TY - JOUR A1 - Ehrig, Rainald A1 - Heller, Markus O. A1 - Kratzenstein, Stefan A1 - Duda, Georg A1 - Trepczynski, Adam A1 - Taylor, William R. T1 - The SCoRE residual: A quality index to assess the accuracy of joint estimations JF - Journal of Biomechanics Y1 - 2011 U6 - https://doi.org/10.1016/j.jbiomech.2010.12.009 VL - 44 IS - 7 SP - 1400 EP - 1404 ER - TY - JOUR A1 - Ehrig, Rainald A1 - Taylor, William R. A1 - Duda, Georg A1 - Heller, Markus O. T1 - A Survey for Formal Methods for Determining Functional Joint Axes JF - Journal of Biomechanics Y1 - 2007 SP - 2150 EP - 2157 ER - TY - CHAP A1 - Kratzenstein, Stefan A1 - Ehrig, Rainald A1 - Heller, Markus O. A1 - Duda, Georg A1 - Taylor, William R. T1 - A Quantification of Accuracy in Estimating Joint Centers T2 - 17th Congress of the European Society of Biomechanics Y1 - 2010 CY - Edinburgh ER - TY - CHAP A1 - Kratzenstein, Stefan A1 - Heller, Markus O. A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Schröder, Jörg H. A1 - Taylor, William R. T1 - Die Bestimmung der Genauigkeit nicht-invasiver Techniken zur Ermittlung der Hüftgelenksposition in-vivo T2 - 6th annual meeting of the German Society for Biomechanics (DGfB) Y1 - 2009 CY - Münster ER - TY - CHAP A1 - Kratzenstein, Stefan A1 - Heller, Markus O. A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Schröder, Jörg H. A1 - Taylor, William R. T1 - Der Vergleich von nicht-invasiven Techniken zur Bestimmung der Hüftgelenksposition T2 - Annual meeting of the German Society of Orthopaedics and Trauma Surgery Y1 - 2009 CY - Berlin ER - TY - CHAP A1 - Kratzenstein, Stefan A1 - Heller, Markus O. A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Taylor, William R. T1 - The Residual: A Reliable Measure of Accuracy in the Determination of Joint Centers T2 - Transactions Vol. 35, 2010 Annual Meeting of the Orthopedic Society Y1 - 2010 CY - New Orleans ER - TY - CHAP A1 - Kratzenstein, Stefan A1 - Heller, Markus O. A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Taylor, William R. T1 - The Hip Joint Centre can be determined to within 3 mm T2 - 17th Congress of the European Society of Biomechanics Y1 - 2010 CY - Edinburgh ER - TY - CHAP A1 - Kratzenstein, Stefan A1 - Heller, Markus O. A1 - Ehrig, Rainald A1 - Wassilew, Georgi A1 - Duda, Georg A1 - Taylor, William R. T1 - A new approach for optimally reducing skin marker artifact allows determination of the hip joint center within 3mm T2 - Transactions Vol. 35, 2010 Annual Meeting of the Orthopedic Society Y1 - 2010 CY - New Orleans ER - TY - JOUR A1 - Taylor, William R. A1 - Pöpplau, Berry M. A1 - König, Christian A1 - Ehrig, Rainald A1 - Zachow, Stefan A1 - Duda, Georg A1 - Heller, Markus O. T1 - The medial-lateral force distribution in the ovine stifle joint during walking JF - Journal of Orthopaedic Research Y1 - 2011 U6 - https://doi.org/10.1002/jor.21254 VL - 29 IS - 4 SP - 567 EP - 571 ER - TY - JOUR A1 - Boeth, Heide A1 - Duda, Georg A1 - Heller, Markus O. A1 - Ehrig, Rainald A1 - Doyscher, Ralf A1 - Jung, Tobias A1 - Moewis, Philippe A1 - Scheffler, Sven A1 - Taylor, William R. T1 - Anterior cruciate ligament-deficient patients with passive knee joint laxity have a decreased range of anterior-posterior motion during active movements JF - The American Journal of Sports Medicine Y1 - 2013 U6 - https://doi.org/10.1177/0363546513480465 VL - 41 IS - 5 SP - 1051 EP - 7 ER - TY - CHAP A1 - Taylor, William R. A1 - Kornaropoulos, Evgenios I. A1 - Ehrig, Rainald A1 - Heller, Markus O. A1 - Duda, Georg T1 - Reproducibility of a functional approach to gait analysis T2 - Annual meeting of the ESMAC 2009 Y1 - 2009 CY - London ER - TY - CHAP A1 - Taylor, William R. A1 - Fröhlich, Annika A1 - Buttgereit, Frank A1 - Ehrig, Rainald A1 - Witaschek, Tom A1 - Duda, Georg ED - Kersting, Uwe ED - Morlock, Michael ED - Jirova-Enzmann, Daniela ED - Dremstrup, Kim T1 - Metacarpophalangeal joint stiffness is reduced in patients affected by rheumatoid arthritis after glucocorticoid medication T2 - Proceedings of the ESM-2012, Aalborg Y1 - 2012 SP - 39 PB - Department of Health Science and Technology, Aalborg University ER - TY - CHAP A1 - Kornaropoulos, Evgenios I. A1 - Taylor, William R. A1 - Duda, Georg A1 - Ehrig, Rainald A1 - Heller, Markus O. T1 - Frontal plane lower limb alignment using functionally determined joint centers and axes T2 - International Conference on Computational Bioengineering Y1 - 2009 ER - TY - CHAP A1 - Kornaropoulos, Evgenios I. A1 - Taylor, William R. A1 - Duda, Georg A1 - Ehrig, Rainald A1 - Heller, Markus O. T1 - An imageless method to quantify the Mechanical Femoral-Tibial Angle (MFTA) using functionally defined joint