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Book: Revisionsendoprothetik des Kniegelenks

Trieb, Klemens

mit 31 Tabellen

2011

Author's details	Klemens Trieb ... (Hrsg.)
Keywords	Kniegelenkprothese ; Reoperation
Subject	Nachoperation ; Revisionsoperation ; Revisionseingriff ; Kniegelenksendoprothese ; Knieendoprothese ; Kniegelenk ; Kniegelenkendoprothese
Language	German
Size	XV, 345 S., 235 mm x 155 mm
Publisher	Springer Medizin
Publishing place	Berlin u.a.
Publishing country	Germany
Document type	Book
HBZ-ID	HT016855479
ISBN	978-3-642-16122-3 ; 3-642-16122-7
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Scoliosis: Brace treatment - from the past 50 years to the future.

Landauer, F / Trieb, Klemens

Medicine

2022 Volume 101, Issue 37, Page(s) e30556

Abstract: Objective: This paper deals with scoliosis treatment over the past 50 years. The review of the literature from the point of view of the current formation of opinion. From conservative forms of treatment, the pendulum has swung to surgical measures. To ... ...

Abstract	Objective: This paper deals with scoliosis treatment over the past 50 years. The review of the literature from the point of view of the current formation of opinion. From conservative forms of treatment, the pendulum has swung to surgical measures. To visualize this temporarily rejection of conservative treatment is the goal of this article. Materials and methods: A review of the literature over the last 50 years was performed from the perspective of current opinion, this with a pinch of personal experience in bracing and scoliosis surgery since 1972. The MESH terms (scoliosis, idiopathic scoliosis, adolescent idiopathic scoliosis) are presented in their number in a flow diagram and the publications on conservative therapies (brace, physiotherapy) are compared to surgical therapies (surgery).Opinions of "eminences" in the 1980s have been replaced by the rules of evidence-based medicine (EBM) at end of the 1990s. This transition will be visualized in the graph of PubMed statistics. In a statement, the future scoliosis treatment is derived from history. Results: The total number of publications shows a ratio of brace to surgery of 13.9% and physiotherapy to surgery of 6.7% for the MESH terms "scoliosis". When "scoliosis" is supplemented with "idiopathic", the brace to surgery ratio changes from 24.5% and physiotherapy to surgery 8.2%. Focusing on adolescent scoliosis the addition of "adolescent" changes the brace to surgery ratio from 24.8% and physiotherapy to surgery 8.1%. In the total number of publications, "adolescent idiopathic scoliosis" is treated by 25.26%. The patient numbers of our own scoliosis outpatient clinic (1482 patients) over the last 15 years show a ratio of brace (Cobb angle 20°-50° brace-indication) to surgery (Cobb angle >50° indication to surgery) of 1 to 0.06. The scientific focus on surgical therapy is evident from the figures of PubMed mentioned. The number of conservative publications shows a depression in the 1990s. In the remainder of this article, opinion-forming developments are outlined and supported by literature citations, responsible for the recovery of publications on conservative scoliosis treatment. New technologies provide additional treatment options. Conclusions: In this sense, brace therapy is a success story with a future in the digital world of AI (artificial intelligence), mathematical model calculations, and production perhaps from the 3D printer. The central message from the history of the last 50 years is: "The scientific review of treatment results is essential for the further acceptance of brace treatment."
MeSH term(s)	Adolescent ; Artificial Intelligence ; Braces ; Humans ; Kyphosis/therapy ; Scoliosis/therapy ; Treatment Outcome
Language	English
Publishing date	2022-09-19
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000030556
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Article: An Indication-Based Concept for Stepwise Spinal Orthosis in Low Back Pain According to the Current Literature.

Landauer, Franz / Trieb, Klemens

Journal of clinical medicine

2022 Volume 11, Issue 3

Abstract: Background: The current literature is not conclusive for spinal orthosis treatment in low back pain. Therefore, two questions have to be answered: Does the current literature support the indication of spinal orthosis treatment in low back pain? Which ... ...

