The proximal tibial epiphyseal inclination, measured through the tibial bone varus angle (TBVA), serves as a potential indicator of recovery success after knee osteotomy, but traditional x-ray methods have shown inconsistencies in measurement.
  • This study aimed to assess the reliability of measuring TBVA and related angles using digital imaging by three orthopaedic surgeons analyzing 100 radiographs in a blinded format.
  • Results indicated that while the visibility scores for the epiphyseal scar had fair interobserver reliability, key angles like TBVA, GPTP angle, and a modified version of TBVA displayed good to excellent reliability among and within observers.
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Article Synopsis
  • Bucket-handle meniscal tears are primarily treated with arthroscopic surgery, but the timing of the surgery has unclear effects on recovery outcomes.
  • A study involving 60 patients showed that an average wait of 14.4 days for surgery did not significantly affect reoperation rates, pain levels, or return to sports.
  • The findings suggest that surgical timing is not a predictor of post-surgery success, indicating that careful planning and expertise matter more than urgency in treatment.
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Biomechanical Machine Learning (ML) models, particularly deep-learning models, demonstrate the best performance when trained using extensive datasets. However, biomechanical data are frequently limited due to diverse challenges. Effective methods for augmenting data in developing ML models, specifically in the human posture domain, are scarce.

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Collaborative manual image analysis by multiple experts in different locations is an essential workflow in biomedical science. However, sharing the images and writing down results by hand or merging results from separate spreadsheets can be error-prone. Moreover, blinding and anonymization are essential to address subjectivity and bias.

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(1) Background: Clinically useful prediction models for chronic postsurgical pain (CPSP) in knee replacement (TKA) are lacking. (2) Methods: In our prospective, multicenter study, a wide-ranging set of 91 variables was collected from 933 TKA patients at eight time points up to one year after surgery. Based on this extensive data pool, simple and complex prediction models were calculated for the preoperative time point and for 6 months after surgery, using least absolute shrinkage and selection operator (LASSO) 1se and LASSO min, respectively.

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Purpose: Calcaneal fractures (CFs) are rare but potentially debilitating injuries. Apart from the open, far lateral or sinus tarsi approach, operative treatment can be performed minimally invasive and percutaneously with intramedullary nailing. In this study, we sought to investigate the functional outcome of severe CFs treated with the C-Nail® implant.

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Introduction: The indications for cementless short-stem total hip arthroplasty (THA) have been expanded due to encouraging results. However, no evidence in cases of femoral neck fractures (FNFs) is available. We aimed to prospectively obtain data on the safety and the clinical outcomes of a cementless calcar-guided short stem in patients with FNFs.

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Background: Lateralization and distalization in reverse shoulder arthroplasty (RSA) can be measured on anteroposterior (AP) radiographs using 2 previously described angles: lateralization shoulder angle (LSA) and distalization shoulder angle (DSA). However, these 2 angles measure global lateralization and distalization but do not allow to differentiate how much lateralization or distalization are attributable to the glenoid and the humerus. We hypothesized that new angles could allow us to separately measure glenoid vs.

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Objective: The aim of this paper is to describe the anterolateral approach using an anatomical plate for ankle arthrodesis and to present the first mid-term results with this technique in a high-risk population.

Indications: The indication for arthrodesis of the ankle joint with this described technique is moderate to severe osteoarthritis of the ankle.

Contraindications: In addition to the general contraindications typical of any operation, there is a specific contraindication in cases of active infection of the soft tissues and accompanying osteomyelitis at the ankle.

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Adolescent idiopathic scoliosis (AIS) is a three-dimensional axial deviation of the spine diagnosed in adolescence. Despite a long daily sitting duration, there are no studies on whether scoliosis can be positively influenced by sitting on a seat wedge. For the prospective study, 99 patients with AIS were measured with the DIERS formetric III 4D average, in a standing position, on a level seat and with three differently inclined seat wedges (3°, 6° and 9°).

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Introduction: Bone preservation and long-term survival are the main challenges in cementless total hip arthroplasty (THA). A good bone stock is especially important for adequate anchorage of the cup in revision cases. However, the optimal acetabular cup design for preserving good bone stock is still unclear.