centers and axes. T2 - 6th Annual meeting of the German Society for Biomechanics (DGfB) Y1 - 2009 ER - TY - CHAP A1 - Krämer, Martin A1 - Maggioni, Marta A1 - Tycowicz, Christoph von A1 - Brisson, Nick A1 - Zachow, Stefan A1 - Duda, Georg A1 - Reichenbach, Jürgen T1 - Ultra-short echo-time (UTE) imaging of the knee with curved surface reconstruction-based extraction of the patellar tendon T2 - ISMRM (International Society for Magnetic Resonance in Medicine), 26th Annual Meeting 2018, Paris, France N2 - Due to very short T2 relaxation times, imaging of tendons is typically performed using ultra-short echo-time (UTE) acquisition techniques. In this work, we combined an echo-train shifted multi-echo 3D UTE imaging sequence with a 3D curved surface reconstruction to virtually extract the patellar tendon from an acquired 3D UTE dataset. Based on the analysis of the acquired multi-echo data, a T2* relaxation time parameter map was calculated and interpolated to the curved surface of the patellar tendon. Y1 - 2018 ER - TY - JOUR A1 - Alves, Sónia A1 - Ehrig, Rainald A1 - Raffalt, Peter C. A1 - Bender, Alwina A1 - Duda, Georg A1 - Agres, Alison N. T1 - Quantifying Asymmetry in Gait: A Weighted Universal Symmetry Index to Evaluate 3D Ground Reaction Forces JF - Frontiers in Bioengineering and Biotechnology N2 - Though gait asymmetry is used as a metric of functional recovery in clinical rehabilitation, there is no consensus on an ideal method for its evaluation. Various methods have been proposed but are limited in scope, as they can often use only positive signals or discrete values extracted from time-scale data as input. By defining five symmetry axioms, a framework for benchmarking existing methods was established and a new method was described here for the first time: the weighted universal symmetry index (wUSI), which overcomes limitations of other methods. Both existing methods and the wUSI were mathematically compared to each other and in respect to their ability to fulfill the proposed symmetry axioms. Eligible methods that fulfilled these axioms were then applied using both discrete and continuous approaches to ground reaction force (GRF) data collected from healthy gait, both with and without artificially induced asymmetry using a single instrumented elbow crutch. The wUSI with a continuous approach was the only symmetry method capable of determining GRF asymmetries in different walking conditions in all three planes of motion. When used with a continuous approach, the wUSI method was able to detect asymmetries while avoiding artificial inflation, a common problem reported in other methods. In conclusion, the wUSI is proposed as a universal method to quantify three-dimensional GRF asymmetries, which may also be expanded to other biomechanical signals. Y1 - 2020 ER - TY - JOUR A1 - Willie, Bettina M. A1 - Pap, Thomas A1 - Perka, Carsten A1 - Schmidt, Carsten Oliver A1 - Eckstein, Felix A1 - Arampatzis, Adamantios A1 - Hege, Hans-Christian A1 - Madry, Henning A1 - Vortkamp, Andrea A1 - Duda, Georg T1 - OVERLOAD of joints and its role in osteoarthritis - Towards understanding and preventing progression of primary osteoarthritis JF - Zeitschrift für Rheumatologie N2 - Intact joints are necessary for skeletal function and mobility in daily life. A healthy musculoskeletal system is the basis for a functional cardiovascular system as well as an intact immune system. Locomotion, physiotherapy, and various forms of patient activity are essential clinical therapies used in the treatment of neurodegeneration, stroke, diabetes, and cancer. Mobility is substantially impaired with degeneration of joints and, in advanced stages, nighttime pain and sleep disturbance are particularly cumbersome. Osteoarthritis (OA) is also known as degenerative joint disease. OA involves structural and compositional changes in the articular cartilage, as well as in the calcified cartilage, subchondral cortical bone, subchondral cancellous bone, meniscus, joint capsular tissue, and synovium; which eventually lead to degeneration of these tissues comprising synovial joints. Y1 - 2015 U6 - https://doi.org/10.1007/s00393-014-1561-2 VL - 76 IS - Suppl. 