Abstract	Background: The current literature is not conclusive for spinal orthosis treatment in low back pain. Therefore, two questions have to be answered: Does the current literature support the indication of spinal orthosis treatment in low back pain? Which treatment concept can be derived from the result? Method: The 30 highest-rated literature citations (PubMed: best match, 30 December 2021) dealing with low back pain and spine orthosis were included in the study. Excluded were all articles related to Kinesio Taping, scoliosis, physical exercise, or dealing with side effects and unrelated to treatment effect. Thus, the literature list refers only to "low back pain and spine orthoses". These articles were analyzed according to the PRISMA criteria and divided according to "specific diagnosis", when the cause of pain was explained (group A), or when "specific diagnosis is not given" (group B). The articles were also distinguished by the information about the orthosis. Articles with biomechanical information about the function of the orthoses were called "diagnosis-based orthosis" (group C). All other articles were part of the group "unspecific orthotic treatment" (group D). The results were compared to each other in terms of effectiveness. According to anatomical causes, a concept of orthosis selection depending on diagnosis of low back pain for clinical practice was developed. The risk of bias lies in the choice of the MESH terms. The synthesis of the results was a clinical treatment concept based on findings from the current literature. Results: The literature citations with 1749 patients and 2160 citations of literature were processed; 21 prospective clinical or biomechanical studies and 9 review articles were included. The combination of literature citations according to "specific diagnosis" (group A) and "diagnosis based orthosis" (group C) was very likely to lead to a therapeutic effect (seven articles). No positive effect could be found in four articles, all dealing with postoperative treatment. When "specific diagnosis is not given" (group B) and combined with "unspecific orthotic treatment" (group D), therapy remained without measurable effect (15 articles). An effect was described in four articles (three biomechanical studies and one postoperative study). In review articles, according to specific diagnosis, only one article dealt with fractures and another with stenosis. In all review articles where specific diagnosis was not given, no effect with spine orthoses could be found. Using this knowledge, we created a clinical treatment concept. The structure was based on diagnosis and standardized orthoses. According to pain location and pathology (muscle, intervertebral disc, bone, statics, postoperative) the orthoses were classified to anatomical extent and the mechanical limitation (bandage, bodice, corset, orthosis with shoulder straps and erecting orthosis). Conclusion: The effectiveness of spinal orthoses could not be deduced from the current literature. The most serious limitation was the inconsistency of the complaint and the imprecise designation of the orthoses. Interpretation: Articles with a precise allocation of the complaint and a description of the orthosis showed a positive effect. The treatment concept presented here is intended to provide a basis for answering the question concerning the effectiveness of spinal orthoses as an accompanying treatment option in low back pain.
Language	English
Publishing date	2022-01-20
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11030510
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Article ; Online: The Charcot foot: pathophysiology, diagnosis and classification.

Trieb, K

The bone & joint journal

2016 Volume 98-B, Issue 9, Page(s) 1155–1159

Abstract: Neuropathic changes in the foot are common with a prevalence of approximately 1%. The diagnosis of neuropathic arthropathy is often delayed in diabetic patients with harmful consequences including amputation. The appropriate diagnosis and treatment can ... ...

Abstract	Neuropathic changes in the foot are common with a prevalence of approximately 1%. The diagnosis of neuropathic arthropathy is often delayed in diabetic patients with harmful consequences including amputation. The appropriate diagnosis and treatment can avoid an extensive programme of treatment with significant morbidity for the patient, high costs and delayed surgery. The pathogenesis of a Charcot foot involves repetitive micro-trauma in a foot with impaired sensation and neurovascular changes caused by pathological innervation of the blood vessels. In most cases, changes are due to a combination of both pathophysiological factors. The Charcot foot is triggered by a combination of mechanical, vascular and biological factors which can lead to late diagnosis and incorrect treatment and eventually to destruction of the foot. This review aims to raise awareness of the diagnosis of the Charcot foot (diabetic neuropathic osteoarthropathy and the differential diagnosis, erysipelas, peripheral arterial occlusive disease) and describe the ways in which the diagnosis may be made. The clinical diagnostic pathways based on different classifications are presented. Cite this article: Bone Joint J 2016;98-B:1155-9.
MeSH term(s)	Aged ; Arthropathy, Neurogenic/classification ; Arthropathy, Neurogenic/diagnosis ; Arthropathy, Neurogenic/therapy ; Diabetic Foot/classification ; Diabetic Foot/diagnosis ; Diabetic Foot/therapy ; Early Diagnosis ; Female ; Foot Deformities, Acquired/classification ; Foot Deformities, Acquired/diagnosis ; Foot Deformities, Acquired/therapy ; Humans ; Male ; Middle Aged ; Physical Examination/methods ; Prognosis ; Range of Motion, Articular/physiology ; Severity of Illness Index ; Tomography, X-Ray Computed/methods
Language	English
Publishing date	2016-09
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2697156-2
ISSN	2049-4408 ; 2049-4394
ISSN (online)	2049-4408
ISSN	2049-4394
DOI	10.1302/0301-620X.98B9.37038
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Article ; Online: Metallosis After Swanson Spacer as Indication for Volar Synovectomy 12 Years After Implantation.