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Article Synopsis
  • Proximal femoral fractures are the most common type of fracture in Germany, making up over 20% of all fractures, and must be surgically treated within 24 hours according to a 2019 ruling.
  • A study analyzed data from a trauma center between 2016 and 2022, revealing that the number of these surgeries doubled, with a significant 60% increase noted from 2020 to 2022, suggesting a broader area is being served.
  • The increase in workload at the trauma center may be due to fewer hospitals offering emergency treatment, compounded by resource shortages and pandemic-related challenges, all while the center’s infrastructure remained unchanged.
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Post-traumatic joint stiffness (PTJS) is accompanied by a multidimensional disturbance of joint architecture. Pharmacological approaches represent promising alternatives as the traumatic nature of current therapeutic standards may lead to PTJS' progression. Losartan is an auspicious candidate, as it has demonstrated an antifibrotic effect in other organs.

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Large bone defects such as those that occur after trauma or resections due to cancer still are a challenge for surgeons. Main challenge in this area is to find a suitable alternative to the gold-standard therapy, which is highly risky, and a promising option is to use biomaterials manufactured by 3D printing. In former studies, we demonstrated that the combination of polylactic acid (PLA) and bioglass (BG) resulted in a stable 3D-printable material, and porous and finely structured scaffolds were printed.

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Spinal function is substantially related to the motion of the particular vertebrae and the spine as a whole. For systematic assessment of individual motion, data sets are required which cover the kinematics comprehensively. Additionally, the data should enable a comparison of inter- and intraindividual variation of vertebral orientation in dedicated motion tasks like gait.

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The rise in the occurrence of musculoskeletal disorders, such as thoracic hyperkyphosis (THK) or lumbar hypolordosis (LHL), is a result of demographic changes. Exercise therapy is an effective approach that can reduce related disabilities and costs. To ensure successful therapy, an individualized exercise program adapted to the severity of the disorder is expedient.

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This prospective cohort study aimed to characterise the impact of oxaliplatin-based chemotherapy and its neurotoxic side effects (i.e., chemotherapy-induced neuropathy) on functional fall-risk and falls.

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Article Synopsis
  • The study investigates the interpretation of "normal" and "abnormal" metatarsophalangeal angles (MTPA) for the second to fifth toes among orthopedic surgeons and radiologists.
  • Observers categorized various MTPA ranges as normal or abnormal: MTP-2 (0° to -20° normal), MTP-3 (0° to -15° normal), MTP-4 (0° to -10° normal), and MTP-5 (5° valgus to 15° varus normal).
  • The findings reveal high variability in individual assessments and suggest a lack of agreement between different observers, indicating that the terms "normal" and "abnormal" should be applied cautiously
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Purpose: Personality traits, such as dispositional optimism and pessimism, have impact on a variety of health-related problems. Influence on outcome in total knee arthroplasty (TKA) could only be shown for other personality trait concepts, but not for dispositional optimism/pessimism. This study aims to examine the association of dispositional optimism/pessimism with pre-operative joint function and post-operative outcome in TKA.

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Background: The efficacy and safety of enhanced recovery after surgery (ERAS) protocols for patients undergoing total knee arthroplasty (TKA) have been generally proven. Previous studies investigating patients undergoing simultaneous bilateral TKA (SBTKA) focused on complications, mortality, and pain and did not examine patients' functional limitations. Therefore, the aim of this study was to investigate to what extent patients undergoing SBTKA are able to meet functional discharge criteria originally designed for their counterparts undergoing unilateral TKA (UTKA) in an ERAS setting.

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  • This study investigates expression variability (EV) in primary fibroblasts from childhood cancer survivors and cancer-free controls after exposure to ionizing radiation, focusing on distinguishing the effects across different donor groups.
  • Researchers analyzed skin fibroblasts from 156 donors: 52 with first primary neoplasms (N1), 52 with multiple primary neoplasms (N2+), and 52 cancer-free controls (N0), exposing them to varying doses of X-rays and identifying gene responses to radiation.
  • Key findings include the identification of 22 genes with significant EV variation linked to ionizing radiation, particularly noting unique gene responses in cancer-free individuals (N0) and higher variability in cancer survivors (N2+) related to cell
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