1 SP - 1 EP - 4 ER - TY - JOUR A1 - Krämer, Martin A1 - Maggioni, Marta A1 - Brisson, Nicholas A1 - Zachow, Stefan A1 - Teichgräber, Ulf A1 - Duda, Georg A1 - Reichenbach, Jürgen T1 - T1 and T2* mapping of the human quadriceps and patellar tendons using ultra-short echo-time (UTE) imaging and bivariate relaxation parameter-based volumetric visualization JF - Magnetic Resonance Imaging N2 - Quantification of magnetic resonance (MR)-based relaxation parameters of tendons and ligaments is challenging due to their very short transverse relaxation times, requiring application of ultra-short echo-time (UTE) imaging sequences. We quantify both T1 and T2⁎ in the quadriceps and patellar tendons of healthy volunteers at a field strength of 3 T and visualize the results based on 3D segmentation by using bivariate histogram analysis. We applied a 3D ultra-short echo-time imaging sequence with either variable repetition times (VTR) or variable flip angles (VFA) for T1 quantification in combination with multi-echo acquisition for extracting T2⁎. The values of both relaxation parameters were subsequently binned for bivariate histogram analysis and corresponding cluster identification, which were subsequently visualized. Based on manually-drawn regions of interest in the tendons on the relaxation parameter maps, T1 and T2⁎ boundaries were selected in the bivariate histogram to segment the quadriceps and patellar tendons and visualize the relaxation times by 3D volumetric rendering. Segmentation of bone marrow, fat, muscle and tendons was successfully performed based on the bivariate histogram analysis. Based on the segmentation results mean T2⁎ relaxation times, over the entire tendon volumes averaged over all subjects, were 1.8 ms ± 0.1 ms and 1.4 ms ± 0.2 ms for the patellar and quadriceps tendons, respectively. The mean T1 value of the patellar tendon, averaged over all subjects, was 527 ms ± 42 ms and 476 ms ± 40 ms for the VFA and VTR acquisitions, respectively. The quadriceps tendon had higher mean T1 values of 662 ms ± 97 ms (VFA method) and 637 ms ± 40 ms (VTR method) compared to the patellar tendon. 3D volumetric visualization of the relaxation times revealed that T1 values are not constant over the volume of both tendons, but vary locally. This work provided additional data to build upon the scarce literature available on relaxation times in the quadriceps and patellar tendons. We were able to segment both tendons and to visualize the relaxation parameter distributions over the entire tendon volumes. Y1 - 2019 U6 - https://doi.org/10.1016/j.mri.2019.07.015 VL - 63 IS - 11 SP - 29 EP - 36 ER - TY - JOUR A1 - Trepczynski, Adam A1 - Kneifel, Paul A1 - Heyland, Mark A1 - Leskovar, Marko A1 - Moewis, Philippe A1 - Damm, Philipp A1 - Taylor, William R. A1 - Zachow, Stefan A1 - Duda, Georg N. T1 - Impact of the external knee flexion moment on patello-femoral loading derived from in vivo loads and kinematics JF - Frontiers in Bioengineering and Biotechnology N2 - Introduction: Anterior knee pain and other patello-femoral (PF) complications frequently limit the success of total knee arthroplasty as the final treatment of end stage osteoarthritis. However, knowledge about the in-vivo loading conditions at the PF joint remains limited, as no direct measurements are available. We hypothesised that the external knee flexion moment (EFM) is highly predictive of the PF contact forces during activities with substantial flexion of the loaded knee. Materials and methods: Six patients (65–80 years, 67–101 kg) with total knee arthroplasty (TKA) performed two activities of daily living: sit-stand-sit and squat. Tibio-femoral (TF) contact forces were measured in vivo using instrumented tibial components, while synchronously internal TF and PF kinematics were captured with mobile fluoroscopy. The measurements were used to compute PF contact forces using patient specific musculoskeletal models. The relationship between the EFM and the PF contact force was quantified using linear regression. Results: Mean peak TF contact forces of 1.97–3.24 times body weight (BW) were found while peak PF forces reached 1.75 to 3.29 times body weight (BW). The peak EFM ranged from 3.2 to 5.9 %BW times body height, and was a good predictor of the PF contact force (R2 = 0.95 and 0.88 for sit-stand-sit and squat, respectively). Discussion: The novel combination of in vivo TF contact forces and internal patellar kinematics enabled a reliable assessment of PF contact forces. The results of the regression analysis suggest that PF forces can be estimated based solely on the EFM from quantitative gait analysis. Our study also demonstrates the relevance of PF contact forces, which reach magnitudes similar to TF forces during activities of daily living. Y1 - 2024 U6 - https://doi.org/10.3389/fbioe.2024.1473951 SN - 2296-4185 VL - 12/2024 PB - Frontiers Media SA ER - TY - JOUR A1 - Heller, Markus O. A1 - Matziolis, Georg A1 - König, Christian A1 - Taylor, William R. A1 - Hinterwimmer, S. A1 - Graichen, H. A1 - Hege, Hans-Christian A1 - Bergmann, G. A1 - Perka, Carsten A1 - Duda, G. N. T1 - Muskuloskelettale Biomechanik