Trieb, Klemens

Current rheumatology reviews

2017 Volume 13, Issue 1, Page(s) 2–4

Abstract: The treatment of metacarpophalangeal destruction by rheumatoid arthritis is an indication for arthroplasty, the swanson spacer is one of the options. The flexible silicone spacer may be implanted with or without titanium guide sleeves ("grommets"). ... ...

Abstract	The treatment of metacarpophalangeal destruction by rheumatoid arthritis is an indication for arthroplasty, the swanson spacer is one of the options. The flexible silicone spacer may be implanted with or without titanium guide sleeves ("grommets"). However, the imaginary abrasion protection for the silicone grommets may in turn lead through micro-movements to wear. A 69 years old female patient suffering from rheumatoid arthritis for 30 years is presented. 12 years ago swansen spacers were implanted to metacarpo-phalangeal joints 2 -5 of the right hand. Due to pain, limited movement and swelling at the volar MCP joints she presented at our clinic. Volar synovectomy of the 3rd ray of the right hand was performed, the A2 ring band could be spared. There was massive metallosis induced by wear of the grommets in the third volar tendon sheath, the other flexors were free of metallosis. These results show that in synovitis after swanson spacer implantation using grommets the differential diagnosis of metallosis must be included and complete synovectomy is the treatment of choice.
Language	English
Publishing date	2017
Publishing country	United Arab Emirates
Document type	Journal Article
ISSN	1875-6360
ISSN (online)	1875-6360
DOI	10.2174/1573397112666160709030706
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Article ; Online: A novel ceramic tibial component is as safe as its metal counterpart.

Trieb, Klemens

Biomedizinische Technik. Biomedical engineering

2017 Volume 63, Issue 3, Page(s) 327–332

Abstract: Failure rates of 2-10% provide evidence for further development in knee arthroplasty. The purpose of our study was to examine the safety of the tibial component of a novel all-ceramic total knee replacement (TKR) (BPK-S Integration ceramic) consisting of ...

Abstract	Failure rates of 2-10% provide evidence for further development in knee arthroplasty. The purpose of our study was to examine the safety of the tibial component of a novel all-ceramic total knee replacement (TKR) (BPK-S Integration ceramic) consisting of BIOLOX®delta ceramic. The standards ISO 14879-1 and ASTM F1800-07 describe the test set-up for the experimental strength verification with a significantly increased maximum load of 5300 N (900 N are required) and post-fatigue burst strength testing. All specimens were able to prove their mechanical strength against fracture in the alternating load test. There was no material fracture in any of the included tibial components. The subsequent post-fatigue burst strength testing revealed the maximum strength against fracture of all specimens. With at least 9.7 kN for size 3 and at least 12.1 kN for size 6, all specimens showed relatively large strength reserves to the stress in the alternating load test. So far we simulated an in vivo lifetime of 10 years for the tibial component. Further studies should be conducted in which longer in vivo lifetimes of the components are simulated to investigate possible fatigue of the used material over a longer period of time.
MeSH term(s)	Arthroplasty, Replacement, Knee ; Ceramics/chemistry ; Humans ; Metals/chemistry ; Prosthesis Failure
Chemical Substances	Metals
Language	English
Publishing date	2017-08-01
Publishing country	Germany
Document type	Journal Article
ZDB-ID	120817-2
ISSN	1862-278X ; 0013-5585
ISSN (online)	1862-278X
ISSN	0013-5585
DOI	10.1515/bmt-2016-0231
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Article ; Online: Der Charcot-Fuß