des Kniegelenks - Grundlagen für die präoperative Planung von Umstellung und Gelenkersatz JF - Der Orthopäde Y1 - 2007 U6 - https://doi.org/10.1007/s00132-007-1115-2 VL - 36 IS - 7 SP - 628 EP - 634 ER - TY - CHAP A1 - Lamecker, Hans A1 - Wenckebach, Thomas A1 - Hege, Hans-Christian A1 - N. Duda, Georg A1 - Heller, Markus T1 - Atlas-basierte 3D-Rekonstruktion des Beckens aus 2D-Projektionsbildern T2 - Bildverarbeitung für die Medizin 2006: Algorithmen - Systeme - Anwendungen Y1 - 2006 U6 - https://doi.org/10.1007/3-540-32137-3_6 SP - 26 EP - 30 PB - Springer Berlin Heidelberg ER - TY - JOUR A1 - Ziegler, Günter M. A1 - Hege, Hans-Christian A1 - Duda, Georg T1 - Neue Bilder für die Medizin? JF - DFN-Mitteilungen Y1 - 2005 VL - 13(3) SP - 163 EP - 167 ER - TY - CHAP A1 - Ehlke, Moritz A1 - Heyland, Mark A1 - Märdian, Sven A1 - Duda, Georg A1 - Zachow, Stefan T1 - 3D Assessment of Osteosynthesis based on 2D Radiographs T2 - Proceedings of the Jahrestagung der Deutschen Gesellschaft für Computer- und Roboterassistierte Chirurgie (CURAC) N2 - We present a novel method to derive the surface distance of an osteosynthesis plate w.r.t. the patient-specific surface of the distal femur based on postoperative 2D radiographs. In a first step, the implant geometry is used as a calibration object to relate the implant and the individual X-ray images spatially in a virtual X-ray setup. Second, the patient- specific femoral shape and pose are reconstructed by fitting a deformable statistical shape and intensity model (SSIM) to the X-rays. The relative positioning between femur and implant is then assessed in terms of the displacement between the reconstructed 3D shape of the femur and the plate. We believe that the approach presented in this paper constitutes a meaningful tool to elucidate the effect of implant positioning on fracture healing and, ultimately, to derive load recommendations after surgery. KW - 3d-reconstruction from 2d X-rays KW - osteosynthesis follow-up KW - statistical shape and intensity models Y1 - 2015 SP - 317 EP - 321 ER - TY - GEN A1 - Ehlke, Moritz A1 - Heyland, Mark A1 - Märdian, Sven A1 - Duda, Georg A1 - Zachow, Stefan T1 - 3D Assessment of Osteosynthesis based on 2D Radiographs N2 - We present a novel method to derive the surface distance of an osteosynthesis plate w.r.t. the patient-specific surface of the distal femur based on postoperative 2D radiographs. In a first step, the implant geometry is used as a calibration object to relate the implant and the individual X-ray images spatially in a virtual X-ray setup. Second, the patient-specific femoral shape and pose are reconstructed by fitting a deformable statistical shape and intensity model (SSIM) to the X-rays. The relative positioning between femur and implant is then assessed in terms of the displacement between the reconstructed 3D shape of the femur and the plate. We believe that the approach presented in this paper constitutes a meaningful tool to elucidate the effect of implant positioning on fracture healing and, ultimately, to derive load recommendations after surgery. T3 - ZIB-Report - 15-47 KW - 3d-reconstruction from 2d X-rays KW - statistical shape and intensity models KW - osteosynthesis follow-up Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-56217 SN - 1438-0064 ER - TY - CHAP A1 - Krämer, Martin A1 - Herrmann, Karl-Heinz A1 - Boeth, Heide A1 - Tycowicz, Christoph von A1 - König, Christian A1 - Zachow, Stefan A1 - Ehrig, Rainald A1 - Hege, Hans-Christian A1 - Duda, Georg A1 - Reichenbach, Jürgen T1 - Measuring 3D knee dynamics using center out radial ultra-short echo time trajectories with a low cost experimental setup T2 - ISMRM (International Society for Magnetic Resonance in Medicine), 23rd Annual Meeting 2015, Toronto, Canada Y1 - 2015 ER - TY - CHAP A1 - Ehlke, Moritz A1 - Heyland, Mark A1 - Märdian, Sven A1 - Duda, Georg A1 - Zachow, Stefan T1 - Assessing the relative positioning of an osteosynthesis plate to the patient-specific femoral shape from plain 2D radiographs T2 - Proceedings of the 15th Annual Meeting of CAOS-International (CAOS) N2 - We present a novel method to derive the surface distance of an osteosynthesis plate w.r.t. the patient­specific surface of the distal femur based on 2D X­ray images. Our goal is to study from clinical data, how the plate­to­bone distance affects bone healing. The patient­specific 3D shape of the femur is, however, seldom recorded for cases of femoral osteosynthesis since this typically requires Computed Tomography (CT), which comes at high cost and radiation dose. Our method instead utilizes two postoperative X­ray images to derive the femoral shape and thus can be applied on radiographs that are taken in clinical routine for follow­up. First, the implant geometry is used as a calibration object to relate the implant and the individual X­ray images spatially in a virtual X­ray setup. In a second step, the patient­specific femoral shape and pose are reconstructed in the virtual setup by fitting a deformable statistical shape and intensity model (SSIM) to the images. The relative positioning between femur and implant is then assessed in terms of displacement between the reconstructed 3D shape of the femur and the plate. A preliminary evaluation based on 4 cadaver datasets shows that the method derives the plate­to­bone distance with a mean absolute error of less than 1mm and a maximum error of 4.7 mm compared to ground truth from CT. We believe that the approach presented in this paper constitutes a meaningful tool to elucidate the effect of implant positioning on fracture healing. KW - 3d-­reconstruction from 2d X­rays KW - statistical shape and intensity models KW - fracture fixation of the distal femur KW - pose estimation Y1 - 2015 ER - TY - GEN A1 - Ehlke, Moritz A1 - Heyland, Mark A1 - Märdian, Sven A1 - Duda, Georg A1 - Zachow, Stefan T1 - Assessing the Relative Positioning of an Osteosynthesis Plate to the Patient-Specific Femoral Shape from Plain 2D Radiographs N2 - We present a novel method to derive the surface distance of an osteosynthesis plate w.r.t. the patient­specific surface of the distal femur based on 2D X­ray images. Our goal is to study from clinical data, how the plate­to­bone distance affects bone healing. The patient­specific 3D shape of the femur is, however, seldom recorded for cases of femoral osteosynthesis since this typically requires Computed Tomography (CT), which comes at high cost and radiation dose. Our method instead utilizes two postoperative X­ray images to derive the femoral shape and thus can be applied on radiographs that are taken in clinical routine for follow­up. First, the implant geometry is used as a calibration object to relate the implant and the individual X­ray images spatially in a virtual X­ray setup. In a second step, the patient­specific femoral shape and pose are reconstructed in the virtual setup by fitting a deformable statistical shape and intensity model (SSIM) to the images. The relative positioning between femur and implant is then assessed in terms of displacement between the reconstructed 3D shape of the femur and the plate. A preliminary evaluation based on 4 cadaver datasets shows that the method derives the plate­to­bone distance with a mean absolute error of less than 1mm and a maximum error of 4.7 mm compared to ground truth from CT. We believe that the approach presented in this paper constitutes a meaningful tool to elucidate the effect of implant positioning on fracture healing. T3 - ZIB-Report - 15-21 KW - 3d-­reconstruction from 2d X­rays KW - statistical shape and intensity models KW - fracture fixation of the distal femur KW - pose estimation Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-54268 SN - 1438-0064 ER - TY - JOUR A1 - Boeth, Heide A1 - Duda, Georg A1 - Hinzmann, Daniel A1 - Hermann, Sandra A1 - Taylor, William R. A1 - Ehrig, Rainald A1 - Witaschek, Tom A1 - Buttgereit, Frank T1 - A Novel Approach to Quantify Morning Stiffness in Patients with Rheumatoid Arthritis JF - Annual European Congress of Rheumatology, EULAR 2015, Rome Y1 - 2015 ER - TY - GEN A1 - Hoerth, Rebecca M. A1 - Baum, Daniel A1 - Knötel, David A1 - Prohaska, Steffen A1 - Willie, Bettina M. A1 - Duda, Georg A1 - Hege, Hans-Christian A1 - Fratzl, Peter A1 - Wagermaier, Wolfgang T1 - Registering 2D and 3D Imaging Data of Bone during Healing N2 - Purpose/Aims of the Study: Bone’s hierarchical structure can be visualized using a variety of methods. Many techniques, such as light and electron microscopy generate two-dimensional (2D) images, while micro computed tomography (μCT) allows a direct representation of the three-dimensional (3D) structure. In addition, different methods provide complementary structural information, such as the arrangement of organic or inorganic compounds. The overall aim of the present study is to answer bone research questions by linking information of different 2D and 3D imaging techniques. A great challenge in combining different methods arises from the fact that they usually reflect different characteristics of the real structure. Materials and Methods: We investigated bone during healing by means of μCT and a couple of 2D methods. Backscattered electron images were used to qualitatively evaluate the tissue’s calcium content and served as a position map for