Trieb, K

Der Orthopade

2015 Volume 44, Issue 1, Page(s) 1

Title translation	Charcot foot.
MeSH term(s)	Arthropathy, Neurogenic/diagnosis ; Arthropathy, Neurogenic/therapy ; Diabetic Foot/diagnosis ; Diabetic Foot/therapy ; Humans
Language	German
Publishing date	2015-01
Publishing country	Germany
Document type	Introductory Journal Article
ZDB-ID	121792-6
ISSN	1433-0431 ; 0085-4530
ISSN (online)	1433-0431
ISSN	0085-4530
DOI	10.1007/s00132-014-3054-z
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Article ; Online: Expression and differential distribution of the shaker-related voltage-gated potassium channel family (K V 1.x) in human hippocampus and neocortex

Leitner Irmgard / Wietzorrek Georg / Trieb Maria / Marksteiner Josef / Knaus Hans-Günther

BMC Pharmacology, Vol 11, Iss Suppl 2, p A

2011 Volume 27

Keywords	Therapeutics. Pharmacology ; RM1-950 ; Medicine ; R ; DOAJ:Therapeutics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	2011-09-01T00:00:00Z
Publisher	BioMed Central
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Conference proceedings: Non-idiopathic scoliosis is related to intraspinal and extraspinal disorders in a related manner

Landauer, Franz / Trieb, Klemens

2022 , Page(s) AB39–1161

Event/congress	Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2022); Berlin; ; Berufsverband für Orthopädie und Unfallchirurgie; 2022
Keywords	Medizin, Gesundheit ; scoliosis ; idiopathic ; intraspinal ; extraspinal ; brace
Publishing date	2022-10-25
Publisher	German Medical Science GMS Publishing House; Düsseldorf
Document type	Conference proceedings
DOI	10.3205/22dkou268
Database	German Medical Science

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Article: Extracorporeal shock wave therapy: an update.

Auersperg, Vinzenz / Trieb, Klemens

EFORT open reviews

2020 Volume 5, Issue 10, Page(s) 584–592

Abstract: Extracorporeal shock wave therapy (ESWT) is a safe therapy and there are only a few side effects known (such as pain during ESWT and minor haematomata), but no severe complications are to be expected if it is performed as recommended.Contraindications ... ...

Abstract	Extracorporeal shock wave therapy (ESWT) is a safe therapy and there are only a few side effects known (such as pain during ESWT and minor haematomata), but no severe complications are to be expected if it is performed as recommended.Contraindications are severe coagulopathy for high-energy ESWT, and ESWT with focus on the foetus or embryo and focus on severe infection.The effect mechanism of ESWT is still a component of diverse studies, but as far as we can summarize today, it is a similar process to a cascade triggered by mechano-transduction: mechanical energy causes changes in the cellular skeleton, which provokes a reaction of the cell core (for example release of mRNA) to influence diverse cell structures such as mitochondria, endoplasmic reticulum, intracellular vesicles, etc., so the enzymatic response leads to the improvement of the healing process.The usage of ESWT should be taught, to improve the outcome. Courses should be organized by national societies, since the legal framework conditions are different from one country to another.In this update the musculoskeletal indications are addressed (mainly bone and tendons): pseudoarthrosis, delayed fracture healing, bone marrow oedema and osteonecrosis in its early stages, insertional tendinopathies such as plantar fasciitis and Achilles tendon fasciitis, calcifying tendonitis of the rotator cuff, tennis elbow, and wound healing problems. Cite this article:
Language	English
Publishing date	2020-10-26
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2844421-8
ISSN	2058-5241 ; 2058-5241 ; 2396-7544
ISSN (online)	2058-5241
ISSN	2058-5241 ; 2396-7544
DOI	10.1302/2058-5241.5.190067
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