other experimental data. Nanoindentation and X-ray scattering experiments were performed to visualize mechanical and structural properties. Results: We present an approach for the registration of 2D data in a 3D μCT reference frame, where scanning electron microscopies serve as a methodic link. Backscattered electron images are perfectly suited for registration into μCT reference frames, since both show structures based on the same physical principles. We introduce specific registration tools that have been developed to perform the registration process in a semi-automatic way. Conclusions: By applying this routine, we were able to exactly locate structural information (e.g. mineral particle properties) in the 3D bone volume. In bone healing studies this will help to better understand basic formation, remodeling and mineralization processes. T3 - ZIB-Report - 15-01 Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-53426 SN - 1438-0064 ER - TY - JOUR A1 - Hoerth, Rebecca M. A1 - Baum, Daniel A1 - Knötel, David A1 - Prohaska, Steffen A1 - Willie, Bettina M. A1 - Duda, Georg A1 - Hege, Hans-Christian A1 - Fratzl, Peter A1 - Wagermaier, Wolfgang T1 - Registering 2D and 3D Imaging Data of Bone during Healing JF - Connective Tissue Research Y1 - 2015 U6 - https://doi.org/10.3109/03008207.2015.1005210 VL - 56 IS - 2 SP - 133 EP - 143 PB - Taylor & Francis ER - TY - CHAP A1 - Boeth, Heide A1 - Duda, Georg A1 - Hinzmann, Daniel A1 - Taylor, William R. A1 - Ehrig, Rainald A1 - Witaschek, Tom A1 - Buttgereit, Frank T1 - Objektive Quantifizierung der Morgensteifigkeit als Parameter für rheumatoide Arthritis im Metacarpophalangealgelenk T2 - 9. Jahrestagung der Deutschen Gesellschaft für Biomechanik (DGfB), Bonn Y1 - 2015 ER - TY - JOUR A1 - Willie, Bettina M. A1 - Pap, Thomas A1 - Perka, Carsten A1 - Schmidt, Carsten Oliver A1 - Eckstein, Felix A1 - Arampatzis, Adamantios A1 - Hege, Hans-Christian A1 - Madry, Henning A1 - Vortkamp, Andrea A1 - Duda, Georg T1 - OVERLOAD – Rolle der Gelenküberlastung in der primären Arthrose – Die Krankheitsprogression verstehen und vermeiden JF - Zeitschrift für Rheumatologie N2 - Intakte Gelenke sind eine Voraussetzung für das Funktionieren des Skeletts und die Mobilität im Lebensalltag. Ein gesunder Bewegungsapparat ist die Grundlage für die Funktionsfähigkeit des Herz-Kreislauf-Systems wie auch der Immunabwehr. Bewegungs- und Physiotherapie sowie verschiedene Formen der Patientenaktivität stellen essenzielle klinische Ansätze in der Behandlung von neurodegenerativen Erkrankungen, Schlaganfall, Diabetes und Krebs dar. Kommt es zu degenerativen Veränderungen von Gelenken, bedeutet dies eine wesentliche Beeinträchtigung der Mobilität. Nächtliche Schmerzen und Schlafstörungen treten in fortgeschrittenen Stadien auf und sind besonders belastend. Arthrose wird auch als degenerative Gelenkerkrankung bezeichnet. Sie geht mit Veränderungen in der Struktur und Zusammensetzung des Gelenkknorpels wie auch des verkalkten Knorpels, der subchondralen Kortikalis, der subchondralen Spongiosa, des Meniskus, der Gelenkkapsel und der Synovialis einher, was schließlich zur Degeneration dieser Gewebe führt, aus denen sich die Synovialgelenke zusammensetzen. Y1 - 2015 U6 - https://doi.org/10.1007/s00393-014-1561-2 VL - 74 SP - 618 EP - 621 ER - TY - JOUR A1 - Boeth, Heide A1 - Biesen, Robert A1 - Hollnagel, Jeremias A1 - Herrmann, Sandra A1 - Ehrig, Rainald A1 - Pelli, Lorenzo A1 - Taylor, William R. A1 - Duda, Georg A1 - Buttgereit, Frank T1 - Quantification of morning stiffness to assess disease activity and treatment effects in rheumatoid arthritis JF - Rheumatology N2 - Objectives The clinical parameter “morning stiffness” is widely used to assess the status of rheumatoid arthritis (RA), but its accurate quantitative assessment in a clinical setting has not yet been successful. This lack of individual quantification limits both personalized medication and efficacy evaluation in the treatment of RA. Methods We have developed a novel technology to assess passive resistance of the metacarpophalangeal (MCP) III joint (stiffness) and its Passive Range of Motion (PRoM). Within this pilot study, nineteen female postmenopausal RA patients and nine healthy controls were examined in the evening as well as in the morning of the following day. To verify the specificity of the biomechanical quantification, eleven patients with RA were assessed both prior to and ∼3 h after glucocorticoid therapy. Results While the healthy controls showed only minor changes between afternoon and morning, in RA patients mean±SD PRoM decreased significantly by 18 ± 22% and stiffness increased significantly by 20 ± 18% in the morning compared with the previous afternoon. We found a significant positive correlation between RA activity and biomechanical measures. Glucocorticoids significantly increased mean PRoM by 16 ± 11% and reduced mean stiffness by 23 ± 22%. Conclusion This technology allowed mechanical stiffness to be quantified in MCP joints, and has demonstrated high sensitivity in respect to disease status as well as medication effect in RA patients. Such non-invasive, low risk, and rapid assessment of biomechanical joint stiffness opens a novel avenue for judging therapy efficacy in patients with RA, and potentially also in other non-RA inflammatory joint diseases. Y1 - 2021 U6 - https://doi.org/10.1093/rheumatology/keab323 VL - 60 IS - 11 SP - 5282 EP - 5291 ER - TY - JOUR A1 - Oehme, Stephan A1 - Moewis, Philippe A1 - Boeth, Heide A1 - Bartek, Benjamin A1 - von Tycowicz, Christoph A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Jung, Tobias T1 - Altered knee kinematics after posterior cruciate single-bundle reconstruction - a comprehensive prospective biomechanical in vivo analysis JF - Frontiers in Bioengineering and Biotechnology Y1 - 2024 U6 - https://doi.org/10.3389/fbioe.2024.1322136 VL - 12 ER - TY - JOUR A1 - Trepczynski, Adam A1 - Kneifel, Paul A1 - Heyland, Mark A1 - Leskovar, Marko A1 - Moewis, Philippe A1 - Damm, Philipp A1 - Taylor, William R. A1 - Zachow, Stefan A1 - Duda, Georg T1 - Impact of the External Knee Flexion Moment on Patello-Femoral Loading Derived from in vivo Loads and Kinematics JF - Frontiers in Bioengineering and Biotechnology N2 - Anterior knee pain and other patello-femoral (PF) complications frequently limit the success of total knee arthroplasty as the final treatment of end stage osteoarthritis. However, knowledge about the invivo loading conditions at the PF joint remains limited, as no direct measurements are available. We hypothesised that the external knee flexion moment (EFM) is highly predictive of the PF contact forces during activities with substantial flexion of the loaded knee.Six patients (65-80 years, 67-101 kg) with total knee arthroplasty (TKA) performed two activities of daily living: sit-stand-sit and squat. Tibio-femoral (TF) contact forces were measured in vivo using instrumented tibial components, while synchronously internal TF and PF kinematics were captured with mobile fluoroscopy. The measurements were used to compute PF contact forces using patient specific musculoskeletal models. The relationship between the EFM and the PF contact force was quantified using linear regression.Mean peak TF contact forces of 1.97 to 3.24 times body weight (BW) were found while peak PF forces reached 1.75 to 3.29 times body weight (BW). The peak EFM ranged from 3.2 to 5.9 %BW times body height, and was a good predictor of the PF contact force (R^2 = 0.95 and 0.88 for sit-standsit and squat, respectively).The novel combination of in vivo TF contact forces and internal patellar kinematics enabled a reliable assessment of PF contact forces. The results of the regression analysis suggest that PF forces can be estimated based solely on the EFM from quantitative gait analysis. Our study also demonstrates the relevance of PF contact forces, which reach magnitudes similar to TF forces during activities of daily living. Y1 - 2024 U6 - https://doi.org/10.3389/fbioe.2024.1473951 VL - 12 ER - TY - JOUR A1 - Oehme, Stephan A1 - Moewis, Philippe A1 - Boeth, Heide A1 - Bartek, Benjamin A1 - Lippert, Annika A1 - von Tycowicz, Christoph A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Jung, Tobias T1 - PCL insufficient patients with increased translational and rotational passive knee joint laxity have no increased range of anterior–posterior and rotational tibiofemoral motion during level walking JF - Scientific Reports Y1 - 2022 U6 - https://doi.org/10.1038/s41598-022-17328-3 VL - 12 IS - 1 SP - 1 EP - 11 ER - TY - JOUR A1 - Moewis, Philippe A1 - Kaiser, René A1 - Trepczynski, Adam A1 - von Tycowicz, Christoph A1 - Krahl, Leonie A1 - Ilg, Ansgar A1 - Holz, Johannes A1 - Duda, Georg T1 - Patient specific resurfacing implant knee surgery in subjects with early osteoarthritis results in medial pivot and lateral femoral rollback during flexion: A retrospective pilot study JF - Knee Surgery, Sports Traumatology, Arthroscopy N2 - Purpose. Metallic resurfacing implants have been developed for the treatment of early, focal, small, condylar and trochlear osteoarthritis (OA) lesions. They represent an option for patients who are either too young to fulfill the criteria for total knee arthroplasty (TKA) or too old for biological treatment. Although relevant clinical evidence has been collected for different resurfacing types, the in vivo post-operative knee kinematics remains unknown. The present study aims to measure and analyse the knee joint kinematics in subjects with patient-specific Episealer implants Methods. Retrospective study design. Fluoroscopic analyses during high flexion activities (unloaded flexion-extension and loaded lunge) were conducted at >12 months post-surgery in ten Episealer knees. The post-operative knee joint kinematics was compared to equally assessed kinematic from ten healthy knees, twenty G-Curve TKA knees and 10 J-Curve knees. Pre- and postoperative clinical data of the Episealer knees were collected using a visual analog scale (VAS), the EQ 5d Health Questionnaire and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Results. During unloaded flexion-extension and loaded lunge, the medial condyle in the Episealer knees remained relative stationary, indicating a medial pivot, while the lateral condyle translated consistently towards posterior. Similarly, reduced movement of the medial condyle and posterior translation of the lateral condyle was also observed in the healthy knees, although to a lesser extent. In contrast, the kinematics of both TKA cohorts during unloaded flexion-extension showed a tendency towards anterior displacement in the medial compartment, which led to significant differences in comparison with the Episealer knees. In the lateral compartment, a certain degree of femoral rollback was noted in the G-Curve TKA cohort. Improved scores were observed in the Episealer subjects between the preoperative and 1-year postoperative follow-up. Conclusion. At 12 months postsurgery, a physiological-like knee kinematics was observed in the group of patient-specific reconstructed chondral/osteochondral lesions by means of a resurfacing Episealer implant strategy. Considering that these patients are physically active and do not fulfill the criteria for TKA, the group is hard to be compared to TKA patients which usually are less active and more challenging. Nevertheless, the comparison to either healthy knee kinematics as well as to TKA reconstructed knees with different implant designs showed a more physiological-like kinematics in the resurfacing implants that seems more appropriate for such a patient group. Despite positive results, careful clinical follow-up of treated patients is recommended for the long-term OA progression. Further investigations need to be encouraged not only in larger patient groups but also in a prospective manner to assess the pre- to postoperative kinematic changes. Y1 - 2021 U6 - https://doi.org/10.1007/s00167-021-06749-8 ER - TY - JOUR A1 - Lang, Annemarie A1 - Helfmeier, Sarah A1 - Stefanowski, Jonathan A1 - Kuppe, Aditi A1 - Sunkara, Vikram A1 - Pfeiffenberger, Moritz A1 - Wolter, Angelique A1 - Damerau, Alexandra A1 - Hemmati-Sadeghi, Shabnam A1 - Ringe, Jochen A1 - Haag, Rainer A1 - Hauser, Anja E. A1 - Löhning, Max A1 - Perka, Carsten A1 - Duda, Georg A1 - Hoff, Paula A1 - Schmidt-Bleek, Katharina A1 - Gaber, Timo A1 - Buttgereit, Frank T1 - HIF-stabilization prevents delayed fracture healing JF - bioarxiv Y1 - 2020 U6 - https://doi.org/10.1101/2020.07.02.182832 ER - TY - JOUR A1 - Ngokingha Tchouto, Mireille A1 - Mehl, Julia A1 - Khomeijani Farahani, Saeed A1 - Baum, Daniel A1 - Duda, Georg T1 - Novel image registration approach for combining 2D Osterix and collagen bundles images with 3D µCT JF - Journal of Bone and Mineral Research Y1 - 2026 U6 - https://doi.org/10.1093/jbmrpl/ziag009 VL - 10 IS - 3 ER - TY - GEN A1 - Baumann, Felix A1 - Duda, Georg A1 - Schiela, Anton A1 - Weiser, Martin ED - Hintermüller, Michael ED - Herzog, Roland ED - Kanzow, Christian ED - Ulbrich, Michael ED - Ulbrich, Stefan T1 - Identification of Stress in Heterogeneous Contact Models BT - Simulation and Hierarchical Optimization, Part II T2 - Non-Smooth and Complementarity-Based Distributed Parameter Systems N2 - We develop a heterogeneous model of the lower limb system to simulate muscle forces and stresses acting on the knee joint. The modelling of the bone dynamics leads to an index-3 DAE, which we discretize by higher order collocation methods. Furthermore, we present an elastomechanical contact knee joint model of the articular cartilage. For the solution of the contact problem we develop an efficient multigrid solver, based on an Augmented-Lagrangian relaxation of the contact constraints. We formulate the identification of joint forces and resulting stresses with respect to different knee joint models as an inverse problem based on medical gait data. Y1 - 2026 VL - 173 PB - Springer Nature ER -